The primary function of the alar ligaments is to provide stability and restrict excessive movement between the skull and the cervical spine, particularly during rotational movements. When the head turns, the alar ligaments play a significant role in preventing over-rotation and ensuring the integrity of the craniovertebral junction. This protective function is vital for avoiding injuries that could affect the spinal cord or surrounding neural structures. Furthermore, their unique positioning contributes to the coordination of head and neck movements, allowing for a wide range of motions while maintaining balance and posture.
Alar ligaments are located at the uppermost part of the vertebral column, where the spine meets the skull. Specifically, they are situated within the craniovertebral junction, extending from the top of the odontoid process of the axis (C2) upward to their attachment at the foramen magnum of the occipital bone. This location is critical, as it lies in proximity to the brain stem, which is responsible for many vital functions, thus highlighting the importance of these ligaments in protecting both the brain and the spinal cord.