Atlas (C1)
The atlas is a ring-shaped vertebra with broad, wing-like transverse processes (alar wings). It lacks a vertebral body and spinous process. The atlas articulates with the occipital condyles of the skull (atlanto-occipital joint) allowing nodding (yes) movements, and with the axis via the dens (atlanto-axial joint) allowing rotation (no) movements. The alar notch transmits the vertebral artery and first cervical nerve.
Origin: N/A (bone)
Insertion: N/A (bone)
Action: Support the head and neck; allow flexion, extension, lateral bending, and rotation; the neck acts as a balancing rod during locomotion
Cervical pathology causes neck stiffness and neurological deficits. Radiography, ultrasound, and myelography are used for diagnosis.
Fracture of the atlas wings or ventral arch, usually from rearing and flipping over backward. Often fatal due to spinal cord compression at the cervicomedullary junction.
Congenital malformation where the atlas is partially fused with the occiput. Most commonly reported in Arabian horses. Causes spinal cord compression.
Instability between C1 and C2 due to malformation of the dens or rupture of supporting ligaments. Can occur congenitally or from trauma.
Fracture of the atlas wings or ventral arch, usually from rearing and flipping over backward. Often fatal due to spinal cord compression at the cervicomedullary junction. Signs include: Acute recumbency; inability to rise; tetraplegia; death may be immediate; survivors may show severe ataxia and neck pain.
Congenital malformation where the atlas is partially fused with the occiput. Most commonly reported in Arabian horses. Causes spinal cord compression. Signs include: Ataxia from birth or early life; abnormal head and neck posture; tetraparesis; may be progressive.
Instability between C1 and C2 due to malformation of the dens or rupture of supporting ligaments. Can occur congenitally or from trauma. Signs include: Severe neck pain; ataxia affecting all four limbs; abnormal neck posture; may cause sudden death if cord is compressed.
Cervical pathology causes neck stiffness and neurological deficits. Radiography, ultrasound, and myelography are used for diagnosis.
See the Atlas (C1 - First Cervical Vertebra) on our interactive 3D horse model. Open 3D Model