Volatile, aligned, word sized reads/writes are atomic on most platforms. Checking your assembly would be the best way to find out if this is true on your platform. Atomic registers cannot produce nearly as many interesting wait free structures as the more complicated mechanisms like compare and swap, which is why they are included.
See http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.56.5659&rank=3 for the theory.
Regarding synch_fetch_and_add with a 0 argument - This seems like the safest bet. If you're worried about efficiency, profile the code and see if you're meeting your performance targets. You may be falling victim to premature optimization.