Abstract
The human cervical spine has a unique anatomy adapted to accommodate the needs and stability of the highly mobile head–torso transition area. This is achieved through the presence of the upper cervical spine that includes the occipito- atlantal (C0–C1) and the atlantoaxial (C1–C2) joint complexes. Knowledge of the internal architecture of the axis, the instantaneous axis of rotation (IAR), the range of motion and the mechanical properties of the craniocervical junction ligaments play an important role to accessing and properly treating trauma and other diseases causing upper cervical spine instability.
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References
Ghanayem AJ et al., (2004) Functional anatomy of joints, ligaments, and discs. In Clark CR, Ducker TB, Benzel E, et al. (eds) The cervical spine. The cervical spine research society, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 46–54
Korres DS, Karahalios TH, Roidis N, Lykomitros VA et al (2004) Structural properties of the axis studied in cadaveric specimens. Clin Orthop Related Res 418:134–140
Amling M, Post N, Wening VJ et al (1995) Structural heterogeneity within the axis: the main cause in the etiology of dens fractures: a histomorphometric analysis of 37 normal and osteoporotic autopsy cases. J Neurosurg 83:330–335
White AA, Panjabi MM (1990) Clinical biomechanics of the spine, 2nd edn. Lippincott JP, Philadelphia
Panjabi MM, Crisco JJ, Vasavada A et al (2001) Mechanical properties of the human cervical spine as shown by three-dimensional load-displacement curves. Spine 26(24):2692–2700
Panjabi M M et al (2004) Cervical spine kinematics and clinical instability. In Clark C R, Ducker T B, Benzel E et al (eds) The cervical spine. The cervical spine research society, 4th edn. Lippincott Williams & Wilkins, pp 57–77
Spence KF Jr, Decker S, Sell KW (1970) Bursting atlantal fracture associated with rupture of the transverse ligament. J Bone Joint Surg Am 52:543–549
Jagannathan J, Dumont AS, Prevedello DM et al (2007) Cervical spine injuries in pediatric athletes: mechanisms and management. Neurosurg Focus 21(4):E6
Steinmetz MP, Mroz TE, Benzel EC (2010) Craniovertebral junction: biomechanical considerations. Neurosurgery 66:A7–A12
Morishita Y, Falakassa J, Naito M et al (2009) The kinematic relationships of the upper cervical spine. Spine 34(24):2642–2645
Dvorak J, Panjabi MM, Gerber M (1987) CT-functional diagnostics of the rotatory instability of the upper cervical spine: an experimental study in cadavers. Spine 12:197
Panjabi MM, Myers BS (2009) Cervical spine protection report. Prepared for NOCSAE. National Operating Committee on Standards for Athletic Equipment. http://nocsae.org/research/rep/SpineReport.pdf. Accessed 22 Dec
Crawford NR, Hurlbert JR, Choi WG, Dickman CA (1999) Differential biomechanical effects of injury and wiring at C1–C2. Spine 24(18):1894–1902
Fielding JW, Cochran GB, Lawsing JF III, Hohl M (1974) Tears of the transverse ligament of the atlas: a clinical and biomechanical study. J Bone Joint Surg Am 56:1683–1691
Tubbs RS, Hallock JD, Radcliff V, Naftel RP et al (2011) Ligaments of the craniocervical junction. A review. J Neurosurg Spine 14:697–709
Lang J (1995) Skull base and related structures. Schattauer, Stuttgart
Tubbs RS, Griessenauer CJ, McDaniel JG, Burns AM, Kubla A, Cohen-Gobel AA (2010) The transverse occipital ligament: anatomy and potential functional significance. Neurosurgery 66(3 Suppl Operative):1–3
Tubbs RS, Salter EG, Oakes WJ (2004) The accessory atlantoaxial ligament. Neurosurgery 55:400–402
Tubbs RS, Stetler W, Shoja MM, Loukas M, Hansasuta A, Liechty P et al (2007) The lateral atlantooccipital ligament. Surg Radiol Anat 29:219–223
Grab BC, Frye TA, Hedlund GL, Vaid YN, Grabb PA, Royal SA (1999) MRI diagnosis of suspected atlanto-occipital dissociation in childhood. Pediatr Radiol 29:275–281
Tubbs RS, Grabb P, Spooner A, Wilson W, Oakes WJ (2000) The apical ligament: anatomy and functional significance. J Neurosurg Spine 92:197–200
Oda T, Panjabi MM, Crisco JJ, Buef HU, Grob D, Dvorak J (1992) Role of the tectorial membrane in the stability of the upper cervical spine. Clin Biomech (Bristol, Avon) 7:201–207
Krakenes J, Kaale BR, Nordii H, Moen G, Rorvik J, Gilhus NE (2003) MR analysis of the transverse ligament in the late stage of whiplash injury. Acta Radiol 44:637–644
Tsakotos GA, Anagnostopoulou SI, Evangelopoulow DS et al (2007) The Arnol’s ligament and its contribution to the neck-tongue syndrome (NTS). J Ortthop Surg Traumatolo 17:527–531
Tubbs RS, Kelly DR, Humphrey ER, Chua GD, Shoja MM, Salter EG et al (2007) The tectorial membrane: anatomical, biomechanical, and histological analysis. Clin Anat 20:382–386
Lang J (1986) Craniocervical region, osteology and articulations. Neuro-Orthopedics 1:67–92
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Lykomitros, V.A. (2013). Biomechanics. In: Korres, D. (eds) The Axis Vertebra. Springer, Milano. https://doi.org/10.1007/978-88-470-5232-1_3
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DOI: https://doi.org/10.1007/978-88-470-5232-1_3
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