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Digital Motion X-Ray and Cervical Spine Trauma

 

 

Digital Motion X-Ray and Cervical Spine Trauma

I. What is Digital Motion X-Ray?

A. High quality dynamic imaging system—Studies C-Spine in Motion.


B. Objectifies damage to ligaments after trauma/whiplash.

 

II. Case History

 

III. What’s the big deal ………..and Who Cares?

A. Forces us to re-think the concepts of whiplash and C-Spine injury.
--Why Attorneys should care: The dilemma of SoftTissue and Low Impact

B. Quantifies post-traumatic injury to ligaments based on established standards and measurements.


C. Identifies cervical instability in early stages of treatment—Subset of patients who may be further injured by forceful types of manipulation.

D. Explains why some patients have persistent pain, even after months/years of therapy: Permanent ligamentous injuries correlate with chronic pain syndromes.


E. “Alteration of motion segment integrity”—AMA Guides to the Evaluation of Permanent Impairment: Criteria for Rating Impairment due to disorders of the cervical spine.


F. Dynamic motion study helps to quantify expectations for future treatment requirements and predict long-term prognosis.


G. The “S” Word --Why Doctors should care.

IV. Anatomy and Motion Radiology 101 – The Five Minute Crash Course

A. Bones, Joints, and Ligaments of the Cervical Spine

 

B. Digital Motion X-Ray – The two minute tour.

 


V. Which patients should have a Digital Motion X-Ray Study of the Cervical Spine
after a traumatic injury.

A. Significant unexplained pain or headaches after appropriate and/or prolonged treatment.


B. Suspicion of ligamentous injury.


C. Clinical impression of hypermobility.


D. Other diagnostic studies negative/noncontributory in symptomatic patient. MRI unremarkable, no fractures, EMG negative, yet patient has legitimate pain or functional problems.

E. Injured patients in whom direct high-velocity manipulative therapy is
anticipated.

F. Schurgin’s law: Above all, do no harm--to the patient ….or the doctor.”

 

VI. References –See additional handout.

© 2004 Team Motion X-Ray