Upper Cervical Spine: Instability and Specific Anatomical Structures

2017 ◽  
Author(s):  
Max Aebi
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Cervical Spine Instability ◽  
Anatomical Structures ◽  
Upper Cervical

scholarly journals Diagnostic Accuracy of Upper Cervical Spine Instability Tests: A Systematic Review

2013 ◽  
Vol 93 (12) ◽  
pp. 1686-1695 ◽  
Author(s):  
Nathan Hutting ◽  
Gwendolijne G.M. Scholten-Peeters ◽  
Veerle Vijverman ◽  
Martin D.M. Keesenberg ◽  
Arianne P. Verhagen
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Diagnostic Accuracy ◽  
Data Extraction ◽  
Screening Tests ◽  
Upper Cervical Spine ◽  
Likelihood Ratios ◽  
Cervical Spine Instability ◽  
Predictive Values ◽  
Upper Cervical

BackgroundPatients with neck pain, headache, torticollis, or neurological signs should be screened carefully for upper cervical spine instability, as these conditions are “red flags” for applying physical therapy interventions. However, little is known about the diagnostic accuracy of upper cervical spine instability tests.PurposeThe purpose of this study was to evaluate the diagnostic accuracy of upper cervical spine instability screening tests in patients or people who are healthy.Data SourcesPubMed, CINAHL, EMBASE, and RECAL Legacy databases were searched from their inception through October 2012.Study SelectionStudies were included that assessed the diagnostic accuracy of upper cervical instability screening tests in patients or people who are healthy and in which sensitivity and specificity were reported or could be calculated using a 2 × 2 table.Data Extraction and Quality AssessmentTwo reviewers independently performed data extraction and the methodological quality assessment using the QUADAS-2.Data SynthesisDepending on heterogeneity, statistical pooling was performed. All diagnostic parameters (sensitivity, specificity, predictive values, and likelihood ratios) were recalculated, if possible.ResultsFive studies were included in this systematic review. Statistical pooling was not possible due to clinical and statistical heterogeneity. Specificity of 7 tests was sufficient, but sensitivity varied. Predictive values were variable. Likelihood ratios also were variable, and, in most cases, the confidence intervals were large.LimitationsThe included studies suffered from several biases. None of the studies evaluated upper cervical spine instability tests in patients receiving primary care.ConclusionsThe membranes tests had the best diagnostic accuracy, but their applicability as a test for diagnosing upper cervical spine instability in primary care has yet to be confirmed.

Upper Cervical Spine Instability in Pseudoachondroplasia

2007 ◽  
Vol 27 (7) ◽  
pp. 782-787 ◽  
Author(s):  
Gautam M. Shetty ◽  
Hae Ryong Song ◽  
Ranjith Unnikrishnan ◽  
Seung Woo Suh ◽  
Seok-Hyun Lee ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Cervical Spine Instability ◽  
Upper Cervical

Treatment of Upper Cervical Spine Instability with Posterior Fusion Plus Atlantoaxial Pedicle Screw

2014 ◽  
Vol 69 (3) ◽  
pp. 693-697 ◽  
Author(s):  
Chao Ma ◽  
Jibin Wu ◽  
Meng Zhao ◽  
Weixiang Dai ◽  
Dehui Wu ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Pedicle Screw ◽  
Posterior Fusion ◽  
Upper Cervical Spine ◽  
Cervical Spine Instability ◽  
Upper Cervical

Occipitocervical fixation in nontraumatic upper cervical spine instability

1993 ◽  
Vol 40 (3) ◽  
pp. 255-261 ◽  
Author(s):  
Gary L. Rea ◽  
Bradford B. Mullin ◽  
Lawrence J. Mervis ◽  
Carole L. Miller
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Cervical Spine Instability ◽  
Occipitocervical Fixation ◽  
Upper Cervical

Endonasal Surgery of the Upper Cervical Spine: A Morphometric Analysis

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Morphometric Analysis ◽  
Upper Cervical Spine ◽  
Endonasal Surgery ◽  
Upper Cervical
Sign in / Sign up

Export Citation Format

Share Document