{"id":"8fa96ae5-7dda-4ef4-abbc-f40f20871fcd","slug":"a-case-of-anterior-arch-fracture-of-the-atlas-associated-with-c1-laminectomy","title":"A case of anterior arch fracture of the atlas associated with C1 laminectomy","authors":["Toshinari Kawasaki","Motohiro Takayama","Yoshinori Maki","Kota Nakajima","Tamaki Kobayashi","Masaaki Saiki","Yoshihiko Ioroi"],"abstract":"Background: Spontaneous anterior arch fracture of the atlas after a C1 laminectomy (CIL) is an extremely rare complication. Case Description: A 72-year-old male presented with the sudden onset of neck pain. His prior history included; a CIL for atlantoaxial subluxation, shunt closure for a spinal dural arteriovenous fistula at C3, a cervical laminoplasty from C3 to C6 for stenosis, and a prior anterior C4/5 and C5/6 fusion 14 years ago. Once the computed tomography documented a right C1 anterior arch fracture, and occipital-cervical fusion was performed utilizing C2 laminar screws and C4 pedicle screws with halo-vest placement. Postoperatively, the neck pain resolved and he remained stable. Conclusion: Neurosurgeons should be aware of the risk of anterior arch fractures following a CIL and may alternatively consider a C1 laminoplasty in the future.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/8fa96ae5-7dda-4ef4-abbc-f40f20871fcd/featured/hero-1781560375162.png","publishDate":"2023-04-14T00:00:00.000Z","doi":"10.25259/SNI_254_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/04/12258/SNI-14-136.pdf"}