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Skip to content Skip to search Skip to footer Neurosurgery Open Menu Back Close Menu Search for: Search Close Search AboutAbout News Diversity, Equity & Inclusion Contact Us Giving PeoplePeople Clinical Faculty Research Faculty Affiliated Faculty Fellows Residents Advanced Practice Providers Administration Patient CarePatient Care Aneurysms/Vascular Brain Tumors Chiari Malformation / Syringomyelia Epilepsy Hydrocephalus Movement Disorders Pain Pediatrics Peripheral Nerve Spine ResearchResearch Laboratories Clinical TrialsClinical Trials Trials with Outpatient EnrollmentTrials with Outpatient Enrollment Outpatient – Pediatric Outpatient-Spine and Peripheral Nerve Outpatient – Epilepsy and Functional Outpatient-Vascular Outpatient-Oncology Trials with Inpatient EnrollmentTrials with Inpatient Enrollment Inpatient – Oncology Inpatient – Vascular Inpatient- Pediatric Inpatient-Spine and Peripheral Nerve NeurotechnologyNeurotechnology Center for Innovation in Neuroscience and Technology (CINT) NEURO360 EducationEducation Residency Program Fellowship ProgramsFellowship Programs Advanced Surgical Neuro-oncology Fellowship Endovascular Surgical Neuroradiology Fellowship Pediatric Neurosurgery Fellowship Neurosurgical Peripheral Nerve and Spine Fellowship Neurosurgical Complex Spine Fellowship Stereotactic, Functional and Epilepsy Surgery Fellowship Third-year Clerkship Diversity Sub-internship Funding Medical Student Research Opportunities Fourth-year Sub-internship Learning Environment Life Outside the Hospital Join Our Team AppointmentsAppointments Patient imaging Patient forms Open Search Atlantoaxial Instability/C1-2 Disorders What is degenerative atlantoaxial instability? Call 314-362-3577 for Patient Appointments The atlantoaxial complex refers to the first two bones of the neck (C1, the atlas, and C2, the axis) as well as the associated collection of ligaments that connect the bones together and the blood vessels that travel through them to the brain. The atlantoaxial complex is primarily responsible for enabling the head to rotate, or turn to the left and right, while also protecting the spinal cord from injury. Because of its role in movement, it is, unfortunately, commonly injured. The bones are susceptible to fracture from high-energy impact such as falls or car accidents, especially in the elderly. The ligaments holding the bones together can also be injured in trauma, or weakened in certain inflammatory conditions such as rheumatoid arthritis or Down syndrome. When the bones or ligaments of the atlantoaxial complex are injured, the spinal cord is at particular risk for injury, and surgical treatment is often indicated. Surgery is often challenging because of the shape of the C1 and C2 bones, and because the vertebral arteries pass in and around these two bones on the way to the brain.  Why rely on Washington University experts for treatment of your atlantoaxial instability? The complex anatomy of the C1 and C2 bones of your neck is unique both in appearance and function. Surgery to address problems in this area can be risky. Washington University neurosurgeons have extensive experience treating problems in this area and are recognized nationally as experts in providing innovative treatments for this unique and complex area of the neck. Our Experts Locations Clinical Trials Atlantoaxial Instability Treatment Our surgeons provide a full range of treatments including non-surgical options as well as surgical repair.  Often times if surgery is required, the bones between C1 and C2 are fused together, requiring less than 48 hours of an in-hospital stay. Our surgeons can discuss with you the various treatment options for your specific condition. Department of NeurosurgeryWashington University School of Medicine660 South Euclid AvenueCampus Box 8057St. Louis, MO 63110314-362-3570Contact Us Instagram Twitter YouTube Information Refer a patient Clinical faculty directory Locations Giving Careers Faculty job openings Staff job openings Patients MyChart Patient forms Patient imaging ©2024 Washington University in St. Louis

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