![]() Mensuration analysis (CRMA), which is the most accurate ![]() ![]() Standard protocol, using accepted computerized radiographic Sprain injury as a result of motor vehicle trauma were reviewed.Įach case was assessed for spinal ligament instability as a ![]() The focus of this current survey is to reveal the commonality ofĬervical capsular spinal ligament injury and the “miss-rate” ofĭiagnosing cervical capsular spinal ligaments for injury, as wellĪs indicating a standard, accurate, and efficient way to make thisįor this survey, 105 consecutive cases of diagnosed whiplash Imaging scans like certain specialty MRI, fCT, and DMX may be able to depict cervical instability pathology, but may not quantify it for severity. Even after severe whiplash, plain radiographs are usually normal despite clinical findings indicating the presence of soft tissue damage. In one autopsy study of the cervical spine, only one out of 10 gross ligament disruptions was evident on standard x-rays. “There has yet to be a standardized functional x-ray able to diagnose cervical instability or detect ruptured ligamentous tissue without the presence of bony lesions. In preparation of this article multiple peer-reviewed published research articles were reviewed, all agreeing that chronic pain from spinal joint instability is a very significant clinical problem, causing significant clinical symptoms of chronic pain indefinitely, and may be the number one cause of chronic pain on the globe yet few if any of those same published articles were in agreement as to a standard, objective diagnostic work-up, and/or treatment of the problem itself. That will be the focus of this survey, as most clinicians from multi-disciplinary health fields agree that these are serious injuries, and yet are commonly miss-diagnosed or not diagnosed at all. This seems to make no sense, but the fact is, none of the standard imaging views of any standard protocol, assess this ligament properly. It is also the least assessed ligament in a spinal trauma. The cervical capsular ligament is the smallest, thinnest, most injured ligament in a spinal trauma. One of the reasons is that some of the cervical spinal ligaments cannot be evaluated by standard X-ray views and other standard imaging protocols (Figures 1 & 2). Yet, even serious intersegmental motion problems are routinely missed in standard X-ray and CT interpretations by qualified experts. After a spinal trauma, the spinal ligaments are often damaged causing abnormal motion due to ligamentous instability from the sprain (over-stretching or tearing) of the stabilizing ligaments. When injured they become elongated and exhibit laxity, causing excessive movement of cervical vertebrae. Ĭapsular ligaments are the main stabilizer of the facet joints (Zygapophyseal joints) and have been implicated as a major source of chronic neck pain. X-ray, CT, and MRI scan imaging techniques may not be able to show the real source of pain from injury, leading to a non-specific diagnosis and incomplete and or improper clinical treatment of the more serious grades of injury. The risk of developing chronic pain will be increased if a clinician is unable to find a physical cause of pain in these patients. This depends upon the Grade (degree of seriousness) of the spinal sprain that is present. Some patients may recover uneventfully from a spinal ligament sprain injury, but a significant number will have pain which may last indefinitely. Traumatic sprain injury to the cervical spine is often much more serious than many clinicians suspect. ![]()
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