Effects of occipital-atlas stabilization on the upper cervical spine rotation combinations: an in vitro study.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
02 03 2023
02 03 2023
Historique:
received:
13
09
2022
accepted:
24
02
2023
entrez:
2
3
2023
pubmed:
3
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
The purpose of this study is to compare axial rotation range of motion for the upper cervical spine during three movements: axial rotation, rotation + flexion + ipsilateral lateral bending and rotation + extension + contralateral lateral bending before and after occiput-atlas (C0-C1) stabilization. Ten cryopreserved C0-C2 specimens (mean age 74 years, range 63-85 years) were manually mobilized in 1. axial rotation, 2. rotation + flexion + ipsilateral lateral bending and 3. rotation + extension + contralateral lateral bending without and with a screw stabilization of C0-C1. Upper cervical range of motion and the force used to generate the motion were measured using an optical motion system and a load cell respectively. The range of motion (ROM) without C0-C1 stabilization was 9.8° ± 3.9° in right rotation + flexion + ipsilateral lateral bending and 15.5° ± 5.9° in left rotation + flexion + ipsilateral lateral bending. With stabilization, the ROM was 6.7° ± 4.3° and 13.6° ± 5.3°, respectively. The ROM without C0-C1 stabilization was 35.1° ± 6.0° in right rotation + extension + contralateral lateral bending and 29.0° ± 6.5° in left rotation + extension + contralateral lateral bending. With stabilization, the ROM was 25.7° ± 6.4° (p = 0.007) and 25.3° ± 7.1°, respectively. Neither rotation + flexion + ipsilateral lateral bending (left or right) or left rotation + extension + contralateral lateral bending reached statistical significance. ROM without C0-C1 stabilization was 33.9° ± 6.7° in right rotation and 28.0° ± 6.9° in left rotation. With stabilization, the ROM was 28.5° ± 7.0° (p = 0.005) and 23.7° ± 8.5° (p = 0.013) respectively. The stabilization of C0-C1 reduced the upper cervical axial rotation in right rotation + extension + contralateral lateral bending and right and left axial rotations; however, this reduction was not present in left rotation + extension + contralateral lateral bending or both combinations of rotation + flexion + ipsilateral lateral bending.
Identifiants
pubmed: 36864117
doi: 10.1038/s41598-023-30512-3
pii: 10.1038/s41598-023-30512-3
pmc: PMC9981738
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
3578Informations de copyright
© 2023. The Author(s).
Références
Spine (Phila Pa 1976). 2004 Apr 1;29(7):E139-44
pubmed: 15087810
J Spinal Disord. 1991 Jun;4(2):157-67
pubmed: 1806080
Spine J. 2012 Jul;12(7):596-602
pubmed: 22906621
Stapp Car Crash J. 2009 Nov;53:1-48
pubmed: 20058549
J Biomech. 1991;24(7):607-14
pubmed: 1880144
Eur Spine J. 1998;7(2):148-54
pubmed: 9629939
J Manipulative Physiol Ther. 2011 Mar-Apr;34(3):181-7
pubmed: 21492753
Eur Spine J. 2012 Aug;21(8):1575-9
pubmed: 22382726
Spine (Phila Pa 1976). 2009 Nov 15;34(24):2642-5
pubmed: 19910767
Eur J Radiol. 2012 Nov;81(11):3435-40
pubmed: 22762971
Clin Biomech (Bristol, Avon). 2020 Dec;80:105185
pubmed: 33049425
Spine (Phila Pa 1976). 1987 Mar;12(2):183-9
pubmed: 3589810
J Biomech. 2022 Jan;130:110872
pubmed: 34839151
Spine (Phila Pa 1976). 1987 Oct;12(8):732-8
pubmed: 3686228
Sci Rep. 2021 May 25;11(1):10853
pubmed: 34035331
J Electromyogr Kinesiol. 2012 Oct;22(5):747-51
pubmed: 22402264
Clin Biomech (Bristol, Avon). 1991 May;6(2):111-7
pubmed: 23915484
Eur Spine J. 2013 Jan;22(1):60-4
pubmed: 22968541
PLoS One. 2019 Apr 16;14(4):e0215357
pubmed: 30990826
J Biomech. 2002 Apr;35(4):543-8
pubmed: 11934426
Man Ther. 2013 Aug;18(4):339-44
pubmed: 23375147
Spine (Phila Pa 1976). 1993 Dec;18(16):2388-92
pubmed: 8303438
Clin Biomech (Bristol, Avon). 2000 Nov;15(9):633-48
pubmed: 10946096
J Biomech. 2019 Jul 19;92:162-168
pubmed: 31164224
Surg Radiol Anat. 2010 Feb;32(2):141-51
pubmed: 19756350
J Biomech. 2017 Jul 26;60:110-115
pubmed: 28662932
Arch Med Sci. 2013 Jun 20;9(3):515-20
pubmed: 23847675
J Biomech. 2020 Feb 13;100:109579
pubmed: 31911050
J Biomech. 2020 Jan 2;98:109418
pubmed: 31653508
Spine (Phila Pa 1976). 1988 Jul;13(7):726-30
pubmed: 3194778
Spine (Phila Pa 1976). 1987 Oct;12(8):726-31
pubmed: 3686227