PICL Procedure
The PICL procedure, or percutaneous implantation of CCJ ligaments, offers a minimally invasive approach to treating CCJ instability. By utilizing bone marrow concentrate injections and advanced fluoroscopic guidance, it aims to prevent the need for highly invasive cervical fusion surgery, reducing the risk of complications and preserving neck mobility.
Subscribe to the BlogHow Does the Body Stabilize the C1-C2 Joint? The Role of the Alar Ligament
Readers: Please excuse this in-depth and very dense discussion of the C1-C2 joint. I am preparing a large case series of PICL patients for publication and began writing this as a paper to be submitted for publication, but I decided that some of the rubber meets the road mechanism of the unique way that the…read more
What Is Cervical Medullary Syndrome?
What happens when the neck bones impinge on the upper spinal cord and brain stem? This is called Cervical Medullary Syndrome. Let’s explore what this is and why it happens. Let’s dig in. The Background Anatomy The normal upper neck anatomy is unique in that nature has built in quite a bit of space around…read more
Our Study on the PICL Procedure for Craniocervical Instability
We have an open study on the new PICL procedure to treat craniocervical instability. Given that the procedure is delivered at no charge and we have seen great interest in this type of treatment, I thought it was important to get this out there. Let’s dig in. What is CCI and the PICL Procedure? CCI…read more
A Case Study of Severe CCJ Instability and Our PICL Procedure
CCJ instability is a life-changing problem. Think about the havoc that could be caused by the ligaments that hold your head being injured by trauma or becoming loose due to a connective-tissue disease. Headaches, imbalance, and a myriad of other symptoms become the new normal when you attempt to do anything. This morning, after several…read more 
