[1] The ligament attaches on either side onto a small yet prominent tubercle upon the medial aspect of either lateral mass of atlas.

A weaker and somewhat inconsistent median band (crus inferius[2]) extends inferiorly from the ligament to attach onto the posterior aspect of the[1] body of[2] axis.

[3] Degenerative processes can give rise to transverse ligament cysts, resulting in progressive cervical myelopathy.

The treatment of choice for transverse ligament cysts with progressive neurological decline is surgical resection and cervical fusion.

[4] Conservative treatment with external neck immobilization is less commonly reported , but may be very useful in select cases where immediate surgical intervention is not indicated.