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Congenital atlas abnormalities are rare and often asymptomatic findings, accidentally detected in trauma and, more rarely, in nontrauma patients. Rachischisis in both anterior and posterior atlas arches, condition defined as ''split atlas," is extremely uncommon and it may well be confused with fracture. Being able to discriminate between these 2 conditions is an essential step in patient care management. In this article, we report 2 cases of split atlas ascertained in both trauma and nontrauma patients. The first concerning a 54-year-ol
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