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Updated: May 13, 2026
10:23
Three-Dimensional Cephalometric Landmark Annotation Demonstration on Human Cone Beam Computed Tomography Scans
Published on: September 8, 2023
Congenital C1 arch deficiency: Grand Round presentation
Mahmoud Mohamed Elmalky1, Sherief Elsayed, George Arealis
1Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospital, Derby Road, NG7 2UH, Nottingham, UK. mah_elmalky@yahoo.com
Summary
C1 arch deficiency, a rare congenital anomaly, can cause neck pain in children. Management remains controversial, with no clear surgical guidelines, and activity restrictions may not always be necessary.
Area of Science:
- Pediatric Orthopedics
- Congenital Anomalies
- Spinal Surgery
Background:
- C1 arch deficiency is an uncommon congenital anomaly presenting diagnostic and management challenges.
- It is a crucial consideration in the differential diagnosis of pediatric neck pain.
Observation:
- A 12-year-old girl experienced cervical spine clicking, diagnosed via CT and MRI as C1 posterior arch deficiency.
- She was treated with a cervical brace for a year, with significant resolution of clicking but residual neck pain.
Findings:
- Current management strategies for C1 arch deficiency lack definitive guidelines.
- Indications for surgical intervention in the absence of neurological deficits are unclear.
Implications:
- The necessity of restricting children with C1 arch deficiency from physical activities requires further evaluation.
- Further research is needed to establish evidence-based management protocols for this condition.
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