The atlas is the first cervical vertebra, a ring-shaped bone with no vertebral body that supports the skull via two concave superior articular facets and allows the nodding motion of the head at the atlantooccipital joint.
The atlas is the most distinctive vertebra, lacking a body and consisting of two lateral masses connected by anterior and posterior arches. Jefferson fractures are burst fractures of the atlas from axial loading (e.g., diving into a shallow pool), producing the classic four-fragment pattern on open mouth odontoid radiograph. Transverse ligament integrity determines stability — if the combined overhang of the lateral masses exceeds 6.9 mm on open mouth view, the ligament is disrupted.
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