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Talk:Craniocervical instability
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== Translational BAI is wrong based on n=400 study -- [[User:Eldask|Eldask]] ([[User talk:Eldask|talk]]) 08:16, August 19, 2019 (EDT) -- [[User:Eldask|Eldask]] ([[User talk:Eldask|talk]]) 08:16, August 19, 2019 (EDT) == I have growing concern regarding the work of the big 4 on CCI. Henderson's work is being cited left and right with no fact checking, which is extremely dangerous considering the seriousness and impact of craniocervical arthrodesis. This page states a translational BAI bigger than 2 or 4 as pathological, yet, a study referenced by Henderson (https://doi.org/10.2214/ajr.162.4.8141012) states "The excursion of the basion in flexion and extension ranged from 0 to 10 mm, but did not exceed the 12-mm limit of normal" on n=392 healthy subjects. Though translational BAI below 10mm may in certain cases indeed be pathological, I strongly recommend amending that metric to reflect that objective study and not blurring the picture with metrics which are neither particularly sensitive or specific. Thanks for your comment[[User:Eldask]]. I share your concerns and think it would be best just to leave out the table about specific measurements and cutoffs. These rely almost solely on the work of Henderson and Bolognese and I suspect that those writing the info on MEpedia don't have the necessary medical background to know how to interpret them. I don't think this kind of detail is helpful as medical decisions about whether these measurements indicate relevant pathology should be considered by experts. Including them on the MEpedia page is contrary to that view - I think it will mostly cause confusion. It also promotes the view of Bolognese who is controversial and has been sued multiple times for performing unnecesary surgery. I don't know how tagging other people works on here, but I'm going to give it a try: [[User:JenB]] [[User:Hip]]
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