Cervical Atlas

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Case records (523) were chosen at random from the files of J.F. Grostic, D.C. (deceased) for retrospective determination of the effects of chiropractic adjustments on atlas positioning relative to the occiput and axis. For each patient the recorded degrees of (1) atlas rotation and (2) laterality, both before and soon after spinal manipulative therapy, were extracted from the x-ray reports. Frequency histograms were made of pre- and post-adjustment degrees of laterality and rotation and the relative change of values analyzed statistically.

Author(s): 
Grostic, J. D.
DeBoer, K. F.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper investigates the reliability of the upper cervical X-ray marking procedure. The measurement chosen to be examined was atlas laterality. Twenty X-rays were marked by three experienced upper cervical practitioners for the inter-examiner reliability testing, and two of the doctors marked 10 of the films twice for intra-examiner testing. The average measurement for the 60 markings was 1.83 degrees. The average difference between the 3 doctors was 1.05 degrees. The range of error is 57 percent of the average measurement.

Author(s): 
Sigler, D. C.
Howe, J. W.
Publication Title: 
Röntgen-Blätter; Zeitschrift Für Röntgen-Technik Und Medizinisch-Wissenschaftliche Photographie

There can be no lateral displacement of the atlas (massae laterales) in relation to the condyles, because this is impossible from an anatomical point of view, neither "angular" (atlas A rule) nor "non-angular" (atlas B rule) in the sense of the "hole-in-one (HIO)" diagnostic method evolved by the U.S. chiropractor Palmer. The course of the condyle baseline is not altered by a lateral displacement of the atlas in relation to the condyles, but by a tilting rotation of the condyles in respect of the atlas.

Author(s): 
Kamieth, H.
Publication Title: 
Zeitschrift Für Orthopädie Und Ihre Grenzgebiete

Owing to joint mechanics, movement of the atlas alone, as envisioned in HIO diagnosis for producing a superior or inferior position, is not possible when the tranverse ligament is intact, since an atlas movement of this kind would necessitate a change in the statics of the dens amounting to kyphosis or lordosis. Only in the superior or inferior position, as defined by Decking and ter Steege, is there a true malposition of the atlas as a result of atlas movement, and this is only possible if the dens assumes a lordotic or kyphotic position.

Author(s): 
Kamieth, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper discusses occipitalization of the atlas and its relationship to the chiropractic practitioner. Patients commonly consult a chiropractor with complaint of headache, suboccipital stiffness, restricted motion, dizziness and other symptoms related to the upper cervical region. Differential diagnosis of the exact etiological factor of these symptoms must be made via a thorough history, physical examination, and roentgenological examination.

Author(s): 
Harcourt, B. T.
Mitchell, T. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Little attention has been given to the craniovertebral articulations. Specifically, gross observations of variations of the superior articular facets on the atlas have not been described with respect to static and motion palpation findings. This study describes the anatomical variations of these facets and the clinical implications associated with asymmetrical structure.

Author(s): 
Gottlieb, M. S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The presentation of a patient to a chiropractic office with an undiagnosed C1 burst fracture (Jefferson fracture) secondary to head trauma from a motor vehicle accident is introduced. CLINICAL FEATURES: A 67-yr-old real estate manager suffered from neck pain and stiffness following release from a major metropolitan medical center.

Author(s): 
Troyanovich, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: The clinical significance of the ponticulus posticus is far from clear. It has been associated with headaches, Barré-Lieou syndrome, photophobia, and migraine. However, little epidemiologic evidence for this exists. OBJECTIVE: This study investigated the relationship of ponticulus posticus on x-ray studies and headache symptoms in a series of chiropractic patients. METHODS: Eight hundred ninety-five patients who visited a chiropractic clinic for the first time and whose conditions required cervical spine x-ray examinations were studied.

Author(s): 
Wight, S.
Osborne, N.
Breen, A. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To describe the chiropractic care of a patient with cervical subluxation and complaints associated with temporomandibular disorder. CLINICAL FEATURES: A 41-year-old woman had bilateral ear pain, tinnitus, vertigo, altered or decreased hearing acuity, and headaches. She had a history of ear infections, which had been treated with prescription antibiotics. Her complaints were attributed to a diagnosis of temporomandibular joint syndrome and had been treated unsuccessfully by a medical doctor and dentist.

Author(s): 
Alcantara, Joel
Plaugher, Gregory
Klemp, Darrel D.
Salem, Chris
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the use of an upper cervical technique in the case of a 23-year-old male patient with rapid-cycling bipolar disorder, sleep disorder, seizure disorder, neck and back pain, and migraine headaches. CLINICAL FEATURES: The patient participated in a high school track meet at age 17, landing on his head from a height of 10 ft while attempting a pole vault. Prior to the accident, no health problems were reported. Following the accident, the patient developed numerous neurological disorders.

Author(s): 
Elster, Erin L.

Pages

Subscribe to RSS - Cervical Atlas