Jefferson classification of atlas fractures

Last revised by Henry Knipe on 18 Aug 2024

The Jefferson classification of atlas (C1) fractures describes the sites of fracture.

The original Jefferson classification had descriptions without numbers 1. The types were later assigned to numbers by some authors but the order has been inconsistent 2,3. Therefore, referring to the Jefferson classification by numbers may be confusing.

  1. posterior arch alone

  2. anterior arch alone

  3. both arches

  4. lateral masses alone

  5. lateral masses and posterior arch

The classic Jefferson fracture is a both-arch fracture.

The classification is named after Sir Geoffrey Jefferson (1886-1961) 3, a British neurosurgeon who first described the anatomic sites of fracture in a case series and literature review in 1919 1.

The Landells system is based on the Jefferson classification. The Gehweiler classification is more commonly used in Europe.

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