Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, October 27, 2025
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

For best results switch to Advanced Search.
Article Detail
 Return to Search Results
Article ID
Title
URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Citation&list_uids=17224357
Journal J Manipulative Physiol Ther. 2007 Jan;30(1):62-64
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVE: The purpose of this case report is to draw attention to the differences between a Jefferson fracture and a congenital anomaly of the anterior and/or the posterior arch of the atlas.

CLINICAL FEATURES: A 42-year-old woman visited the chiropractic practice complaining of headache, neck pain, dizziness, and numbness in both of her arms after she fell vertically and directly on her head twice on a playground. Before this fall, she had no such complaints. After taking x-rays of the cervical spine, a Jefferson fracture was suspected.

INTERVENTION AND OUTCOME: After computed tomography and magnetic resonance imaging scanning, the patient was diagnosed with a congenital anomaly that looked very similar to a Jefferson fracture. After instability of the cervical spine was excluded by the neurosurgeon, chiropractic treatment was delivered. After 6 treatments, the complaints were significantly reduced.

CONCLUSION: It is important to be familiar with the differences between a congenital anomaly of the atlas and a Jefferson fracture and to exclude instability of the upper cervical spine before treatment is started.

First author: Annemarie de Zoete

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher. DOI Link
      

Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips