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Cineradiographic Studies of Abnormalities of the High Cervical Spine

Malcolm D. Jones, MD
Arch Surg. 1967;94(2):206-213. doi:10.1001/archsurg.1967.01330080044014.
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THE CERVICAL spine may be considered as a complex bony structure with interposed cartilaginous elements supported by ligaments and musculature. Because of resultant contrast induced by myelography and discography, anatomic derangement in the areas in which these procedures are applied are defined. Other soft tissues of the neck are not accessible to contrast enhancement. Motion studies recorded radiographically or by other methods using the radiopaque bone as indicators may show disturbed motion or alignment of the supporting soft tissues or osseous abnormalities. Cineradiography is becoming widely available and reports of its use in orthopedic problems, particularly those of the cervical spine, are numerous.1-5

Instability of the atloaxial articulations is one of the striking changes noted with motion studies of the cervical spine. These articulations have received rather extensive attention.6-10

Cineradiography has been used to detect instability not ascertainable by routine roentgenograms obtained in flexion and extension. It serves


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