A PubMed search was performed for articles in English language released after 2009 using the key words: (“occipitocervical” or “occipito-atlantal” or “atlanto-occipital”) and (“dislocation” or “instability” or “dissociation”). Thus, the main goal of our study was to perform an updated review of current concepts for classifications and management of AOD. The Congress of Neurological Surgeons published the latest recommendations regarding AOD management in 2013. This condition is extremely unstable and delay in surgical treatment can cause a significant increase in neurological deficit, up to development of a fatal outcome. Seventy percent of cases can be accompanied by brain and spinal cord injury and severe neurological deficits, which make it difficult to diagnose. ![]() ĪOD, found in 10% of all fatal cervical spine injuries and more than 30% of motor vehicle accidents fatal cases, is the most severe type of injury of the craniocervical region. ![]() Ligament disruptions of the upper cervical spine, namely rupture of the transverse atlantal ligament (TAL), which is a key element in C1–2 stability, can be well demonstrated by fatsuppressed T2-weighted or short T1 inversion recovery images, but only if performed within several days of the acute injury. MRI is useful to evaluate the severity of spinal cord injury or nerve compression but is less accurate at detecting a fracture than a CT scan. Cervical myelographic CT may be helpful, especially when magnetic resonance imaging (MRI) is contraindicated or unavailable, particularly in the presence of neurologic deficits. Flexion-extension radiographs to check on instability provide little additional information and may increase the risk of neurologic injury. Any deviation from these initial screening measures should prompt further evaluation. An open-mouth odontoid view or coronal CT reformats of the upper cervical spine, provide an anteroposterior (AP) projection in which the occipital condyles, lateral masses of C1, and the odontoid process are visualized. For the past decade, however, fine-cut CT with sagittal and coronal reconstructions plays a key role in diagnosis and surgical planning and has replaced plain radiography as the first-line study for screening of the cervical spine in many institutions, mainly because of its higher sensitivity for diagnosis. Besides routine systemic and neurologic assessment performed according to the Advanced Trauma Life Support Guidelines, a single cross-table lateral plain radiograph remains an acceptable first-line radiographic screening tool, assuming that the entire cervical spine can be visualized. There are about 70,000 Chiropractors in the United States, and only ~200 of them have access a Complete Postural Cone Beam CT Scanner on-site! UCCRoc was one of the first Chiropractic clinics to adopt this cutting-edge technology in 2016.Since injury at upper cervical spine can have devastating consequences, instability should be suspected in all patients with high-energy injuries. Implement a specific, and scientific care plan tailored to your body's needs to start you on the path to live your life fully expressed! Biomechanical analysis to determine the best way to adjust your cervical spine to get the most pressure off of your nervous system.Ĥ. ![]() Initial markup in UCCRoc 3D software where Doctors will work to see exactly how your cervical spine is misaligned.ģ. Raw images are sent to a Radiologist (DACBR) who creates a radiology report.Ģ. Less Radiation Than a Davis Neck X-ray Seriesġ.High Quality Images Taken Quickly (~4-9s).Getting a CBCT is simple & convenient as the machine spins around for only 9 seconds while taking over 400 pictures! A computer algorithm then stitches those ~400 images together to create a true 3D picture of your spine. This cutting edge technology produces a 3D image of the base of your skull and cervical spine. The Doctors are able to utilize a variety of views and angles to see exactly where misalignments are in your cervical spine, and from there determine how to adjust each vertebral level scientifically and gently to get the most pressure off of your nervous system. Here at UCCRoc we are extremely fortunate to have access to the Complete Postural Cone Beam CT Scan (CBCT). Your browser doesn't support HTML5 video tag.
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