Document Detail


Whole-spine dynamic magnetic resonance study of contortionists: anatomy and pathology.
MedLine Citation:
PMID:  18518669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Whole-spine magnetic resonance (MR) images were obtained using a cylindrical 3-T MR imaging system in 5 contortionists to assess the pathological changes possibly associated with the practice of contortion. Whole-spine dynamic MR images were obtained using a 1-T open MR imaging system in 2 of these contortionists with the purpose of defining the range of motion (ROM) achieved during extreme contortion. The range of spinal motion in this unique population was then quantified. METHODS: The study included 5 female contortionists 20-49 years of age. Imaging was performed using open 1-T and cylindrical 3-T high-field MR imaging systems. Data were viewed and analyzed with DICOM-compliant tools. Real-time, dynamic, and standard MR imaging allowed for quantification of the contortionists' ROM. RESULTS: There was a difference of 238 degrees between full spinal extension and full flexion. Three of the 5 contortionists had 4 anterosuperior limbus vertebrae at T-11 and the upper lumbar levels. CONCLUSIONS: Whole-spine dynamic MR imaging is a valuable tool for the evaluation of the extreme ROM in contortionists, allowing for the quantification of extreme mobility. The limbus fractures present in 3 of the 5 contortionists is postulated to be due to avulsion on hyperextension. Future research may open the use of whole-spine dynamic MR imaging into such areas as pain management and traumatic spinal injuries.
Authors:
Randal R Peoples; Thomas G Perkins; Janette W Powell; Eric H Hanson; Travis H Snyder; Timothy L Mueller; William W Orrison
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  8     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  501-9     Citation Subset:  IM    
Affiliation:
Las Vegas Neurosurgery and SpineCare, Las Vegas, Nevada, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervical Vertebrae / pathology
Female
Humans
Intervertebral Disk / pathology
Intervertebral Disk Displacement / pathology,  physiopathology
Joint Instability / pathology,  physiopathology
Lordosis / pathology
Lumbar Vertebrae / pathology
Magnetic Resonance Imaging / methods*
Middle Aged
Range of Motion, Articular / physiology
Scoliosis / pathology,  physiopathology
Spinal Diseases / pathology*,  physiopathology
Spinal Osteophytosis / pathology,  physiopathology
Spine / anatomy & histology*,  physiology
Spondylarthritis / pathology,  physiopathology
Sports* / physiology
Thoracic Vertebrae / pathology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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