Landells Atlas Fractures Classification [Neurosurgery Wiki]

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====== Landells Atlas Fractures Classification ======


===== Type I =====

[[Atlas fracture]]s involving a single arch (31–45% of C1 fractures).

Isolated anterior or posterior arch fracture. A plough fracture is an isolated anterior arch fracture caused by a force driving the odontoid through the anterior arch. Treat with hard [[cervical collar]]. 

{{::atlasfracturetype1.jpg?200|}}

===== Type II =====

Burst fracture (37–51 %): the classic [[Jefferson fracture]].

===== Type III =====

Unilateral lateral mass fractures of the atlas (13–37%)

Stability determined by integrity of [[transverse ligament]]
((Landells CD, Van Peteghem PK. Fractures of the atlas: classification, treatment and morbidity. Spine (Phila Pa 1976). 1988 May;13(5):450-2. doi: 10.1097/00007632-198805000-00002. PMID: 3187689.)).