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The distances between the dens and surrounding structures are also key features that can suggest the diagnosis, with the normal distance between the dens and basion (i.e., dens–basion interval; BDI) measuring less than 9 mm on CT, and the distance between the atlas and dens (i.e., atlas–dens interval; ADI) measuring less than 3 mm on CT, although this can be increased in cases of ...
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck. The bone is named for Atlas of Greek mythology , just as Atlas bore the weight of the heavens, the first cervical vertebra supports the head . [ 1 ]
When the occipital bone and the atlas (C1) are fused together in a condition called atlanto-occipital assimilation, it causes improper functioning of the cervical spinal nerves due to the vascular compression. Surgical procedure can decompress the nerves and reduce symptoms. [21] [22] [23]
Surgery may be used to fix the joint and any associated bone fractures. [1] Neck movement may be reduced long after this injury. [1] Such injuries may also lead to hypermobility, which may be diagnosed with radiographs. [2] This is especially true if traction is used during treatment. [2]
Sean Ormond, MD, of Atlas Pain Specialists, dual board-certified in anesthesiology and interventional pain management, who was not involved in this research, told Medical News Today that:
Symptoms may include pain, stiffness, and restricted movements of the affected areas. The majority of people with DISH are not symptomatic, [3] and the findings are an incidental imaging abnormality. In some, the x-ray findings may correspond to symptoms of back stiffness with flexion/extension or with mild back pain. [2]
In human anatomy, arcuate foramen, also known as ponticulus posticus (Latin for "little posterior bridge") or Kimmerle's anomaly, [1] refers to a bony bridge on the atlas (C1 vertebra) that covers the groove for the vertebral artery. It is a common anatomical variation and estimated to occur in approximately 3-15% of the population.
A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, [1] though it may also appear as a three- or two-part fracture. The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine.