Atlas vs axis (C1 and C2): how they differ, in 3D

The atlas is the first cervical vertebra (C1) and the axis the second (C2), the top two bones of the spine. The atlas is a ring with no vertebral body that carries the skull through its joint with the occipital bone, while the axis has an upward peg, the dens, around which the atlas turns. Nodding happens mainly between the skull and the atlas, and turning the head from side to side mainly between the atlas and the axis.

Frequently asked questions

How do the atlas and the axis differ in shape?

The atlas is a ring with no body and no spinous process, made of an anterior arch, a posterior arch and a lateral mass on each side. The axis has a body with a peg, the dens, rising from it and fitting inside the front arch of the atlas.

Where do nodding and turning the head happen?

Nodding happens mainly at the atlanto-occipital joint between the occipital bone and the atlas. Turning the head from side to side happens mainly at the atlanto-axial joint between the atlas and the axis.

Where do the names atlas and axis come from?

The atlas is named after the Titan of Greek myth who held up the sky, because it holds up the skull. The axis is named for the pivot it forms, around which the atlas and the head turn.

The bones compared

Joints they form

Other comparisons

Skeleton

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Related reading

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