2018
DOI: 10.16965/ijar.2017.497
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Ponticuli in Atlas Vertebrae and Its Clinical Aspect

Abstract: Background: Atlas, the first cervical vertebra, has an oblique ligament which bridges the groove for vertebral artery. This ligament may ossify sometimes converting groove into foramen. These foramina are called as ponticulus posterior or arcuate foramen of the atlas. The ponticuli can distort vertebral artery. They have tendency to cause vertebra basic insufficiency. During any manipulation of cervical spine, these variations of atlas should be kept in mind.

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“…Exhaustive knowledge about these anomalies in the cervical area is required of neurosurgeons, maxillo-facial surgeons and otolaryngologists to avoid misdiagnosis and any complications during surgery [ 46 ], especially during the placement of lateral mass screws into the atlas.…”
Section: Discussionmentioning
confidence: 99%
“…Exhaustive knowledge about these anomalies in the cervical area is required of neurosurgeons, maxillo-facial surgeons and otolaryngologists to avoid misdiagnosis and any complications during surgery [ 46 ], especially during the placement of lateral mass screws into the atlas.…”
Section: Discussionmentioning
confidence: 99%