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.

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How 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

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

What Is Craniocervical Instability (CCI)?

On this page: Causes of craniocervical instability CCI symptoms Diagnosing craniocervical instability Treatments for CCI Cervical refers to the neck and instability that a joint or spinal segment moves around too much (1). When a person suffers from craniocervical instability or CCI, the strong ligaments that hold their head to their upper neck are lax…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
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