The ligamentum transversum atlantis (TAL) is a short, very strong ligament that spans the bony ring of the atlas and holds the dens axis in position.
Figure
TAL Disruption
Disruption of the ligamentum transversum atlantis can be inferred indirectly1:
- Rule of Spence
- Atlantodental interval (ADI): > 3 mm in adults and > 4 mm in the pediatric population2.
References