Talk:Craniocervical instability

Alternative / additional images -- notjusttired (talk) 12:58, July 30, 2019 (EDT)

 * Awake fiberoptic orotracheal intubation using a modified Guedel airway in a patient with craniocervical instability and an anticipated difficult airway - A case report has images licensed for Non-commercial use. See Help:ADDCOPYRIGHT and MEpedia:Copyright policy for info on user. notjusttired (talk) 12:58, July 30, 2019 (EDT)

== Translational BAI is wrong based on n=400 study -- Eldask (talk) 08:16, August 19, 2019 (EDT) -- 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 commentUser: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

Ref 43 & 13 appear to be the same - August 8/25/2019
References 43 and 13 appear to be the same paper. There are linked on Translational BAI measurement in the ref section of the measurement table -- Luke S.

Use Craniocervical instability term more for SEO? - August 8/28/2019
I see the term Craniocervical instability is only used in the heading, should we use the full term instead of CCI to improve search engine ranking? -- Luke S.