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Related Experiment Videos

Trauma to anomalous cervical spine.

G M Weisz

    Spine
    |April 1, 1983
    PubMed
    Summary

    A rare aplastic arch of the atlas (Keller's type) case demonstrates severe cervical spine injury without neural damage. Ligamentous structures preserved upper cervical stability, leading to uncomplicated recovery.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Radiology

    Background:

    • Aplastic arch of the atlas (Keller's type) is a rare congenital anomaly.
    • Severe cervical spine injuries require careful evaluation of bony and neural elements.

    Observation:

    • A case involving an aplastic arch of the atlas with severe cervical spine trauma is presented.
    • The trauma caused significant bony compression at the C7 vertebra.
    • Remarkably, no neural elements in the upper cervical spine were injured.

    Findings:

    • The integrity of the ligamentous apparatus was crucial in maintaining stable movement of the first vertebral connections.
    • Despite the severe impact, upper cervical neural elements remained intact.

    Implications:

    • This case highlights the importance of ligamentous structures in preventing neurological deficits in severe cervical spine injuries.
    • Understanding rare anatomical variations like Keller's type is vital for accurate diagnosis and management of spinal trauma.
    • Prompt recovery without complications suggests the potential for good outcomes even with significant bony injury if neural structures are protected.

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