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The ligament broadens [1] and thickens [2] medially. The anterior medial aspect of the ligament is lined by a thin layer of articular cartilage. [1] The neck of the odontoid process is constricted where it is embraced posteriorly by the transverse ligament [2] so it retains the dens in position even after all other ligaments have been sectioned ...
The cruciate ligament of the atlas (cruciform ligament) is a cross-shaped (thus the name) ligament in the neck forming part of the atlanto-axial joint. It consists of the transverse ligament of atlas, a superior longitudinal band, and an inferior longitudinal band. The cruciate ligament of the atlas prevents abnormal movement of the atlanto ...
The membrane situated is posterior/deep to the transverse ligament of the atlas; the two are separated by a thin intervening layer of loose areolar connective tissue, and sometimes by a bursa. [2] The membrane is situated anterior/superficially to the spinal dura mater (which is firmly attached to the tectorial membrane). [3]
Transverse ligament: Should the transverse ligament of the atlas fail due to trauma or disease, the dens is no longer anchored and can travel up the cervical spine, causing paralysis. If it reaches the medulla death can result.
The atlas is the topmost vertebra and the axis (the vertebra below it) forms the joint connecting the skull and spine. The atlas and axis are specialized to allow a greater range of motion than normal vertebrae. They are responsible for the nodding and rotation movements of the head.
The inferior corporotransverse ligament attaches at the posterolateral aspect of the body of one vertebra, and at the transverse process of the below vertebra. [1] The superior transforaminal ligament attaches along the inferior intervertebral notch (of the pedicle of the upper vertebra of the intervertebral foramen). [1]
From the anterior border of the nuchal ligament, a fibrous lamina is given off. This is attached to the posterior tubercle of the atlas, and to the spinous processes of the cervical vertebrae, and forms a septum between the muscles on either side of the neck. The trapezius and splenius capitis muscle attach to the nuchal ligament.
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.