ArticleInterventional pain medicine2024
Clinical history correlates with lateral atlantoaxial (C1-2) joint edema. A pilot study.
Article in Interventional pain medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Characteristics of patients with cervical pain originating from the lateral atlanto-axial joint (C1-C2).Interventional pain medicine · 2026Article
- Early outcomes from intra-articular lateral C1-2 joint steroid injections: A retrospective case series.Interventional pain medicine · 2026Article
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Authors and funding
3 authors.
Funding
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Abstract
Background: Clinical evaluation in the determination of the etiology of axial spine pain is limited. Objective: To determine if a set of three features of the clinical history are indicative of C1-2 joint edema on MRI. Methods: All patients from one physician's practice who had axial cervical spine pain from 2021 to 2023 were evaluated. Cases were defined as those with all 3 of the ASL criteria, defined as Age >65, Superior cervical/suboccipital pain, and exacerbation of pain primarily by Lateral cervical spine rotation. Age-matched controls had axial cervical spine pain without meeting the ASL criteria. Edema around the atlantoaxial joint and/or odontoid was evaluated by STIR MR sequences. Results: The ASL criteria had a sensitivity of 82 % [95 % CI: 64-100 %], specificity of 79 %, [95 % CI: 63-95 %], positive predictive value of 74 % [95 % CI: 54-94 %], and negative predictive value of 86 % [95 % CI: 72-100 %] in diagnosing C1-2 joint edema. Conclusion: A positive ASL criteria is sensitive and specific in the diagnosis of C1-2 joint edema, which may have clinical implications.
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