C1 isolated anterior arch fracture

Background

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

Vertebral fractures and dislocations types

Vertebral anatomy.

Clinical Features

Axial compression, hyperextension, or lateral compression

Differential Diagnosis

Neck Trauma

Diagnosis

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

Management

Hard collar for 6-12 weeks
- Neurosurgery may prefer Halo immobilization
Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization

Disposition

Usually discharge (if truly isolated) in consultation with neurosurgery

See Also

Cervical spine injuries
C-Spine X-Ray
C1 isolated posterior arch fracture
Jefferson fracture

References

Orthobullets

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