The stability of a burst fracture of the atlas (Jefferson's fracture) should be determined in order to decide upon the appropriate treatment. Unstable fractures include those with a rupture of the transverse ligament, or those in which union has been incomplete despite treatment. An occiput-to-C2 or in atlantoaxial arthrodesis may be indicated.
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SCHLICKE et al. (1981) studied this question.
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