C1 isolated anterior arch fracture

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Background

  • Stable Cervical spine fracture
  • Also called a Landells Atlas Type I fracture or plough fracture
  • Rule out burst fracture

Mechanism

  • Axial compression, hyperextension, or lateral compression

Differential Diagnosis

Cervical Spine Fractures and Dislocations

Imaging

  • CT test of choice to eval for associated fracture's
  • MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer)

Management

Disposition

  • Usually discharge (if truly isolated) in consultation with neurosurgery

See Also

References