International Journal of Anatomy and Research



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Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 3 | Page No. 2878-2881

Date of Publication: 30-09-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.360


STUDY ON THE MORPHOLOGICAL VARIATIONS OF THE ADULT HUMAN ATLAS VERTEBRAE

B Sadananda Rao *1, M Yesender 2, S Saritha 2, B H Shiny Vinila 3.

*1 Associate Professor, Department of Anatomy, Kamineni Academy of Medical Sciences and Research Centre, Hyderabad, Telangana, India.

2 Professor, Department of Anatomy, Kamineni Academy of Medical sciences and Research Centre, Hyderabad, Telangana, India.

3 Senior Lecturer, Department of Anatomy, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India.

Address: Dr. M Yesender, Associate Professor, Department of Anatomy, Kamineni Academy of Medical sciences and Research Center, L B Nagar, Hyderabad, Telangana, India.
E-Mail: yesender.anat@gmail.com

ABSTRACT

Background: The knowledge of the anatomical variations of atlas plays very important role in neurosurgery where the surgical manipulation of the cervical spine is needed to decompress the vertebral artery as the variations of altas leads to cause cervico-basilar insufficiency. 
Materials and methods: Study was carried out on 50 dry adult human atlas vertebrae of unknown sex which are collected from department of Anatomy. All the specimens were observed for presence of any morphological variations.
Results: Among the 50 atlases studied. The following morphological variations were observed. Incomplete foramen transversarium was observed in 2 (4%) cases. Retroarticular canals or ponticles were present in 10 (20%) of cases. Among that the complete posterior ponticles was seen in 2 (4%) atlases, one with bilateral complete retroarticular canal, and one with unilateral retroarticular canal. Incomplete posterior ponticles was seen in 8 (16%) atlases, and the incomplete lateral ponticle was seen in 1 (2%) atlas. Bilobed superior articular facet was observed in 7 (14%) of cases. Spur on the anterior arch was observed in 10 (20%) of cases. Abnormal groove around the superior articular facet on left side was observed in one atlas.
Conclusion: The knowledge of the absence of costal element or incomplete formation of foramen transversarium is important for radiologists, neurologists, neurosurgeons who deal with diagnosis and treatment of head and neck region. Extreme rotation of cervical spine in an individual with retro-articular canal may lead to the compression of the third part of vertebral artery and may cause vertebro-basilar insufficiency. Hence the knowledge of the anatomical variations is very important for neurosurgeons dealing with surgical manipulation of the cervical spine to decompress the vertebral artery.
Key words: Atlas, Retroarticular canal, Foramen transversarium, Ponticles, Cervico basilar insufficiency.

REFERENCES

  1. Williams PL, Warwick R, Dyson M, Bannister LH. Skeletal System. In: Standring S, ed. Gray’s Anatomy. The Anatomical basis of clinical practice. 40th edition. Edinburgh, Churchill Livingstone Elsevier. 2008;425-736.
  2. Lamberty BG, Zivanovic S. The retroarticular vertebral artery ring of atlas and its significance. Acta Anatomica. 1973;85:113-122.
  3. Mitchell J. The incidence and dimensions of the retroarticular canal of the atlas vertebra. Acta Anatomica. 1998;163:113-120.
  4. Mitchell J. The incidence of the lateral bridge of atlas vertebra. Journal of Anatomy. 1998;193: 283-285.
  5. G. J. Romanes. The blood vascular and lymphatic system. In: G. J. Romanes. Cunningham’s Textbook of Anatomy. 10th edition. Oxford University Press. London, 1964; 87.
  6. Karau Bundi P, Ogeng’o J A, Hassanali J & Odula P O. Morphometry and Variations of Bony Ponticles of the Atlas Vertebrae (C1) in Kenyans. International Journal of Morphology. 2010; 28(4): 1019-1024.
  7. Qudusia Sultana, Ramakrishna Avadhani, Varalakshmi KL, Shariff MH & Blessina. Variations of foramen transversarium in atlas vertebrae: a morphological study with its clinical Significance. Nitte University Journal of Health Science. 2015;5(2):80-83.
  8. Renu Chauhan, Jugesh Khanna. Absence of costal element of the foramen transversarium of atlas vertebrae. International journal of Research in Medical Sciences. 2013;1(2):66-68.
  9. Vasudeva N, Kumar R. Absence of foramen transversarium in the human atlas vertebra: a case report. Acta Anatomica. 1995;152:230-3.
  10. Nayak BS. Bilateral absence of foramen transversarium in atlas vertebra: a case report. Neuroanatomy. 2007;6:28-9.
  11. Karau PB, Odula P. Some anatomical and morphometric observations in the foramina of the atlas among Kenyans. Anatomy Journal of Africa 2012;2(1):61-66.
  12. Chaudhari ML. Maheria PB, Bachuwar SP. Double Foramen Transversarium in Cervical Vertebra: Morphology and Clinical importance. September 2013;8(2):1084-1088.
  13. Taitz C & Nathan H. Some observation on the posterior and lateral bridge of the atlas. Acta Anatomica. 1986;127(3):212-217.
  14. Mitchell J. The Incidence of the Lateral Bridge of the Atlas Vertebra, Journal of Anatomy. 1998; 193(2):283-85.
  15. Krishnamurthy A, Nayak SR, Khan S, Prabhu LV, Ramanathan LA, Ganesh Kumar C, et al. Arcuate foramen of atlas: incidence, phylogenetic and clinical significance. Romanian Journal of Morphology and Embryology. 2007;48 (3):263-6.
  16. Zambare BR, Reddy BB. The retro articular ring of the atlas and its clinical significance. Anatomica Karnataka. 2011;5:74-76.
  17. Nitixa P. Patel, Deepa S, Gupta, Nisha D, Parmar. Incidence of Ponticles in Human Atlas Vertebrae - A Study from South Gujarat Population. Indian Journal of Clinical Anatomy and Physiology. 2015;2(3):135-139.
  18. Piplani M L, Singla R K, J S K. Bilateral Arcuate Foramen in a Human Atlas Vertebra - A Case Report. International Journal of Anatomy, Radiology and Surgery. 2013;2(3):3.
  19. Gupta C, Radha Krishnan P, Palimar V, D’ Souza AS and Kiruba NL. A quantitative analysis of atlas vertebrae and its abnormalities. Journal of Morphological Sciences. 2013;30(2):77-81.

 

B Sadananda Rao, M Yesender, S Saritha, B H Shiny Vinila. STUDY ON THE MORPHOLOGICAL VARIATIONS OF THE ADULT HUMAN ATLAS VERTEBRAE. Int J Anat Res 2016;4(3):2878-2881. DOI: 10.16965/ijar.2016.360

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