C1

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  • 3 Ossification centers:
    • 1 (sometimes 2) for body (not ossified at birth; appears on X-ray during 1st yr)
    • 1 for each neural arch (appear bilaterally ≈ 7th fetal week)
  • Synchondroses:
    • synchondrosis of the spinous process: fuses by ≈ 3 yrs of age
    • 2 neurocentral synchondroses: fuse by ≈ 7 yrs of age
  • The ossification centers of C1 fail to completely close in 5% of adults (usually posteriorly).
    • When present, the rare anterior defect is usually associated with a posterior defect
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