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When an MRI and DMX Misses the Diagnosis: False Negative Imaging of the ADI in CCI Patients Dr. Centeno discusses false negative imaging of the ADI (atlantodental inner space) in patients with atlantoaxial instability, a type of craniocervical instability (CCI). He explains how false negatives can occur when tests fail to detect instability, particularly when neck muscles are compensating for weakened ligaments. Dr. Centeno highlights how, during PICL procedures, patients under anesthesia may show significantly more instability, revealing the issue. He also discusses how targeting specific ligaments during treatment can help resolve these cases and the importance of reassessment. 🔔 Subscribe for more CCI related videos: / @centenohome Follow us for updates and news: Website: https://centenoschultz.com/ https://regenexx.com/ Facebook: ( / centenoschultzclinic ) Instagram: ( / centenoschultzclinic ) LinkedIn: ( / chris-centeno-m-d-b6838024 ) Time Stamps: 0:01 - Introduction to False Negative Imaging of the ADI 0:22 - Overview of CCI and Atlantoaxial Instability 0:43 - Explanation of Alar and Transverse Ligaments in C1-C2 1:40 - Role of Ligaments in Preventing Excessive Motion in C1-C2 2:35 - Case Study: Normal ADI Range on MRI and DMX Imaging 3:19 - Discovery of Excessive Motion During PICL Procedure 3:47 - Role of Neck Musculature in Stabilizing C1-C2 4:28 - Frequency of Increased ADI in PICL Patients 4:49 - Focus on Tightening Alar and Transverse Ligaments with PICL 5:23 - Importance of Sleep-Induced ADI Instability Detection 5:54 - Addressing False Negatives in CCI Diagnosis 6:08 - Conclusion and Research Updates ~-~~-~~~-~~-~ Please watch: "Cervical Disc Replacement Movement vs Normal Disc" • Cervical Disc Replacement Movement vs Norm... ~-~~-~~~-~~-~ Centeno-Schultz Clinic 403 Summit Blvd Suite 201 Broomfield, CO 80021 303-429-6448