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Complete absence of the posterior arch of C1: Case report
Journal article   Open access   Peer reviewed

Complete absence of the posterior arch of C1: Case report

R Khanna, Z. A Smith, B. J Dlouhy and N. S Dahdaleh
Journal of craniovertebral junction and spine, Vol.5(4), pp.176-178
2014
DOI: 10.4103/0974-8237.147090
PMCID: PMC4279283
PMID: 25558151
url
https://doi.org/10.4103/0974-8237.147090View
Published (Version of record) Open Access

Abstract

Posterior atlas arch anomalies are relatively common, but have a variety of presentations ranging from partial clefts to complete agenesis of the posterior arch. Partial clefts are prevalent in 4% of patients and are generally asymptomatic. However, complete agenesis of the posterior arch is extremely rare. We report the case of a 46-year-old man who presented with upper cervical spine and occipital pain as well as left sided headaches. Imaging revealed congenital complete absence of the posterior arch of C1 (Type E) without any radiographic evidence of instability. We discuss our case in light of other reported cases and detail its management.
bracing Agenesis atlantoaxial instability posterior atlas arch Case Report

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