| Objective: The purpose of this case report is to describe a process to diagnose and to adjust a congenital anomaly known as anteroposterior spondyloschisis (aka bipartite atlas). Clinical Features: A 30-year-old female presented with a history of chronic cervicalgia, uncoordinated reflexes, and whole-body soreness. Radiographic examination demonstrated radiolucent clefts through the anterior and posterior arches of the atlas. Intervention and Outcome: Given no history of trauma to suggest Jefferson fracture, the patient was diagnosed with a bipartite atlas. After demonstrating atlantodental and atlantoaxial stability, the patient consented to upper cervical (Atlas Orthogonal) chiropractic treatment. Conclusion: The patient in this case study responded favorably to upper cervical treatment. Considerations and treatment protocols are outlined in order to assist health care providers, who may encounter this anomaly in other patients. This abstract is reproduced with the permission of the publisher; full text by subscription (print only).
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