Summary
The authors present details of 22 fractures of the atlas treated at the Orthopaedic Clinic of the University of Athens between 1970 and 1982. After a brief survey of the basis of classification of the four types of fracture, the mechanism of injury, the clinical and radiological presentation and the treatment of these injuries, the authors analyse their own cases and examine their results. Such fractures may go unrecognised because of more obvious associated injuries at other levels in the cervical spine. Neurological signs are uncommon. Treatment has always been orthopaedic and the results are usually excellent.
Résumé
Les auteurs présentent 22 fractures de l'Atlas traitées à la Clinique Orthopédique de l'Université d'Athènes de 1970 à 1982. Après un bref rappel du classement de ces fractures en 4 types, du mécanisme, des aspects cliniques et radiologiques ainsi que du traitement des fractures de C1, les auteurs analysent leurs cas et discutent les résultats. Le diagnostic est souvent méconnu. Il existe fréquemment des fractures associées du rachis cervical à un autre niveau. Les signes neurologiques sont rares. Le traitement a toujours été orthopédique et les résultats constamment bons.
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Korres, D.S., Kouvaras, J. & Hartofilakides, G. Les fractures de l'Atlas. International Orthopaedics 9, 231–234 (1985). https://doi.org/10.1007/BF00266508
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DOI: https://doi.org/10.1007/BF00266508