Management of isolated fractures of the atlas in adults.

• Treatment of isolated fractures of the atlas based on the specific atlas fracture type and the integrity of the transverse atlantal ligament is recommended. • For an isolated fracture of the atlas with an intact transverse atlantal ligament, cervical immobilization is recommended. • For isolated fractures of the atlas with disruption of the transverse atlantal ligament, either cervical immobilization alone or surgical fixation and fusion is recommended.

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