ISSN:
1432-1920
Keywords:
Cervical spine
;
Functional CT-scan
;
Instability
;
Fusion
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary 35 healthy adults and 137 patients after cervical spine injury were examined by functional CT. The range of axial rotation at the level occiput/atlas, atlas/axis and the segment below were measured in all subjects. A rotation occiput/atlas of more than 7°, and C1/C2 more than 54° could indicate segmental hypermobility, a rotation at the segment C1/C2 less than 29° to hypomobility. According to the postulated normal values based upon a 98% confidence level, out of 137 patinets examined after cervical spine injury and with therapyresistant neck pain, 45 showed signs of segmental hypermobility of the upper cervical spine, 17 showed hyper- or hypomobility at different levels, 10 patients presented segmental hypomobility at C1/C2 level alone. In all patients, according to the clinical assessment, functional pathology was suspected in the upper cervical spine. Surgical correction of rotatory instability should be considered as a possible therapeutic procedure after successful diagnostic stabilisation of the cervical spine by minerva cast.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00395614
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