ArticleCureus2025
Spontaneous Anterior Arch Fracture of the Atlas Following C1 Laminectomy in a Patient With Osteopetrosis: A Case With Five Years of Follow-Up.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Atlantoaxial rotatory subluxation in a pediatric patient with osteopetrosis following minor trauma: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Article
- Management of Multilevel Mid-Cervical Fractures in an Adult With Osteopetrosis.Journal of medical cases · 2025Article
- Clinical characteristics of postoperative anterior arch fracture of the atlas following C1 laminectomy: 14-year experience of a single neurosurgical center.Journal of craniovertebral junction & spineArticle
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Osteopetrosis is a rare group of genetic disorders characterized by excessive bone density due to impaired osteoclast function and can lead to various complications, including fractures and immune dysfunction. We describe the case of a 63-year-old man with osteopetrosis who presented with cervical discomfort and was diagnosed with an anterior arch fracture of the atlas, a rare spontaneous fracture following C1 laminectomy. Initially, no neurological abnormalities were observed, and imaging confirmed the continuity of the transverse ligament. Thus, the decision was made to follow the natural course in the absence of instability. Conservative treatment with a cervical collar was initiated, and the fracture gap began to fill by three years postoperatively, though nonunion persisted at five years. The patient remained asymptomatic and did not require further surgical intervention. This case highlights that stress concentrated on the anterior arch of the atlas due to the unique bone quality in osteopetrosis, and the subsequent natural course of the fracture did not require additional surgical treatment. Careful follow-up is essential to monitor for any pathological changes.
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