Chiropractic manipulation in adolescent idiopathic scoliosis: a pilot study.

Background: Adolescent idiopathic scoliosis (AIS) remains the most common deforming orthopedic condition in children. Increasingly, both adults and children are seeking complementary and alternative therapy, including chiropractic treatment, for a wide variety of health concerns. The scientific evidence supporting the use chiropractic intervention is inadequate.

Morphologic considerations of C2 isthmus dimensions for the placement of transarticular screws.

Study Design: This study examines the C2 vertebrae using both direct anatomic and computed tomographic measurements.

Objective: To define the relation of the C2 vertebrae bony elements to the vertebral artery and the spinal canal, to determine individuals at risk for vertebral artery injury during C1-C2 transarticular screw placement.

Summary Of Background Data: Recent literature assessing the safety of upper cervical spine transarticular screws has concentrated on technique, including the optimal point of entry and path projection of the screw.