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Dynamic close-mouth view radiograph method for the diagnosis of lateral dynamic instability of the atlantoaxial joint

  • Susumu Fujiwara
    Affiliations
    Department of Radiological Technology, Kyoto Takeda Hospital, Minamikoromoda-cho, Nishi-shichijo, Shimogyo-ku, Kyoto 600-8884, Japan
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  • Daisaku Tokunaga
    Correspondence
    Corresponding author. Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan. Tel.: +81 75 251 5549; fax: +81 75 251 5841.
    Affiliations
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
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  • Ryo Oda
    Affiliations
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
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  • Shogo Toyama
    Affiliations
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
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  • Kan Imai
    Affiliations
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
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  • Atushi Doi
    Affiliations
    Department of Radiological Technology, Kyoto Takeda Hospital, Minamikoromoda-cho, Nishi-shichijo, Shimogyo-ku, Kyoto 600-8884, Japan
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  • Toshikazu Kubo
    Affiliations
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
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      Abstract

      The purpose of the current study is to establish the dynamic close-mouth view radiograph method. Seven healthy volunteers were enrolled. Dynamic open-mouth and close-mouth view radiographs were obtained. The odontoid lateral mass interval and the dynamic atlantodental lateral shift (ADLS) were measured. The ADLS was 9.4±5.3% by the close-mouth view, showing a significantly greater percentage than that of 5.3±4.0% by the open-mouth view. The dynamic close-mouth view can be useful for diagnosis of atlantoaxial lateral instability.

      Keywords

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