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Alternatives to Upright Imaging

Upright imaging is always preferable as it is in a weight-bearing position where instability is most apparent and thus measurable and diagnosable.  However, some patients are not able to undergo upright imaging due to being completely bedbound. Please be aware that supine imaging is inferior for diagnostic purposes and may not allow us to make a full evaluation. Sometimes, CCI can be present but due to the imaging being supine, the MRI can be ruled out as normal or with non-specific signs.

Required Imaging

Supine MRI of the occipital-cervical junction and servical spine in:

  • Maximum flexion (sagittal cuts)
  • Maximum extension (sagittal cuts) 
  • Neutral (sagittal and axial cuts)

AND

CT scans with 3D reconstruction of the occipital-cervical junction and cervical spine (down to C2) in:

  • Maximum rotation, both sides 
  • Neutral 
Poisitioning in a supine position is very difficult and requires a willing and experienced clinic and technician. Pillows or foam supports are place under the head to bring the chin close to the chest for flexion, or placed under the shoulders to allow the head to extend for extension. Please see images below, given as a courtesy, for examples. Please make sure that the technicians assissting during the scans are familiar with the positions. 
Please be aware that the CT scans incur significant radiation exposure.
 

What is the next step after I have obtained my imaging?

Please contact us using the form here below and we will provide you with a link for you to upload your imaging to us. Once all scans are correctly completed and uploaded, you may then schedule a Zoom or face-to-face consultation with Dr Gilete to review his findings, ask questions, and discuss further treatment options. Prior to the consultation, you will receive a set of comprehensive questionnaires from which we will gather your personal information, your clinical history, and symptomology. You have the option to request a report from the visit.

REQUEST AN EVALUATION

Please use the form here below to contact us and we will get back to you as soon as possible:

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Contact

Neurosurgery & Spine Surgery
Barcelona. Spain
Phone: +34 93 220 28 09
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