CMR
Cervical ROM Reporting
CMR
Motion X-ray with detailed reporting of cervical ROM
Motion X-ray
ROM visualized like never before
The upper 30 percent of the cervical spine (motion segment) contains only ligaments, no discs.
Motion X-ray provides key insight into a motion segment of the spine. A motion segment, as defined by the AMA, is “two adjacent vertebrae, the intervertebral disk, the apophyseal or facet joints, and the ligamentous structures between the vertebrae” (AMA Guidelines 4th & 5th Edition, 378). A spinal injury can manifest
itself in the alteration of motion segment integrity, which can be loss of motion segment integrity
(increased translational or angular motion) or decreased range of motion (ROM).
ROM Capabilities:
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Lateral Neutral
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Lateral Flexion
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Lateral Flexion Left and Right
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Lateral Extension
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Left posterior oblique neutral
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LPO - flexion
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LPO - extension
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Right posterior oblique neutral
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RPO - flexion
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RPO - extension
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Rotation Left and Right
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POM Lateral Bending Left and Right
Get a sample CMR report
Cervical Motion Reporting
Decreased ROM = Increased Court Reimbursement
The CMR software allows our radiologists to view and enlarge all range of motions (ROM) for demonstrative comprehension for doctors, patients, attorneys, and insurance companies. The CMR will cite and reference Learned Treatises and research studies to correlate with the aberrant joint motion.
Widening of the posterior disc
Widening of the anterior disc
Anterior Longitudinal Ligament
The integrity of the anterior longitudinal ligament (ALL) is demonstrated by a backward (posterior) movement (translational motion) of one vertebrae over the vertebrae below or by the anterior widening of the intervertegral disc space (increased disc angle or angular motion). By measuring these discrepancies of George’s Line (Yochum & Rowe, pg. 149). AOMSI can be quantified and correlated with the AMA Guidelines (5th edition, pg. 378-79).
Aneterolithesis
Retrolisthesis
C1 Lateral mass overhang
Change in para-odotoid space
Ligament Laxity Illustration
Posterior Longitudinal Ligament
The integrity of the posterior longitudinal (PLL) is demonstrated by a forward (anterior) movement (translational motion) of one vertebrae over the vertebrae below or by the posterior widening of the intervertegral disc space (increased disc angle or angular motion). By measuring these discrepancies of George’s Line (Yochum & Rowe, pg. 149). AOMSI can be quantified and correlated with the AMA Guidelines (5th edition, pg. 378-79).
Alar/Accessory Ligament
The integrity of the alar and accessary liagments are quatified by the lateral overhang of C1 on C2 or by the changes in the para-odontoid spaces. These mechanical alterations can be represented through symptomatology such as cervicogenic headaches, occipital neualgia, cervical neualgia, etc...
Visualization ligamentous structures integrity:
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Transverse
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Posterior Longitudinal
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Anterior Longitudinal
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Capsular
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Accessory
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Alar
Different anatomincal views:
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Cervical
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Thoracic
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Lumbar spine (depending on thickness of patient)
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Glenohumeral
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Elbow
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Hand/wrist
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Acetabular region
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Knee
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Ankle/foot