Is a Torn Alar ligament bad?

///Is a Torn Alar ligament bad?
Is a Torn Alar ligament bad?
Viewing 6 posts - 13 through 18 (of 24 total)
  • Author
    Posts
  • Avatarmedicalgen
    Participant
    Post count: 11

    Professor Francis W. Smith M.D, FFRRCSI, FRCR, FRSC(Ed), FRCP(Ed), FFSEM. Dip Sp Med, DMRD.

    He obtained his medical training at the University of Aberdeen. After residencies in medicine & orthopaedic surgery, he completed his radiological training at the Hospital for Sick Children in Toronto Canada. In Aberdeen, starting in1980, he pioneered the clinical application of MRI performing the world’s first clinical trial of MRI in 1980 and the world’s first diagnostic MRI service at Aberdeen Royal Infirmary in 1981. He published the first clinical applications of MRI to musculoskeletal radiology, head and neck malignancy, liver and pancreatic disease, pelvic malignancy and pregnancy. He has over 250 publications in peer reviewed Journals, 32 book chapters. 

    In 1982 he was the inaugural President of the SMRI and in 1990 he received the Gold medal from the ISMRM. Between 1984 – 91 he was Editor in Chief of Magnetic Resonance Imaging. In 1999 he was the recipient of the Barclay Medal and in 2009 The Sir Godfrey Hounsfield Memorial lecturer from The British Institute of Radiology. Currently uses upright MRI for the diagnosis of spinal complaints. He specialises in Upright MRI imaging of the cervical spine and cranio-cervical junction in patients following whiplash injury and also those suffering from the hypermobility syndrome, demonstrating ligamentous damage or laxity not readily visualised by conventional MRI of the cervical spine. He also provides an MRI imaging service examining all weight bearing joints in the upright position.

    Between 1980-97 working as a Consultant in Nuclear Medicine he pioneered the use of SPECT for the measurement of regional cerebral blood flow performing the preclinical evaluation of the technetium labelled blood flow agent HMPAO, as well as publishing the earliest papers on its value in the assessment of patients with dementia. He performed some of the earliest work on the use of PET for the diagnosis and staging of malignant disease.

    Hi Doctor Corenman, I think it would be good for you to discuss your opinions about the fonar upright MRI with Professor Francis Smith

    AvatarBroken
    Participant
    Post count: 1

    Thank you Dr. Corenman and Karen for this discussion! I am waiting to get an MRI to determine what in the world has happened to me. I believe a ligament has been damaged and also that Chiari is involved as I am fine with a collar on but practically invalid without it, including suicidal ideation!
    I am very interested in obtaining the best image for diagnosis, but I am much more interested in HOW TO FIX IT! Does anyone do surgical repair of alar ligaments or prolotherapy? How does one get relief! I am at my wits end! Thank you!!

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6759

    The individual who helped develop the Fonar system has experience with the engineering of MRI but still does not change the problems associated with the system.

    Surgical repair of the alar ligaments cannot be performed due to the inaccessible location of these ligaments. Prolotherapy is the injection of a damaging liquid into and around structures to cause scar tissue to form. It would obviously be inadvisable to inject these substances in and around the alar ligaments immediately adjacent to the spinal cord. The only way to stabilize the occiput-C1 or O-C2 joints is with a fusion of these vertebra.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Avatarmedicalgen
    Participant
    Post count: 11

    Hello broken, I’m so sorry to hear of your pain and suffering. I wish I could help you. I assume it’s been caused by an accident. Surely your Doctors will need to know what actual damage there is before they can consider how to treat you. I’ve got 3mm cerebellar tonsillar ectopia which is classed as borderline chiari but I understand that the pain doesn’t go hand in hand with the amount of descent. As well as my thinned ligaments my odontoid peg is also off centre and my clivo-axial angle is abnormal (kyphotic). It’s important that you have a full picture of your injury because some of your pain and disability might be attributed to other damaged structures. As Dr Corenman said there isn’t a lot they can do to repair the ligaments at the CCJ. Chiari causes horrendous headaches, this is operable but has long recovery time. Are you having a suppine MRI scan? If so, this type of scan does not show your internal structures in the weight bearing mode and may not show the full extent of any chiari.

    Avatarmedicalgen
    Participant
    Post count: 11

    Dr Corenman do you do any fusion operations of the top cervical vertebrae to help with this type of damage?

    Avatarmedicalgen
    Participant
    Post count: 11

    Sorry ignore my last post Dr Corenman I see that you do cervical fusion. Xx

Viewing 6 posts - 13 through 18 (of 24 total)

You must be logged in to reply to this topic.