A review of the diagnosis and treatment of atlantoaxial dislocations. Yang SY, Boniello AJ, Poorman CE, Chang AL, Wang S, Passias PG. Journal of the American Academy of Orthopaedic Surgeons. Occipitocervical Dissociation in Three Siblings: A Pediatric Case Report and Review of the Literature. Traumatic Atlanto-Occipital Dislocation-A Comprehensive Analysis of All Case Series Found in the Spinal Trauma Literature. Traumatic atlanto-occipital dislocation (AOD). Kim YJ, Yoo CJ, Park CW, Lee SG, Son S, Kim WK. Identifying survivors with traumatic craniocervical dissociation: a retrospective study. These findings demonstrate the potential of multiclass segmentation in automating the measurement of diagnostic metrics for cervical spine injuries and showcase the clinical potential for diagnosing cervical spine injuries and evaluating cervical surgical outcomes.Ĭooper Z, Gross JA, Lacey JM, Traven N, Mirza SK, Arbabi S. No metric showed adjusted significant differences at P < 0.05 between manual and automatic metric measuring methods. Comparison of manually measured metrics and automatically measured metrics showed high Pearson’s correlation coefficients in McGregor’s line ( r = 0.89), space available cord ( r = 0.94), cervical sagittal vertical axis ( r = 0.99), cervical lordosis ( r = 0.88), lower correlations in basion-dens interval ( r = 0.65), basion-axial interval ( r = 0.72), and Powers ratio ( r = 0.62). The three models demonstrated high average dice coefficient values for the cervical spine (C1, 0.93 C2, 0.96 C3, 0.96 C4, 0.96 C5, 0.96 C6, 0.96 C7, 0.95) and lower values for the craniofacial bones (hard palate, 0.69 basion, 0.81 opisthion, 0.71). Diagnostic metrics automatically measured using computer vision algorithms were compared with manually measured metrics through Pearson’s correlation coefficient and paired t-tests. A total of 852 cervical X-rays obtained from Gachon Medical Center were used for multiclass segmentation of the craniofacial bones (hard palate, basion, opisthion) and cervical spine (C1–C7), incorporating architectures such as EfficientNetB4, DenseNet201, and InceptionResNetV2. Such assessment can be facilitated through the use of automatic methods such as machine learning and computer vision algorithms. Accurate assessment of cervical spine X-ray images through diagnostic metrics plays a crucial role in determining appropriate treatment strategies for cervical injuries and evaluating surgical outcomes.
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