PURPOSE The objective of this study was to compare the diagnostic value of cinematic magnetic resonance imaging with static MRI examinations in patients with rheumatoid arthritis and concomitant attack of the cervical spine. METHODS Dynamic functional MRI examinations of the cervical spine were performed one five subjects without complaints and 20 patients with rheumatoid arthritis. For the f...

Instability following sagittal distraction and rotational injuries of the cervical spine has been widely reported. We here report a case of post-traumatic segmental instability in the coronal plane. Case report. A 66-year-old farmer presented with painful torticollis having fallen into a ditch the previous day. He experienced immediate neck pain, but did not lose consciousness. He had a left te...

conclusions managing such patients needs a proper transport facility, proper care during transport, appropriate evaluation in the hospital and prompt conservative or operative treatment. treatment is usually safe and effective by well trained professionals with good clinical and radiological outcomes. patients and methods thirty patients (22 males, 8 females) with upper cervical spine injuries ...

Background: The basic challenge with computed radiography (CR) systems is the large dynamic range which provides an opportunity for radiographers to gradually increase exposure factors and still produce good image quality, a practice that can lead to dose creep. Materials and Methods: The aim of this study was to establish  the entrance skin dose (ESD) values for nine selected examinations in t...

The anatomy of the atlas (first cervical vertebrae, C1) exhibits complex, threedimensional structures, showing extensive variability in morphology from other cervical vertebrae. 1 It is located at critical point close to the vital centers of the medulla oblongata which can get compressed by a dislocation of the atlanto axial complex or instability of the atlanto axial joint. 2 The atlas holds t...

Multiple aspergillus spondylitis (AS) is a life threatening infection that occurs more commonly in immunocompromised patients, and is commonly treated with antifungal agents. However, there is relatively little information available on the treatment of multiple AS. The authors encountered a 46-year-old man suffering from low back and neck pain with radiculomyelopathy after a liver transplant. T...

The pathophysiology of rheumatoid arthritis (RA) involves inflammation of the synovial membrane, and the cervical spine is a common focus of destruction and instability from RA. In particular, the atlanto-axial complex is frequently affected. These instabilities often induce not only neck pain and cervical myelopathy, but also lower cranial symptoms; furthermore, they affect the prognosis of pa...

The increase in the number of available internal fixation devices for the cervical spine has promoted innovative stabilization of traumatic instability of the craniocervical junction. Traumatic injuries involving the craniocervical junction vary widely because of the complex osseous and ligamentous anatomy. These injuries can be purely ligamentous, such as occipitocervical dislocation, or can i...

©1996 British Editorial Society of Bone and Joint Surgery 0301-620X/96/3R65 $2.00 J Bone Joint Surg [Br] 1996;78-B:495-6. Received 31 July 1995; Accepted 1 September 1995 For many years, drop attacks in elderly patients have been associated with compression of the vertebral artery with brain-stem and cerebellar dysfunction (Schneider and Crosby 1959). It has been suggested that the pathological...

EDUCATIONAL OBJECTIVES As a result of reading this article, physicians should be able to: 1. Understand the forces that predispose adjacent cervical segments to degeneration. 2. Understand the challenges of radiographic evaluation in the diagnosis of cervical and lumbar adjacent segment disease. 3. Describe the changes in biomechanical forces applied to adjacent segments of lumbar vertebrae wit...