• Eur Spine J · Aug 2015

    A case of fourth atlanto-axial facet joint: anatomical description.

    • Xing-Wen Wang, Feng-Zeng Jian, and Feng Ling.
    • Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun St, Beijing, 100053, People's Republic of China.
    • Eur Spine J. 2015 Aug 13.

    PurposeTo report a rare fourth atlanto-axial joint.MethodsA cadaveric specimen of a young male adult from occiput to C4 was dissected for anatomical study of craniocervical region. A true fourth atlanto-axial joint was confirmed. Its morphological characteristics were described.ResultsThe fourth atlantoaxial joint is rarely seen. The possible embryogenesis is discussed. This case raises an anatomical possibility of a new variant in this region.ConclusionsA unique case with an anatomically proven fourth atlantoaxial joint is reported. This anomaly can lead to misdiagnosis. CT scan coupled with MRI can facilitate accurate diagnosis.

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