Atlantoaxial Instability
- PMID: 30137847
- Bookshelf ID: NBK519563
Atlantoaxial Instability
Excerpt
The atlantoaxial joint is the most mobile joint, with several critical neurovascular structures traversing through it.The atlantoaxial segment consists of the atlas (C1) and axis (C2) and forms a complex transitional structure bridging the occiput and cervical spine. The functional result of the joint is two-fold: (1) providing support for the occiput and (2) providing the greatest range of motion and flexibility possible while maintaining stability. The instability in this joint is usually congenital, but in adults, it may be due to an acute traumatic event or degenerative disease.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Staging
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Scholz C, Klingler JH, Scheiwe C, Naseri Y, Masalha W, Hubbe U. Atlantoaxial Instability in Patients Older Than 70 Years: What Is the Outcome When Further Conservative Treatment Is Not an Option? J Neurol Surg A Cent Eur Neurosurg. 2018 Sep;79(5):372-379. - PubMed
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- Cummings KR, Vilaplana Grosso F, Moore GE, Rochat M, Thomovsky SA, Bentley RT. Radiographic indices for the diagnosis of atlantoaxial instability in toy breed dogs [corrected]. Vet Radiol Ultrasound. 2018 Nov;59(6):667-676. - PubMed
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- Kothe R. [Rheumatoid instability in the cervical spine : Diagnostic and therapeutic strategies]. Orthopade. 2018 Jun;47(6):489-495. - PubMed
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