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Atlas (anatomy) | |
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Details | |
Identifiers | |
Latin | atlas, vertebra cervicalis I |
MeSH | D001270 |
TA98 | A02.2.02.101 |
TA2 | 1038 |
FMA | 12519 |
Anatomical terms of bone |
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.
The bone is named for Atlas of Greek mythology, just as Atlas bore the weight of the heavens, the first cervical vertebra supports the head. [1] However, the term atlas was first used by the ancient Romans for the seventh cervical vertebra (C7) due to its suitability for supporting burdens. [2] In Greek mythology, Atlas was condemned to bear the weight of the heavens as punishment for rebelling against Zeus. Ancient depictions of Atlas show the globe of the heavens resting at the base of his neck, on C7. Sometime around 1522, anatomists decided to call the first cervical vertebra the atlas. [2] Scholars believe that by switching the designation atlas from the seventh to the first cervical vertebra Renaissance anatomists were commenting that the point of man’s burden had shifted from his shoulders to his head--that man’s true burden was not a physical load, but rather, his mind. [2]
The atlas is the topmost vertebra and the axis (the vertebra below it) forms the joint connecting the skull and spine. The atlas and axis are specialized to allow a greater range of motion than normal vertebrae. They are responsible for the nodding and rotation movements of the head.
The atlanto-occipital joint allows the head to nod up and down on the vertebral column. The dens acts as a pivot that allows the atlas and attached head to rotate on the axis, side to side.
The atlas's chief peculiarity is that it has no body, [3] which has fused with the next vertebra. [4] It is ring-like and consists of an anterior and a posterior arch and two lateral masses.
The atlas and axis are important neurologically because the brainstem extends down to the axis.
The anterior arch forms about one-fifth of the ring: its anterior surface is convex, and presents at its center the anterior tubercle for the attachment of the longus colli muscles and the anterior longitudinal ligament; posteriorly it is concave, and marked by a smooth, oval or circular facet (fovea dentis), for articulation with the odontoid process (dens) of the axis.
The upper and lower borders respectively give attachment to the anterior atlantooccipital membrane and the anterior atlantoaxial ligament; the former connects it with the occipital bone above, and the latter with the axis below. [5]
The posterior arch forms about two-fifths of the circumference of the ring: it ends behind in the posterior tubercle, which is the rudiment of a spinous process and gives origin to the recti capitis posteriores minores and the ligamentum nuchae. The diminutive size of this process prevents any interference with the movements between the atlas and the skull.
The posterior part of the arch presents above and behind a rounded edge for the attachment of the posterior atlantooccipital membrane, while immediately behind each superior articular process is the superior vertebral notch (sulcus arteriae vertebralis). This is a groove that is sometimes converted into a foramen by ossification of the posterior atlantooccipital membrane to create a delicate bony spiculum which arches backward from the posterior end of the superior articular process. This anatomical variant is known as an arcuate foramen.
This groove transmits the vertebral artery, which, after ascending through the foramen in the transverse process, winds around the lateral mass in a direction backward and medially to enter the vertebrobasilar circulation through the foramen magnum; it also transmits the suboccipital nerve (first spinal nerve).
On the under surface of the posterior arch, behind the inferior articular facets, are two shallow grooves, the inferior vertebral notches. The lower border gives attachment to the posterior atlantoaxial ligament, which connects it with the axis.
The lateral masses are the most bulky and solid parts of the atlas, in order to support the weight of the head.
Each carries two articular facets, a superior and an inferior.
Just below the medial margin of each superior facet is a small tubercle, for the attachment of the transverse atlantal ligament which stretches across the ring of the atlas and divides the vertebral foramen into two unequal parts:
This part of the vertebral canal is of considerable size, much greater than is required for the accommodation of the spinal cord.
The transverse processes are large; they project laterally and downward from the lateral masses, and serve for the attachment of muscles which assist in rotating the head. They are long, and their anterior and posterior tubercles are fused into one mass; the foramen transversarium is directed from below, upward and backward.
The atlas is usually ossified from three centers. [6]
Of these, one appears in each lateral mass about the seventh week of fetal life, and extends backward; at birth, these portions of bone are separated from one another behind by a narrow interval filled with cartilage.
Between the third and fourth years they unite either directly or through the medium of a separate center developed in the cartilage.
At birth, the anterior arch consists of cartilage; in this a separate center appears about the end of the first year after birth, and joins the lateral masses from the sixth to the eighth year.
The lines of union extend across the anterior portions of the superior articular facets.
Occasionally there is no separate center, the anterior arch being formed by the forward extension and ultimate junction of the two lateral masses; sometimes this arch is ossified from two centers, one on either side of the middle line.
Accessory transverse foramen of the atlas is present in 1.4–12.5% across the population. [7]
Foramen arcuale or a bony bridge above the vertebral artery on the posterior arch of the atlas may be present. This foramen has an overall prevalence of 9.1%. [8] Arch defects refer to the condition where a gap or cleft exists at the anterior arch or posterior arch of the atlas. The prevalence of the posterior arch defect and anterior arch defect was 0.95% and 0.087%, respectively. [9] The anterior arch defect may be presented along with posterior arch defect, a condition known as combined arch defect or bipartite atlas. [10]
Upper surface:
Interior and dorsal part:
Lower surface:
Upper surface:
Lower surface:
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There are 5 types of C1 fractures referred to as the Levine Classification of Atlas Fractures
Type 1: Isolated bony apophysis (transverse process fracture
Type 2: Isolated posterior arch fractures
Type 3: Isolated anterior arch fracture
Type 4: Comminuted fracture of the lateral mass
Type 5: Bilateral burst fracture (AKA Jefferson Fracture)
A break in the first vertebra is referred to as a Jefferson fracture.
Craniocervical junction misalignment is also suspected as a factor in neurodegenerative diseases where altered CSF flow plays a part in the pathological process.
Hyperextension (Whiplash) Injury
A rear-end traffic collision or a poorly performed rugby tackle can both result in the head being whipped back on the shoulders, causing whiplash. In minor cases, the anterior longitudinal ligament of the spine is damaged which is acutely painful for the patient.
In more severe cases, fractures can occur to any of the cervical vertebrae as they are suddenly compressed by rapid deceleration. Again, since the vertebral foramen is large there is less chance of spinal cord involvement.
The worst-case scenario for these injuries is that dislocation or subluxation of the cervical vertebrae occurs. This often happens at the C2 level, where the body of C2 moves anteriorly with respect to C3. Such an injury may well lead to spinal cord involvement, and as a consequence quadriplegia or death may occur. More commonly, subluxation occurs at the C6/C7 level (50% of cases).
In vertebrate anatomy, ribs are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the thoracic cavity, enabling the lungs to expand and thus facilitate breathing by expanding the thoracic cavity. They serve to protect the lungs, heart, and other vital organs of the thorax. In some animals, especially snakes, ribs may provide support and protection for the entire body.
Articles related to anatomy include:
The sacrum, in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1–S5) between ages 18 and 30.
The lumbar vertebrae are located between the thoracic vertebrae and pelvis. They form the lower part of the human back in humans, and the tail end of the back in quadrupeds. In humans, there are five lumbar vertebrae. The term is used to describe the anatomy of humans and quadrupeds, such as horses, pigs, or cattle. These bones are found in particular cuts of meat, including tenderloin or sirloin steak.
In anatomy, the axis is the second cervical vertebra (C2) of the spine, immediately inferior to the atlas, upon which the head rests. The spinal cord passes through the axis.
The levator scapulae is a slender skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula. It is innervated by the cervical nerves C3-C4, and frequently also by the dorsal scapular nerve. As the Latin name suggests, its main function is to lift the scapula.
In tetrapods, cervical vertebrae are the vertebrae of the neck, immediately below the skull. Truncal vertebrae lie caudal of cervical vertebrae. In sauropsid species, the cervical vertebrae bear cervical ribs. In lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The vertebral transverse processes of mammals are homologous to the cervical ribs of other amniotes. Most mammals have seven cervical vertebrae, with the only three known exceptions being the manatee with six, the two-toed sloth with five or six, and the three-toed sloth with nine.
In vertebrates, thoracic vertebrae compose the middle segment of the vertebral column, between the cervical vertebrae and the lumbar vertebrae. In humans, there are twelve thoracic vertebrae of intermediate size between the cervical and lumbar vertebrae; they increase in size going towards the lumbar vertebrae. They are distinguished by the presence of facets on the sides of the bodies for articulation with the heads of the ribs, as well as facets on the transverse processes of all, except the eleventh and twelfth, for articulation with the tubercles of the ribs. By convention, the human thoracic vertebrae are numbered T1–T12, with the first one (T1) located closest to the skull and the others going down the spine toward the lumbar region.
The obliquus capitis inferior muscle is a muscle in the upper back of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the spinous process of the axis; its superior attachment is at the transverse process of the atlas. It is innervated by the suboccipital nerve. The muscle rotates the head to its side.
The vertebral arteries are major arteries of the neck. Typically, the vertebral arteries originate from the subclavian arteries. Each vessel courses superiorly along each side of the neck, merging within the skull to form the single, midline basilar artery. As the supplying component of the vertebrobasilar vascular system, the vertebral arteries supply blood to the upper spinal cord, brainstem, cerebellum, and posterior part of brain.
The rectus capitis posterior minor is a muscle in the upper back part of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the posterior arch of atlas; its superior attachment is onto the occipital bone at and below the inferior nuchal line. The muscle is innervated by the suboccipital nerve. The muscle acts as a weak extensor of the head.
The lateral parts of the occipital bone are situated at the sides of the foramen magnum; on their under surfaces are the condyles for articulation with the superior facets of the atlas.
The atlanto-axial joint is a joint in the upper part of the neck between the atlas bone and the axis bone, which are the first and second cervical vertebrae. It is a pivot joint.
In anatomy, the transverse ligament of the atlas is a broad, tough ligament which arches across the ring of the atlas posterior to the dens to keep the dens in contact with the atlas. It forms the transverse component of the cruciform ligament of atlas.
The anterior atlantooccipital membrane is a broad, dense membrane extending between the anterior margin of the foramen magnum (superiorly), and the anterior arch of atlas (inferiorly).
The posterior atlantooccipital membrane is a broad but thin membrane extending between the posterior margin of the foramen magnum above, and posterior arch of atlas below. It forms the floor of the suboccipital triangle.
The posterior branches of cervical nerves branch from the dorsal rami of the cervical nerves.
The following outline is provided as an overview of and topical guide to human anatomy:
The vertebral column, also known as the spinal column, spine or backbone, is the core part of the axial skeleton in vertebrate animals. The vertebral column is the defining and eponymous characteristic of the vertebrate endoskeleton, where the notochord found in all chordates has been replaced by a segmented series of mineralized irregular bones called vertebrae, separated by fibrocartilaginous intervertebral discs. The dorsal portion of the vertebral column houses the spinal canal, an elongated cavity formed by alignment of the vertebral neural arches that encloses and protects the spinal cord, with spinal nerves exiting via the intervertebral foramina to innervate each body segments.
Each vertebra is an irregular bone with a complex structure composed of bone and some hyaline cartilage, that make up the vertebral column or spine, of vertebrates. The proportions of the vertebrae differ according to their spinal segment and the particular species.
This article incorporates text in the public domain from page 99 of the 20th edition of Gray's Anatomy (1918)