Atlas (C1) vs Axis (C2)

Property Atlas (C1) Axis (C2)
Latin Name Atlas Axis
Type Bone Bone
Body System Skeletal Skeletal
Body Region Spine Spine
Function The first cervical vertebra that supports the skull. Allows nodding movements (flexion and extension) of the head at the atlanto-occipital joint. The second cervical vertebra that provides a pivot point for rotation of the head. The dens (odontoid process) projects superiorly and acts as the axis around which the atlas rotates.
Clinical Significance Jefferson fractures (burst fractures of the atlas) result from axial loading. Atlanto-occipital dislocation is usually fatal. Congenital anomalies include atlas assimilation (occipitalization). Odontoid fractures are common cervical spine injuries, especially in elderly patients. Hangman's fracture involves bilateral pars interarticularis fractures of C2. Atlantoaxial instability occurs in rheumatoid arthritis and Down syndrome.
FMA ID 12519 12520