Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research Volume 7 Issue 4 (2026)
CONTEMPORARY PERSPECTIVES ON ATLAS (C1) FRACTURES: FROM DIAGNOSIS TO TREATMENT STRATEGY SELECTION
Кузиев Ортикшер Илмиддинович, Исмоилова Муаззам Исроиловна, Рахмонов Кодиржон Комилжонович, Рахмоналиев Рахмонали Рамзбек угли
Abstract
Fractures of the first cervical vertebra (C1, atlas) account for 2–13% of cervical spine injuries and are characterised by variable clinical presentation, diagnostic complexity, and the absence of universally accepted treatment standards. This literature review systematises current data on the epidemiology, diagnostic algorithms, classification systems, and therapeutic strategies for atlas injuries. The evolution of classification frameworks — from morphological systems (Gehweiler, Jefferson) to biomechanical paradigms (Dickman, AO Spine) — is examined. A comparative analysis of conservative and surgical treatment is conducted with reference to the integrity of the transverse atlantal ligament (TAL). It is concluded that a multimodal diagnostic approach and personalised selection of treatment method based on CT and MRI findings are essential for optimal patient outcomes.
атлант, C1, перелом, поперечная связка, МСКТ, МРТ, AO Spine, хирургическое лечение, литературный обзорatlas, C1, fracture, transverse ligament, CT, MRI, AO Spine, surgical treatment, literature reviewatlas, C1, siniq, ko'ndalang boylamcha, MSKT, MRT, AO Spine, jarrohlik davolash, adabiy sharh
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