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CCI Type 2b

In this video, Dr. Centeno discusses a case of CCI Type 2B, characterized by C1-C2 overhang, observed in a digital motion X-ray (DMX) using an open-mouth lateral bending view. He explains how to identify this type of instability by examining the movement of the atlas and dens, noting significant overhang and asymmetry. Dr. Centeno breaks down how measuring the overhang relative to the dens provides insight into the severity of the instability, with this particular case showing measurements in the six to eight-millimeter range. He attributes this instability to alar ligament dysfunction, which requires targeted treatment. He emphasizes that posterior injections cannot adequately reach the alar ligaments, making the PICL procedure the preferred approach for stabilizing this condition. By sharing this case, Dr. Centeno provides a detailed look at how CCI Type 2B is diagnosed and why specific treatment strategies are necessary. The video serves as an educational resource for patients and practitioners seeking to understand the complexities of cervical instability and its management. 🔔 Subscribe for more CCI related videos:    / @centenohome   Take your first step to recovering from CCI with our quiz here: https://centenoschultz.com/cci-quiz/ Learn more about CCI here: https://centenoschultz.com/condition/... Resources: Katz paper: https://pmc.ncbi.nlm.nih.gov/articles... 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: 00:01 - Introduction to CCI Type 2B Case 00:10 - Identifying C1-C2 Overhang 00:24 - Observing Overhang During Lateral Bending 00:35 - Measuring Overhang in Millimeters 00:52 - Noting Asymmetry in the Dens and Atlas 01:07 - Increased Motion and Overhang Severity 01:19 - Confirming CCI Type 2B on Digital Motion X-Ray 01:28 - Role of the Alar Ligament in Instability 01:35 - Need for PICL Procedure for Stabilization 01:50 - Limitations of Posterior Injections for Alar Ligament 01:58 - Sharing the Case with the CCI Community 02:04 - Conclusion and Final Thoughts