Diseases

The Craniovertebral Region in Chronic Inflammatory Rheumatic by Yves Dirheimer

By Yves Dirheimer

Radiology, the youngest of the key clinical sciences, has gone through a unprecedented technical evolution because the discovery of X-rays. it all started with the advance of the differing kinds of tomography and the adoption of many distinction brokers, then proceeded swiftly to serioscopy, subtraction of pictures, direct expansion, echography, thermography, and xerography. at the present time, even ahead of these kinds of options have come into universal use, one other department of radiologic know-how has advanced: automatic (axial) tomography. greater than simply an innovation, its precise dimensions are unfore­ seeable. Radiology has develop into in lower than a century an critical adjunct to the perform of medication. the improvement of radiology as a speciality its technical advances, which assorted drastically from kingdom to nation. This quick improvement led fast to subspecialization, even the very early improvement of radiotherapy and radiodiagnostics as separate entities. in spite of the fact that, the access of radiology into the college has preserved it a unmarried department of medication, averting the common tendency towards automobile­ nomy of the branches of a speciality. this day the fourth iteration of radiologists is confronted with one other deci­ sion: even if to turn into technologists subjugated to their equipment, to develop into sub experts with a unmarried ability, or to stay medical professionals. nearly all of this fourth new release has rejected changing into an adjunct to a grasp method and quite has really good in accordance with the hippocratic idea of medicine.

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The lateral mass of the atlas is withdrawn with regard to the axis on the side that moves backward. 3. The atlantodental space is narrowed on the side that moves backward. 4. The size of the lateral mass of the atlas is diminished on the side that turns backward, owing to the optical projection of the more sagittally oriented lateral mass in the rotated position. The analysis of the rotation image is useful for the correct interpretation of lateroflex- lOn. IV. Lateroflexion [380] It is very important to obtain a pure lateroflexion movement in order to be able to give a correct interpretation of the X-ray.

It is still not verified whether there is any relationship between the degree of atlantoaxial subluxation and the presence of neurological signs, and if so, the severity of such signs. We shall consider below the critical views about the radiological technique for measuring the subluxation (Part 5, Chapter 5). In any case, this measurement concerns only the bony parts without taking into account the soft parts which could also cause compression. Moreover, the different studies did not make any distinction between anteroposterior atlantoaxial subluxation and upward luxation of the odontoid process, the latter being known only lately.

It is still not verified whether there is any relationship between the degree of atlantoaxial subluxation and the presence of neurological signs, and if so, the severity of such signs. We shall consider below the critical views about the radiological technique for measuring the subluxation (Part 5, Chapter 5). In any case, this measurement concerns only the bony parts without taking into account the soft parts which could also cause compression. Moreover, the different studies did not make any distinction between anteroposterior atlantoaxial subluxation and upward luxation of the odontoid process, the latter being known only lately.

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