Britannica Sources used in this answer

How does the joint between the skull and the first vertebra allow head movement?

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The joint between the skull and the first vertebra, known as the atlas, is formed by the occipital condyles. These articular surfaces on the occipital bone allow the skull to rest upon and move against the atlas, specifically facilitating a nodding motion.12

While this joint enables nodding, side-to-side head rotation is achieved differently: the atlas turns on the axis, which is the second vertebra located immediately below it.2