![]() ![]() Loose or damaged ligaments cause Atalnto-axial subluxation. Is there a better way? Regenerative Nonsurgical Treatments Rather it achieves stability by placing screw and plates into the spine. Surgery does not address or treat the ligament injury. Arthritis above and below the level of the fusion typically occurs and oftentimes requires additional surgery and fusion. There are significant risks and complications associated with these procedures which include bleeding, infection, and failure to fuse. The fusion stabilizes the neck by placing screws and plates into the area of misalignment. Different approaches and techniques exist all of which involve a fusion. Surgery is often the treatment of choice when conservative care fails or significant subluxation exists. ![]() Treatments options include physical therapy, chiropractic care, and traction. When appropriate conservative care should always be the first-line treatment. Treatment will depend upon the severity of the subluxation and symptoms. What Are the Treatment Options for Atlantoaxial Subluxation If any doubt exist MRI should be ordered. It stands for the atlanto- dens interval and measures the distance between the backside of the C1 bone and the boney prominence of C2. A special radiographic measurement is used called the ADI (5). A neutral and forwarded flexed neck x-ray is best as it can demonstrate misalignment. The most common symptoms includeĪtlantoaxial subluxation is usually diagnosed with plain neck x-rays. Symptoms can vary significantly from patient to patient. Symptoms will depend upon the severity of the subluxation. Inflammatory disorders such as Rheumatoid Arthritis and Lupus.Connective Tissue Disorders such as Ehlers-Danlos Syndrome.When ligaments are injured or loose subluxation can occur. It is stabilized primarily by ligaments (2). The AA joint is the most mobile in the body. Ligaments are thick pieces of connective tissue that connect one bone to another. Injury to the upper cervical ligaments can lead to atlantoaxial subluxation. This can involve the C1 bone, the C2 bone, or both. ![]() What Is Atlantoaxial Subluxation?Ītlantoaxial subluxation is when there is a misalignment of the C1/2 joint. When this occurs there is a number of symptoms that occur depending upon the severity of the subluxation. The bone can slip forward, backward, or rotate to one side. During subluxation one of the bones slips out of alignment. Each drawer is perfectly flush with the drawer above and below it. A joint is composed of two or more bones that are in alignment. Subluxation is a misalignment or partial dislocation of a joint (1). So the atlantoaxial joint is a joint in the upper neck formed by the C1 (atlas) and C2 (axis) bones.īottom Line: The Atlantoaxial joint and C1/2 joint are different names used for the same joint. Why all the different names? Because the upper neck bones have additional names. The joint immediately beneath the C0/1 joint is the C1/2 joint which is also called the AA or Atlantoaxial joint. The top joint is referred to as the C0/1 or OA joint because the C1 bone meets with the base of the skull bone (occiput) to form a joint. Like the building blocks of the spine, the joints are numbered from top to bottom. On the backside of the neck are a series of paired joints. The letter C denotes the cervical spine as opposed to the low back or mid-back. They are numbered from C1 which is the top of the spine to the C7 which is the lowest building block in the neck. The neck, also known as the cervical spine is composed of 7 building blocks called vertebrae. What Is the Atlantoaxial Joint? (Upper Neck Joint) What is the Atlantoaxial joint? What is a subluxation? What is Atlantoaxial subluxation? What are the symptoms of Atlantoaxial subluxation? How is Atlantoaxial subluxation diagnosed? What are the treatment options? Let’s dig in. Your chiropractor thinks you are out of alignment. ![]()
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