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The involved group of vertebrae demonstrates a coupled relationship between sidebending and rotation. When the spine is neutral, side bending forces are applied to a group of typical vertebrae and the entire group will rotate toward the opposite side: the side of produced convexity [3] Extreme type I dysfunction is similar to scoliosis.
They allow for flexion and extension and limit lateral flexion in the cervical spine. Pathological processes that can occur in these joints include degenerative changes or hypertrophic arthritis, resulting in foraminal stenosis and nerve compression. Foraminal stenosis at this joint is the most common cause of cervical nerve root pressure.
The atlanto-axial joint is a joint in the upper part of the neck between the atlas bone and the axis bone, which are the first and second cervical vertebrae. It is a pivot joint , that can start from C2 To C7.
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury.
In anatomy, the axis (from Latin axis, "axle") is the second cervical vertebra (C2) of the spine, immediately inferior to the atlas, upon which the head rests. The spinal cord passes through the axis. The defining feature of the axis is its strong bony protrusion known as the dens, which rises from the superior aspect of the bone.
Digital Motion X-ray is considered the most accurate method. Upright magnetic resonance imaging, supine magnetic resonance imaging, CT scan, and flexion and extension x-rays may also be used but are far less accurate and have a much higher potential for false negatives. The measurements to diagnose craniocervical instability are:
The injured spinal cord is an “altered” spinal cord. After a SCI, supraspinal and spinal sources of control of movement differ substantially from that which existed prior to the injury, [20] thus resulting in an altered spinal cord. The automaticity of posture and locomotion emerge from the interactions between peripheral nervous system ...
A functional spinal unit (FSU), or motion segment, is the smallest physiological motion unit of the spine to exhibit biomechanical [1] characteristics similar to those of the entire spine. [ 2 ] A FSU consists of two adjacent vertebrae , the intervertebral disc and all adjoining ligaments between them and excludes other connecting tissues such ...