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The atlas (C1) and axis (C2) are the two topmost vertebrae. The atlas (C1) is the topmost vertebra, and along with the axis forms the joint connecting the skull and spine. It lacks a vertebral body, spinous process, and discs either superior or inferior to it. It is ring-like and consists of an anterior arch, posterior arch, and two lateral masses.
In 1953, further complications were later reported by McRae; flexion and extension is concentrated within the C1 and C2 vertebrae. As with aging, the odontoid process can become hypermobile, narrowing the space where the spinal cord and brain stem travel (spinal stenosis). Type II—Long fusion below C2 with an abnormal occipital-cervical junction.
The anterior scalene muscle (Latin: scalenus anterior), lies deeply at the side of the neck, behind the sternocleidomastoid muscle.It arises from the anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth cervical vertebrae, and descending, almost vertically, is inserted by a narrow, flat tendon into the scalene tubercle on the inner border of the first rib, and ...
This often happens at the C2 level, where the body of C2 moves anteriorly with respect to C3. Such an injury may well lead to spinal cord involvement, and as a consequence quadriplegia or death may occur. More commonly, subluxation occurs at the C6/C7 level (50% of cases).
There are seven cervical vertebrae (but eight cervical spinal nerves), designated C1 through C7. These bones are, in general, small and delicate. Their spinous processes are short (with the exception of C2 and C7, which have palpable spinous processes). C1 is also called the atlas, and C2 is also called the axis.
Cervical spinal nerve C7 controls triceps and wrist extension. Cervical spinal nerve C8 helps control the hand. [ 18 ] The cervicocranial syndrome occurs when symptoms arise due to cervical vertebrae damage (misalignment, collapse, shift or disease, such as tumor) resulting in the improper functioning of the cervical spinal nerves.
C2 innervates the rectus capitis anterior and rectus capitis lateralis muscles, and provides sensory nerves to the trapezius and the back of the scalp and upper neck. [2] At the atlantoaxial joint, the C2 spinal nerve emerges from the spinal cord through a small bony opening known as the intervertebral foramen located above the C2 vertebra.
Flexion teardrop fractures usually involve instability in all elements of the spine at the injured level, commonly occur at the C4-C7 vertebra, and have a high association with spinal cord injury (in particular anterior cord syndrome). In comparison, the extension-type fracture occurs more commonly at C2 or C3, causes less if any disruption to ...
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