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American Journal of Roentgenology, Vol 140, Issue 6, 1083-1086
Copyright © 1983 by American Roentgen Ray Society

Articles

Malformations of the atlas vertebra simulating the Jefferson fracture

JA Gehweiler Jr, RH Daffner, and L Roberts Jr

Congenital clefts and aplasias of the atlas vertebra, while rare, are often first encountered in the emergency room setting. Thirty-six patients with atlas malformations and 10 with Jefferson fractures were encountered. Sixteen of the patients with congenital malformations showed bilateral atlantoaxial lateral offset, a finding generally considered to be the result of fracture. The diagnosis of these abnormalities is readily made from plain films by noting their characteristic features. Anomalies produce lateral offset of 1-2 mm. Jefferson fractures produce a greater offset (over 3 mm).
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Copyright © 1983 by the American Roentgen Ray Society.