The Study Of Clinical Relevance Between Cervical Vertigo And At Lantoaxial Dislocation

ObjectiveThis study was aimed to explore the clinical relevance between cervical vertigo and atlantoaxial joint dislocation by analyzing cervical vertigo symptoms in patients with atlantoaxial dislocation of joints, and the joint space correlation between symptom scores and the correlation between the joint space which measured by By X-ray and CT.Methods80 patients between 20 to 50 years old who was diagnosed with cervical vertigo. Selecting who were in line with the diagnosis of atlantoaxial joint dislocation by X-ray to do a CT scan. And then comparing the difference of positive rate which was detection by X-ray and CT scan. The same therapy was given for a week to the patients who were in line with the diagnosis of atlantoaxial joint dislocation by CT scan. Comparing the data of the symptom score and joint clearance the before and after treatment. And then making a correlation analysis between the difference of the symptom score and data joint clearance after the therapy.ResultsThe ADI which was measured by X-ray is 1.39±0.41mm, while those was measured by CT scan is 1.05±0.67mm of the 80 patients in this study. The difference between these two groups was statistically significant (P <0.05).The positive rate of atlantoaxial joint dislocation which diagnosed by the X-ray is 77.5%,while the positive rate which diagnosed by the CT scan is 77.5%. The difference between these two groups was statistically significant (P<0.05). The same therapy was given to those which were in line with the diagnosis of atlantoaxial dislocation by CT scan. The symptom score is 11.76±1.98 before treatment, while the score is 18.91±2.80 after treatment. The difference between these two groups was statistically significant (P<0.05).The score of VBLADI after treatment is 1.50±0.41mm. There was not statistically significant between before and after the treatment (P>0.05). There is no significant correlation between the difference of the score of VBLAI and the symptom score before and after the treatment(the correlation coefficient is-0.341, P>0.05), so as the the difference of the score of ADI and the symptom score(the correlation coefficient is -0.126, P>0.05)ConelusionThe false positive rate to rely solely on X-ray diagnosis of atlantoaxial joint dislocation, the diagnosis can be increased. Also, there is no significant correlation between the space of atlantoaxial jointchanges and the cervical vertigo symptoms. So there is no significant clinical correlation between the cervical vertigo and atlantoaxial joint dislocation.