Atlas Vertebral Realignment and Cerebrospinal Fluid Flow Restoration in Whiplash-Associated Disorder: A Case Report

Jonathan Verderame ¹, Muhammad Shakib Arslan ², Nishant Rangra ³

This case shows the effectiveness of atlas realignment in alleviating WAD symptoms by restoring cerebrospinal fluid flow and CCJ integrity.

Abstract

Background: Whiplash-associated disorder (WAD) results from sudden neck movements, often during vehicle collisions, leading to complex musculoskeletal and neurological symptoms. Diagnosing and treating WAD is challenging due to the variability in symptoms, which include neck pain, headaches, and dizziness. This study examines the role of atlas vertebral misalignment in WAD and highlights the effectiveness of atlas realignment as a treatment option. Methods: A 25-year-old male patient with WAD symptoms underwent atlas vertebral realignment using a non-invasive chiropractic technique. Pre- and post-treatment assessments included upright MRI to examine cervical spine alignment, cerebrospinal fluid (CSF) flow, and internal jugular vein compression. Treatment consisted of multiple atlas adjustment sessions over four weeks. Results: Pre-treatment imaging revealed atlas misalignment, ligamentous instability, loss of cervical lordosis, venous compression, and disrupted CSF flow. Post-treatment MRI demonstrated significant improvements in cervical alignment, venous decompression, and restored CSF flow. Clinically, the patient reported reduced headaches, improved cognitive clarity, and alleviated neck pain. Conclusion: Atlas vertebral realignment provided substantial symptom relief in a patient with WAD, correlating with improvements in structural and functional abnormalities. This case underscores the potential of targeted chiropractic interventions in managing complex WAD cases, particularly when imaging identifies atlas misalignment and CSF flow disruption. Further research is warranted to assess the broader applicability of this approach.

Keywords: Atlas vertebral realignment, Whiplash-associated disorder (WAD), Cerebrospinal fluid (CSF) flow, Upright MRI, Craniocervical junction (CCJ)

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