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Cervical Spine Instability |
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Upper Cervical Instability Usually this occurs between the atlas (C1) and axis (C2) Problems may arise as a result of failure or rupture of various ligaments that contribute stability to the C1-2 complex. Other problems may arise from a neglected or missed fracture dens (known as os odontoideum)
Case Presentation
Male early twenties Fall onto head, complaining of severe neck pain Physical Examination findings Severe upper cervical tenderness, pain radiating to occipital region No neurological deficit |
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Copyright © 2008 Spine Care Hong Kong |
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EXTENSION |
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FLEXION |
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DIAGNOSIS C1-2 Instability AADI from 2mm in extension to 10mm in flexion |
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CT SCAN |
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MRI—Transverse Ligament Rupture / Avulsion on left side |
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TREATMENT STABILISATION OF C1-C2 CHOICE OF METHOD NO NEED FOR DECOMPRESSION STABILISATION METHOD
C1-2 TRASARTICULAR (MAGERL) SCREWS with BONE GRAFTING and GALLIE WIRING |
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SPINE CARE HONG KONG |
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ACCURATE DIAGNOSIS, STRUCTURED TREATMENT |
