Posterior arch anomalies of Atlas and its clinical significance
Keywords:
Atlas vertebra, Congenital anomaly, Posterior arch, Clinical significance
Abstract
Introduction: Congenital anomalies of posterior arch of atlas are very rare. Most of the time detection of this developmental anomaly is incidental while investigating for neck pain and stiffness or injury involving the region of head and neck.
Aim: Our aim was to determine the incidence of posterior arch anomaly of atlas in Maharashtra region. 75 dried human atlas vertebrae were included for this study.
Observations: We detected Type A and B in our study.
Results: The incidence of posterior arch anomaly is 4% i.e. 3 out of 75 vertebrae. We detected Type A and B in our study and these types are generally asymptomatic. Type C to E may be associated with neurological deficit.
Conclusion: It is essential for the clinicians to recognize the condition and the specific type of anomaly in order to distinguish it from fractures secondary to trauma and for the proper guidance of the patients accordingly.
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References
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14. Sebastian Guenkel, Sladjana Schlaepfer, Sonja Gordic, Guido A. Wanner, Hans-Peter Simmen and Clément M. L. Werner. Incidence and Variants of Posterior Arch Defects of the Atlas Vertebra. Radiol Res Pract. 2013;Article ID 957280, 3 pages.
15. Parul KAUSHAL. Median deficiency in the posterior arch of the atlas vertebra : a case report. Int J Anat Var. 2011;4:67–8.
16. U. Solomon Krupanidhi, Jayaprakash B.R, Mallikarjun M. and Raveendra Patil. Total aplasia of posterior arch of the Atlas. Int J Biomed Res. 2013;4:491 – 493.
17. Senay OZDOLAP, Selda SARIKAYA, Ozlem BALBALOGLU, Murat KALAYCI: a case Report. Congenital defects of posterior arch of the atlas : a case report. Neuroanatomy. 2007;6:72–4.
18. Aseem Sharma, Shailesh B. Gaikwad, Parminder S. Deol, Nalin K. Mishra, and Shashank S. Kale. Case Report Partial Aplasia of the Posterior Arch of the Atlas with an Isolated Posterior Arch Remnant : Findings in Three Cases. AJNR Am J Neuroradiol. 2000;21:1167–71.
19. Ji Won Choi, Je Hoon Jeong, Seung Myung Moon, Hyung Sik Hwang. Congenital Cleft of Anterior Arch and Partial Aplasia of the Posterior Arch of the C1. J Korean Neurosurg Soc. 2011;49:178–81. [PubMed]
20. Abraham Berger, Nikolaos A. Alexandro. Congenital Absence of the Posterior Arch of the Atlas Associated with a Non-displaced Fracture of C2. Isr J Trauma, Intensice care Emerg Med. 2002;2(2):20–2.
2. Hakan Sabuncuoglu, Selcuk Ozdogan, Demet Karadag, Erdener Timurk Aynak. Congenital Hypoplasia of the Posterior Arch of the Atlas : Case Report and Extensive Review of the Literature. Turkish Neurosurgery. 2011;21(1):97–103.
3. M H Schro¨del, V Braun, E Stolpe HH. Coincidental deficiency of the posterior arch of the atlas and. Emerg Med J. 2005;22:526–8. 9. [PubMed]
4. L. Corominas, K. Z. Masrouha. Case repot: Congenital absence of the posterior arch of the atlas associated with a fracture of the anterior arch. J bone Jt Surg. 2010;92:1300–2. [PubMed]
5. EC Tan, HC Soon, M Kevin, BC Se To. Congenital Absence of the Posterior Arch of the Atlas – A Strange but Benign Anomaly. Malaysian Orthop J. 2007;1(2):30–2.
6. K. Sridhar, B.Jose . “ Floating ” posterior tubercle of atlas as a cause of cord contusion : Case report and review of the literature. Spinal Surgey. 1(1):60–2.
7. Joseph J. Junewick, Matthew S. Chin, Indu Rekha Meesa, Saima Ghori, S. Jemar Boynton, Charles R. Luttenton. Ossification Patterns of the Atlas Vertebra. AJR. 2011;197:1229–34. [PubMed]
8. Gupta, C., Radhakrishnan, P., Palimar, V., D’souza, AS, Kiruba NL. A quantitative analysis of atlas vertebrae and its abnormalities. J Morphol Sci . 2013;30(2):77–81.
9. Guido Currarino, Nancy Rollins, and Jan T. Diehl. Congenital Defects of the Posterior Arch of the Atlas : A Report of Seven Cases Including an Affected Mother and Son. AJNR. 1994;15:249–54. [PubMed]
10. Jong Kyu Kwon, Myoung Soo Kim, Ghi Jai Lee.. The Incidence and Clinical Implications of Congenital Defects of Atlantal Arch. J Korean Neurosurg Soc. 2009;46:522–7. [PubMed]
11. Kaijun Wang, Xia Li, Haiyan Lou, Benyan Luo. Recurrent attacks of headache and neck pain caused by congenital aplasia of the posterior arch of atlas in an adult. bmj Csae Reports. 2010;1–4. [PubMed]
12. Martin Torriani and José Leonardo Goes Lourenço. AGENESIS OF THE POSTERIOR ARCH OF THE ATLAS. Rev Hosp Clin Fac Med S. 2002;57(2):73–6. [PubMed]
13. Senoglu M, Safavi-Abbasi S, Theodore N, Bambakidis NC, Crawford NR SV. The frequency and clinical significance of congenital defects of the posterior and anterior arch of the atlas. J Neurosurg Spine. 2007;7:399–402. Google / ncbi) [PubMed]
14. Sebastian Guenkel, Sladjana Schlaepfer, Sonja Gordic, Guido A. Wanner, Hans-Peter Simmen and Clément M. L. Werner. Incidence and Variants of Posterior Arch Defects of the Atlas Vertebra. Radiol Res Pract. 2013;Article ID 957280, 3 pages.
15. Parul KAUSHAL. Median deficiency in the posterior arch of the atlas vertebra : a case report. Int J Anat Var. 2011;4:67–8.
16. U. Solomon Krupanidhi, Jayaprakash B.R, Mallikarjun M. and Raveendra Patil. Total aplasia of posterior arch of the Atlas. Int J Biomed Res. 2013;4:491 – 493.
17. Senay OZDOLAP, Selda SARIKAYA, Ozlem BALBALOGLU, Murat KALAYCI: a case Report. Congenital defects of posterior arch of the atlas : a case report. Neuroanatomy. 2007;6:72–4.
18. Aseem Sharma, Shailesh B. Gaikwad, Parminder S. Deol, Nalin K. Mishra, and Shashank S. Kale. Case Report Partial Aplasia of the Posterior Arch of the Atlas with an Isolated Posterior Arch Remnant : Findings in Three Cases. AJNR Am J Neuroradiol. 2000;21:1167–71.
19. Ji Won Choi, Je Hoon Jeong, Seung Myung Moon, Hyung Sik Hwang. Congenital Cleft of Anterior Arch and Partial Aplasia of the Posterior Arch of the C1. J Korean Neurosurg Soc. 2011;49:178–81. [PubMed]
20. Abraham Berger, Nikolaos A. Alexandro. Congenital Absence of the Posterior Arch of the Atlas Associated with a Non-displaced Fracture of C2. Isr J Trauma, Intensice care Emerg Med. 2002;2(2):20–2.
CITATION
DOI: 10.17511/ijmrr.2014.i04.18
Published: 2014-08-31
How to Cite
1.
Kumar Mehta U, K N G, Gaikward M, Chavan L. Posterior arch anomalies of Atlas and its clinical significance. Int J Med Res Rev [Internet]. 2014Aug.31 [cited 2024Dec.22];2(4):361-6. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/121
Section
Original Article
OAI - Open Archives Initiative
