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Transverse Ligament Failure

Curious about what happens when an atlantodental interspace (ADI) grows from 5 mm on a supine scan to 11 mm when upright? In this video, Dr. Chris Centeno—one of the founders of interventional orthobiologics at the Centeno-Schultz Clinic—walks you through a patient case where flexion-extension imaging revealed a significant transverse ligament tear, changing the treatment plan from a PICL procedure to potential surgery. Learn how positional imaging can uncover hidden instability, why certain injuries may require fusion instead of regenerative therapies, and the importance of carefully selecting the right treatment approach. 🔔 If you find this content helpful, please like, comment, and subscribe to stay informed.    / @centenohome   To schedule a telemedicine or in-person visit, call +1-303-429-6448 or email Isis at [email protected]. Dr. Centeno also answers questions on his Reddit thread at   / picl   Join him for weekly Facebook Lives at   / centenoschultzclinic   to learn more. Download Dr Centeno's book on craniocervical instability at https://centenoschultz.com/craniocerv.... Join CCI Communities: PICL SubReddit: https://www.reddit.com/r/PICL/?rdt=58942 PICL Facebook Group:   / ccjpicl   Follow us for updates and news: Website: https://centenoschultz.com/ https://regenexx.com/ Facebook:   / centenoschultzclinic   Instagram:   / centenoschultzclinic   LinkedIn:   / chris-centeno-m-d-b6838024   Centeno-Schultz Clinic 403 Summit Blvd Suite 201 Broomfield, CO 80021 303-429-6448 Key timestamps 00:00 – Injury case and ADI introduction 01:02 – Fusion and PICL procedure discussion 01:32 – Specialized imaging with head coil 02:28 – Math on instability measurements 03:27 – Surgical candidate conclusion