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Would adopting a revised landmark rule for the spinal level of the iliac crests improve the accuracy of lumbar level identification?

April 25, 2019

This is a secondary analysis of two previous systematic reviews demonstrating cephalad bias in using palpation to enumerate lumbopelvic levels, based on the conventional landmark rule that the spinal level of the palpated iliac crests=L4. Our study included 7 articles which enumerated lumbopelvic levels based on this rule, and furthermore reported data such that the

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Systematic review and meta-analyses of the difference between the spinal level of the palpated and imaged iliac crests

August 22, 2017

Objective: The purpose of this study was to undertake a systematic review of the literature to determine and compare, for patient sub-groups, the spinal level of the iliac crests as commonly measured through manual palpation and radiographic imaging procedures. Methods: Relevant citations were retrieved by searching the PubMed, ICL, CINAHL, AMED, Osteopathic Research Web, OstMed,

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Non-union (type II) odontoid fracture: A case report of a motor vehicle accident

August 15, 2014

A case report is presented of a young man injured in a motor vehicle accident who subsequently suffered neck and shoulder pain with no radiation. The pain, aggravated by motion and relieved by neck massage, had persisted for five months. Investigation by plain film radiographs, prior to treatment suggested an odontoid fracture. Tomographic radiographs revealed

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Hip and buttock pain due to occult pelvic fractures: a case report

July 09, 2014

Pelvic fractures are a relatively uncommon presentation to a chiropractic office. A case is presented of pelvic fractures following a motor vehicle accident that initially went undetected despite a set of lumbar spine and pelvic radiographs. The condition was only discovered when the patient continued to suffer hip and buttock pain that was not improving

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A case report of a congenital cleft of the anterior atlas arch: a rare variant of the atlas mimicking fracture

July 08, 2014

Congenital anterior midline clefts of the atlas are rare developmental anomalies with only a few reported cases in the literature. This normal variant of the atlas results when the anterior arch fails to fuse during the ossification process. Series of cadaveric dissections have demonstrated anterior midline atlas clefts in 0.1 -0.2% of the general population.

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