Todd Cielo, DC; Kim B. Khauv, DC, MPH; Jeffrey Bourguignon, DC; Chintan Desai, MD
Objective: Current literature demonstrates that traumatic cervical spine injuries are difficult to diagnose potentially leading to catastrophic consequences. Standard radiography, computerized tomography scans (CT), and magnetic resonance imaging (MRI) have limitations. A highly accurate Computed Radiographic Mensuration Analysis (CRMA) system has been utilized to assess segmental motion. The objective of this case study is to describe the application of CRMA on cervical flexion/extension radiographs for the diagnosis of cervical vertebral subluxation and discoligamentous instability following a motor vehicle accident.
Clinical Features: A 27-year-old male presented to a chiropractic office with whiplash-associated disorder (WAD) after a motor vehicle incident four years prior. Two previous MRI studies revealed cervical spine disc bulges and annular fissure but failed to diagnose cervical vertebral subluxation and discoligamentous instability.
Intervention and outcomes: An informed consent was obtained from the patient for examination and radiographic examination. A radiographic examination consisting of a five-view cervical spine series, analyzed by CRMA, revealed cervical spine translation of 4.24 millimeters at the fourth cervical vertebra (C4) over the fifth cervical vertebra (C5) in flexion and extension films.
Conclusion: This case report suggests CRMA software may be a useful tool to accurately diagnose cervical vertebral subluxation and discoligamentous instability in MVA patients. We encourage future studies utilizing the CRMA software to improve diagnosis of cervical spine injuries.
Key words: cervical vertebral subluxation, discoligamentous instability, computed radiographic mensuration analysis, flexion/extension radiograph, motor vehicle accident
Citation: Annals of Vertebral Subluxation Research ~ January 28, 2019 ~ Pages 22-28
With over 20 years experience, Dr. Kim Khauv is an award winning American Chiropractor, trained at University of California Los Angeles (UCLA) in public health and prevention, National Board certified, corrective care chiropractor who has published and presented research nationally and internationally in chiropractic care, wellness, and prevention. He provides safe, effective, and evidence-based chiropractic care to his patients at his private practice serving Taguig, Makati, Bonifacio Global City, Metro Manila, Philippines. He was a US Navy chiropractor providing chiropractic care to active duty military members at Navy Medical Center San Diego for over 5 years. Conditions that have responded well to chiropractic care are headaches, migraines, neck pain, back pain, pregnancy related back pain, sciatica, and auto injuries. Call today to start enjoying life again.