5) Transverse atlantal rupture with C1 tubercle avulsion (Figure 3) is more likely to heal with nonoperative treatment than is a purely ligamentous TAL injury.
treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament.
Bursting atlantal fracture associated with rupture of the transverse ligament.
Contrariwise, disruption of the atlantal
transverse ligament, comminuted fractures, irreducible fractures, fractures in patients with a short, thick neck and/or barreled chest, as well as fractures lying in oblique orientation to the frontal plane are well described contraindications for anterior screw technique.
Twenty-eight of these patients had a coexisting elongation of the transverse atlantal
ligament and a malfunction in the contralateral alar ligament.