Atlas realignment as novel approach to whiplash recovery: A case study on cervical stability and neurovascular flow
This case report illustrates the significant improvement of a male patient suffering from whiplash-associated disorder (WAD) following atlas vertebral realignment. The patient, who experienced headaches, neck pain, brain fog, a heavy feeling in the head, and dizziness, underwent an upright MRI of the cervical spine, which revealed ligamentous disruptions, loss of cervical lordosis, internal jugular vein compression, reduced blood flow, and altered cerebrospinal fluid (CSF) flow. Post-adjustment, notable improvements in CSF and blood flow were observed, correlating with symptomatic relief. This case underscores the potential benefits of atlas vertebral realignment in managing WAD, emphasizing the importance of craniocervical junction (CCJ) integrity, conservative management, and specialized imaging in understanding and treating the complex manifestations of WAD.
Authors
- Zaheer Abbas (ORCID: https://orcid.org/0000-0001-5785-2034)
- Melis Arslan (ORCID: https://orcid.org/0009-0009-1306-6854)
- Jonathan Verderame
Institutions
- Islamia University of Bahawalpur (PK)
- Grid-Arendal (NO)
Publication Details
- Journal
- Interdisciplinary Neurosurgery
- Published
- 2025-06-18
- DOI
- https://doi.org/10.1016/j.inat.2025.102074
- Citations
- 2
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 4.01