title: Isolated fractures of the atlas in adults.
abstract: There is insufficient evidence to support treatment standards.
  
  
  
  There is insufficient evidence to support treatment guidelines.
  
  
  
  Treatment options in the management of isolated fractures of the atlas are based on the specific atlas fracture type. It is recommended that isolated fractures of the atlas with an intact transverse atlantal ligament be treated with cervical immobilization alone. It is recommended that isolated fractures of the atlas with disruption of the transverse atlantal ligament be treated with either cervical immobilization alone or surgical fixation and fusion.
authors.forename: M N
authors.initials: MN
authors.lastname: Hadley
authors.forename: B C
authors.initials: BC
authors.lastname: Walters
authors.forename: P A
authors.initials: PA
authors.lastname: Grabb
authors.forename: N M
authors.initials: NM
authors.lastname: Oyesiku
authors.forename: G J
authors.initials: GJ
authors.lastname: Przybylski
authors.forename: D K
authors.initials: DK
authors.lastname: Resnick
authors.forename: T C
authors.initials: TC
authors.lastname: Ryken
mesh_terms: D001270:Cervical Atlas / Q000293:injuries*; D019091:Critical Pathways / Q000592:standards; D019317:Evidence-Based Medicine; D005593:Fracture Fixation, Internal; D006801:Humans; D007103:Immobilization; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D017410:Practice Guidelines as Topic / Q000592:standards; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion