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At 12 mo follow-up, she had lost only 15° of cervical rotation, and atlantoaxial complex instability in joint flexing and extending were no longer observed under fluoroscopy. Early assessment of transverse ligament is critical for TPAD without fracture avoiding re-dislocation after closed reduction. Early assessment of transverse ligament is critical for TPAD without fracture avoiding re-dislocation after closed reduction. Almost 80 percent of adults in the United States have had cytomegalovirus (CMV) infection by age 40. The number of sy