Value of “functional” magnetic resonance imaging in the diagnosis of ligamentous affection at the craniovertebral junction

Lummel, Nina; Bitterling, H.; Kloetzer, A.; Zeif, Christian; Brückmann, H.; Linn, Jennifer

doi:10.1016/j.ejrad.2012.04.036

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…The alar ligaments are considered a primary restraint to axial rotation 22 , 43 , 44 . Findings from this study indicate there is a reduction of the upper cervical axial rotation ROM and increased forces when C0–C1 is stabilized compared to non-stabilization.…”

Section: Discussionmentioning

confidence: 99%

Effects of occipital-atlas stabilization in the upper cervical spine kinematics: an in vitro study

Hidalgo-García

Lorente

López-de-Celis

et al. 2021

Sci Rep

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This study compares upper cervical spine range of motion (ROM) in the three cardinal planes before and after occiput-atlas (C0–C1) stabilization. After the dissection of the superficial structures to the alar ligament and the fixation of C2, ten cryopreserved upper cervical columns were manually mobilized in the three cardinal planes of movement without and with a screw stabilization of C0–C1. Upper cervical ROM and mobilization force were measured using the Vicon motion capture system and a load cell respectively. The ROM without C0–C1 stabilization was 19.8° ± 5.2° in flexion and 14.3° ± 7.7° in extension. With stabilization, the ROM was 11.5° ± 4.3° and 6.6° ± 3.5°, respectively. The ROM without C0–C1 stabilization was 4.7° ± 2.3° in right lateral flexion and 5.6° ± 3.2° in left lateral flexion. With stabilization, the ROM was 2.3° ± 1.4° and 2.3° ± 1.2°, respectively. The ROM without C0–C1 stabilization was 33.9° ± 6.7° in right rotation and 28.0° ± 6.9° in left rotation. With stabilization, the ROM was 28.5° ± 7.0° and 23.7° ± 8.5° respectively. Stabilization of C0–C1 reduced the upper cervical ROM by 46.9% in the sagittal plane, 55.3% in the frontal plane, and 15.6% in the transverse plane. Also, the resistance to movement during upper cervical mobilization increased following C0–C1 stabilization.

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Section: Discussionmentioning

confidence: 99%

Effects of occipital-atlas stabilization in the upper cervical spine kinematics: an in vitro study

Hidalgo-García

Lorente

López-de-Celis

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The upper cervical spine (UCS) is comprised of the occipital-atlas (C0-C1) and atlas-axis (C1-C2) spinal segments. These segments possess the greatest axial rotation of any segments in the spine (Lummel et al, 2012). Sixty percent of the cervical axial rotation occurs at the UCS due to the lack of intervertebral discs, the horizontal nature of its joints, and the presence of specialized muscles and ligaments (Kang et al, 2019;Morishita et al, 2009).…”

Section: Introductionmentioning

confidence: 99%