Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, April 28, 2024
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ID 19417
  Title A congenital anomaly of the atlas as a diagnostic dilemma: a case report
URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Citation&list_uids=17224357
Journal J Manipulative Physiol Ther. 2007 Jan;30(1):62-64
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Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVE: The purpose of this case report is to draw attention to the differences between a Jefferson fracture and a congenital anomaly of the anterior and/or the posterior arch of the atlas.

CLINICAL FEATURES: A 42-year-old woman visited the chiropractic practice complaining of headache, neck pain, dizziness, and numbness in both of her arms after she fell vertically and directly on her head twice on a playground. Before this fall, she had no such complaints. After taking x-rays of the cervical spine, a Jefferson fracture was suspected.

INTERVENTION AND OUTCOME: After computed tomography and magnetic resonance imaging scanning, the patient was diagnosed with a congenital anomaly that looked very similar to a Jefferson fracture. After instability of the cervical spine was excluded by the neurosurgeon, chiropractic treatment was delivered. After 6 treatments, the complaints were significantly reduced.

CONCLUSION: It is important to be familiar with the differences between a congenital anomaly of the atlas and a Jefferson fracture and to exclude instability of the upper cervical spine before treatment is started.

First author: Annemarie de Zoete

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher. DOI Link
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