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The Role of Vertebral Subluxation in the Etiology of Brachioradial Pruritis: A Case Study, 2020
A 42-year old Caucasian female with a previous diagnosis of brachioradial pruritis (BRP) of nine ... more A 42-year old Caucasian female with a previous diagnosis of brachioradial pruritis (BRP) of nine years duration, both self-treated and medically treated, did research on her own and found that it was common knowledge in the literature that a direct correlation existed between lesions at specific cervical spinal levels and itching symptoms in their dermatomal distributions. She sought out chiropractic intervention and within five treatments her symptoms resolved. The diagnosis of vertebral subluxation as the primary lesion was made with spinal videofluoroscopy (VF), also known as Digital Motion X-Ray (DMX), which identifies lesions associated with both hypomobility and hypermobility. Treatment consisted of specific spinal manipulation based on the VF findings, to stabilize the unstable joints, and Extracorporeal Shockwave Therapy (ESWT), to visualize the skin vascularity in connection with the vertebral subluxations and to re-establish the vascular component of the spinal motor unit.
Atlas-Axial Instability: A Clinical Observation Study of Atlas Laterolisthesis in Cervical Trauma Cases after Whiplash accidents by Dynamic Fluoroscopic Examination , 2019
Alar ligament subfailure has previously been implicated in the craniocervical syndrome. However, ... more Alar ligament subfailure has previously been implicated in the craniocervical syndrome. However, the incidence of these injuries has not been verified in chronic posttraumatic cases. The objective of this clinical study was to quantify the number of patients that sustained injuries from dynamic impact of the cervical spine by virtue of unmistakable misalignments of the Atlanto-Axial structural relationship. The observance and structural analysis of Atlas lateral listhesis in patients with Whiplash injuries or Whiplash like injuries was carried out by means of dynamic fluoroscopic examination. Purpose: The study focused on the quantitative assessment of laterolisthesis of C1 on C2 in a posttraumatic population relative to age and gender. Study Design: An observational study was carried out. Patients Sample: Four hundred posttraumatic and symptomatic patients comprised the study sample. Methods: Fluoroscopic videos of APOM with bilateral lateral flexion motion were acquired and observed for disruption of the normal alignment of the lateral edges of the lateral masses of C1 and C2. The A-P width of the C1 lateral masses were measured, as was the width of the "overhang" of C1 on C2. The two measurements were expressed as a ratio, with >20% translation designated as the threshold for spinal instability. Results: C1 laterolisthesis was identified in 100% of the subjects. Conclusions: The study indicates that the evaluation of the dynamic relationship between C1 and C2 should be considered in whiplash cases. Since most of the diagnostic modalities are by nature static, inclusion of video fluoroscopy should also be considered.
The Role of Vertebral Subluxation in the Etiology of Brachioradial Pruritis: A Case Study, 2020
A 42-year old Caucasian female with a previous diagnosis of brachioradial pruritis (BRP) of nine ... more A 42-year old Caucasian female with a previous diagnosis of brachioradial pruritis (BRP) of nine years duration, both self-treated and medically treated, did research on her own and found that it was common knowledge in the literature that a direct correlation existed between lesions at specific cervical spinal levels and itching symptoms in their dermatomal distributions. She sought out chiropractic intervention and within five treatments her symptoms resolved. The diagnosis of vertebral subluxation as the primary lesion was made with spinal videofluoroscopy (VF), also known as Digital Motion X-Ray (DMX), which identifies lesions associated with both hypomobility and hypermobility. Treatment consisted of specific spinal manipulation based on the VF findings, to stabilize the unstable joints, and Extracorporeal Shockwave Therapy (ESWT), to visualize the skin vascularity in connection with the vertebral subluxations and to re-establish the vascular component of the spinal motor unit.
Atlas-Axial Instability: A Clinical Observation Study of Atlas Laterolisthesis in Cervical Trauma Cases after Whiplash accidents by Dynamic Fluoroscopic Examination , 2019
Alar ligament subfailure has previously been implicated in the craniocervical syndrome. However, ... more Alar ligament subfailure has previously been implicated in the craniocervical syndrome. However, the incidence of these injuries has not been verified in chronic posttraumatic cases. The objective of this clinical study was to quantify the number of patients that sustained injuries from dynamic impact of the cervical spine by virtue of unmistakable misalignments of the Atlanto-Axial structural relationship. The observance and structural analysis of Atlas lateral listhesis in patients with Whiplash injuries or Whiplash like injuries was carried out by means of dynamic fluoroscopic examination. Purpose: The study focused on the quantitative assessment of laterolisthesis of C1 on C2 in a posttraumatic population relative to age and gender. Study Design: An observational study was carried out. Patients Sample: Four hundred posttraumatic and symptomatic patients comprised the study sample. Methods: Fluoroscopic videos of APOM with bilateral lateral flexion motion were acquired and observed for disruption of the normal alignment of the lateral edges of the lateral masses of C1 and C2. The A-P width of the C1 lateral masses were measured, as was the width of the "overhang" of C1 on C2. The two measurements were expressed as a ratio, with >20% translation designated as the threshold for spinal instability. Results: C1 laterolisthesis was identified in 100% of the subjects. Conclusions: The study indicates that the evaluation of the dynamic relationship between C1 and C2 should be considered in whiplash cases. Since most of the diagnostic modalities are by nature static, inclusion of video fluoroscopy should also be considered.