Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report
Year: 2021
Type: article
Study design: Case Report
Abstract: An 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a posterior decompressive laminectomy and occipitocervical fusion. The bony defect into the posterior arch was replaced by a connective tissue cord, resulting in a compression of the dural sheath. The symptoms recovered completely 1 month after surgery. Knowledge of this rare malformation is crucial to the correct management of these cases.
DOI: 10.1159/000516770
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $790
OpenAlex ID: W3167547557
