A Correlation Study Of Atlantoxial Joint Space Asymmetry And Head And Neck Symptoms

Objective Through the atlanto-axial joint gap asymmetry of clinical data were investigated, preliminary explanation:symptomatic atlantoaxial joint space asymmetry can call on in the clinical atlantoaxial subluxation, and the relationship between the two; In the clinical findings for atlanto-axial joint gap asymmetric whether must show relevant symptoms;Clinical findings in the atlantoaxial subluxation is demonstrated when the atlantoaxial joint space asymmetry with the corresponding symptoms; What is the Atlantoaxial joint space asymmetry of the main clinical symptoms and signs of head and neck; To better understand atlanto-axial joint gap, asymmetric atlanto-axial joint subluxation and its performance of the link between symptoms and signs, guide clinical diagnosis and treatment of atlanto-axial joint gap asymmetry and subluxation, for deep understanding of step atlanto-axial joint gap asymmetric provide a theoretical basis for asymmetry.Methods The large sample clinical investigation showed atlantoaxial joint space asymmetry and head and neck related local symptoms and signs; After, Small sample of clinical cases investigation, to have symptoms of patients with head and neck study, the clinical use of case investigation methods, strict quality control, to the study inclusion criteria, exclusion criteria etc. strictly regulate, use of the cervical spine X ray study subjects (1, mainly to observe the atlantoaxial joint 2, the main place for Open mouth radiograph) to check the main, if necessary, supplemented by atlantoaxial joint MRI, CT scan and a comprehensive observation program, subjects to observe the atlantoaxial joint is in a state space asymmetry, after the confirmation fill in investigation and assessment table, statistics atlantoaxial joint space there exists asymmetry ratio, and systematic observation and sorted out the atlantoaxial joint space asymmetry and head and neck symptoms and subluxation of atlantoaxial joint conditions and treatment, so as to explain previously proposed hypothesis, and rich on both clinical research, diagnosis and treatment.Results The large sample clinical investigation of 2000 cases, atlantoaxial joint space asymmetry, there were 1,405 cases of symptoms and signs, symptoms and signs in 179 cases, by rank sum test, Z=24.628, P=0.000, statistically significant (P<0.01); after the survey and analysis of clinical cases of 100 cases of patients with atlantoaxial joint space asymmetry by simple statistical analysis,92 patients with symptoms of dizziness, migraine 87 patients,90 patients with cervical muscle strain, partial limitation of activity in 93 cases, cervical 2 Vertebral local tenderness and percussion pain points of 95 cases; there atlantoaxial dislocation in 68 cases, there atlantoaxial joint without atlantoaxial subluxation asymmetry 0 cases of joint space; opening anteroposterior atlantoaxial X-ray shows:There are Huan pivot line separation of 96 patients with odontoid lateral mass ranged from 98 cases; Conclusions This clinical study results showed that:(1) Atlantoaxial joint space asymmetry related to the the main symptoms and signs of head and neck are dizziness, neck muscle tension, local activity limitation, pain in neck vertebrae 2 points and percussion pain. Clinically when atlanto-axial joint gap asymmetric show relevant of the symptoms and signs of head and neck can be called as atlanto-axial joint disorders. (2) Atlanto-axial joint gap asymmetric cannot be called atlanto-axial joint subluxation but including atlanto-axial joint subluxation. (3) Atlantoaxial joint space asymmetry in the diagnosis of atlantoaxial joint can better explain unusual circumstances, can be simply defined as the mean of the atlas and axis intervertebral joint space loss of normal relations on cooperation, including the atlas and odontoid process constitutes the atlanto backlash left-right asymmetry, atlantoaxial joint asymmetry atlas, atlantoaxial articular surface is not parallel.