Effects of occipital-atlas stabilization on the upper cervical spine rotation combinations: an in vitro study

Hidalgo García, César; Lorente, Ana I.; López de Celis, Carlos; Lucha López, María Orosia; Rodríguez Sanz, Jacobo; Maza Frechín, Mario; Tricás Moreno, José Miguel; Krauss, John; Pérez Bellmunt, Albert

dc.contributor.author	Hidalgo García, César
dc.contributor.author	Lorente, Ana I.
dc.contributor.author	López de Celis, Carlos
dc.contributor.author	Lucha López, María Orosia
dc.contributor.author	Rodríguez Sanz, Jacobo
dc.contributor.author	Maza Frechín, Mario
dc.contributor.author	Tricás Moreno, José Miguel
dc.contributor.author	Krauss, John
dc.contributor.author	Pérez Bellmunt, Albert
dc.date.accessioned	2023-03-28T12:30:34Z
dc.date.available	2023-03-28T12:30:34Z
dc.date.issued	2023
dc.identifier.citation	Hidalgo García, César; Lorente, Ana I.; López de Celis, Carlos [et al.]. Effects of occipital-atlas stabilization on the upper cervical spine rotation combinations: an in vitro study. Scientific Reports, 13, 3578. Disponible en: <https://www.nature.com/articles/s41598-023-30512-3>. Fecha de acceso: 28 mar. 2023. DOI: 10.1038/s41598-023-30512-3	ca
dc.identifier.issn	2045-2322	ca
dc.identifier.uri	http://hdl.handle.net/20.500.12328/3646
dc.description.abstract	The purpose of this study is to compare axial rotation range of motion for the upper cervical spine during three movements: axial rotation, rotation + flexion + ipsilateral lateral bending and rotation + extension + contralateral lateral bending before and after occiput-atlas (C0–C1) stabilization. Ten cryopreserved C0–C2 specimens (mean age 74 years, range 63–85 years) were manually mobilized in 1. axial rotation, 2. rotation + flexion + ipsilateral lateral bending and 3. rotation + extension + contralateral lateral bending without and with a screw stabilization of C0–C1. Upper cervical range of motion and the force used to generate the motion were measured using an optical motion system and a load cell respectively. The range of motion (ROM) without C0–C1 stabilization was 9.8° ± 3.9° in right rotation + flexion + ipsilateral lateral bending and 15.5° ± 5.9° in left rotation + flexion + ipsilateral lateral bending. With stabilization, the ROM was 6.7° ± 4.3° and 13.6° ± 5.3°, respectively. The ROM without C0–C1 stabilization was 35.1° ± 6.0° in right rotation + extension + contralateral lateral bending and 29.0° ± 6.5° in left rotation + extension + contralateral lateral bending. With stabilization, the ROM was 25.7° ± 6.4° (p = 0.007) and 25.3° ± 7.1°, respectively. Neither rotation + flexion + ipsilateral lateral bending (left or right) or left rotation + extension + contralateral lateral bending reached statistical significance. ROM without C0–C1 stabilization was 33.9° ± 6.7° in right rotation and 28.0° ± 6.9° in left rotation. With stabilization, the ROM was 28.5° ± 7.0° (p = 0.005) and 23.7° ± 8.5° (p = 0.013) respectively. The stabilization of C0–C1 reduced the upper cervical axial rotation in right rotation + extension + contralateral lateral bending and right and left axial rotations; however, this reduction was not present in left rotation + extension + contralateral lateral bending or both combinations of rotation + flexion + ipsilateral lateral bending.	en
dc.format.extent	10	ca
dc.language.iso	eng	ca
dc.publisher	Springer Nature	ca
dc.relation.ispartof	Scientific Reports	ca
dc.relation.ispartofseries	13
dc.relation.uri	https://www.nature.com/articles/s41598-023-30512-3	ca
dc.rights	Tis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Te images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.	en
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject.other	Anatomia	ca
dc.subject.other	Atenció sanitària	ca
dc.subject.other	Anatomía	es
dc.subject.other	Cuidado de la salud	es
dc.subject.other	Anatomy	en
dc.subject.other	Health care	en
dc.title	Effects of occipital-atlas stabilization on the upper cervical spine rotation combinations: an in vitro study	en
dc.type	info:eu-repo/semantics/article	ca
dc.description.version	info:eu-repo/semantics/publishedVersion	ca
dc.rights.accessLevel	info:eu-repo/semantics/openAccess
dc.embargo.terms	cap	ca
dc.subject.udc	616.3	ca
dc.identifier.doi	https://dx.doi.org/10.1038/s41598-023-30512-3	ca

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Tis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Te images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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