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Journal of Bone and Joint Surgery, 1974;56:1683-1691.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Tears of the Transverse Ligament of the Atlas

A CLINICAL AND BIOMECHANICAL STUDY

J. WILLIAM FIELDING M.D.1, GEORGE VAN B. COCHRAN M.D., MED.SC.D.1, JAMES F. LAWSING III M.D.1, and MASON HOHL M.D.1

1 From the Orthopaedic Research Laboratory and Orthopaedic Surgery Service, St. Luke's Hospital Center, New York City

In a biomechanical-clinical study of the strength of the atlanto-axial ligament, results from laboratory testing of twenty autopsy specimens were correlated with the results in a clinical series of eleven patients with traumatic transverse ligament rupture and anterior subluxation of the atlas on the axis. When possible, surgical fusion of the atlanto-axial joint is conservative treatment for anterior displacement of the first cervical vertebra on the second.


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