Illustrating a complex upper cervical injury, this model combines a Type 3b atlas fracture from the Gehweiler classification with a Type 2 transverse ligament tear based on the Dickman system. It shows bilateral fractures of the C1 ring involving both anterior and posterior arches, along with a mid-substance rupture of the transverse ligament. This pattern is typically unstable, and the model supports a better understanding of ligamentous disruption and its implications for cervical spine integrity and management.