Sonntag V K, Hadley M N, Dickman C A, Browner C M
Barrow Neurological Institute, Phoenix, Arizona.
Acta Neurochir Suppl (Wien). 1988;43:63-8. doi: 10.1007/978-3-7091-8978-8_15.
Fractures of the first cervical vertebra (C1) represent approximately 7% of all acute cervical spine fractures. Frequently, the atlas will be fractured in combination with the axis (44% of cases). Treatment of isolated C1 fractures should be governed by the rules of Spence. The treatment of combination C1-C2 fractures is dictated by the type and severity of the C2 fracture. Experience with 57 cases of acute traumatic atlas fractures are reviewed. The long-term outcome from an atlas fracture is good (median follow-up, 40 months).
第一颈椎（C1）骨折约占所有急性颈椎骨折的7%。通常，寰椎骨折常与枢椎骨折合并（44%的病例）。孤立性C1骨折的治疗应遵循斯彭斯法则。C1-C2联合骨折的治疗取决于C2骨折的类型和严重程度。本文回顾了57例急性创伤性寰椎骨折的病例。寰椎骨折的长期预后良好（中位随访时间为40个月）。
