Example of DMX Reports
DMX Of Wisconsin Report
Atlantodental Interspace (ADI)
Established normal is less than 3 mm.
- Neutral: 2.3 mm
- Full Flexion: 2.1 mm
- Full Extension: 2.3 mm
Ligament Damage Indications
- Posterior Longitudinal Ligament: Anterolisthesis of C2 on C3, C3 on C4, C4 on C5, and C5 on C6.
- Anterior Longitudinal Ligament: Retrolisthesis at C5 on C6.
- Alar & Accessory Ligaments: Overhang of the lateral mass of C1 bilaterally.
Angular Motion Segment Integrity
Established ratable threshold is 11°.
- C2 on C3 (Extension): 8.9°
- C4 on C5 (Extension): 7.17°
- C3 on C4 (Extension): 13.24° (Abnormal)
Result: Impairment estimate based on plain film forensics at 25%. Impairment of the cervical region is due to ratable Loss of Motion Segment Integrity (25% for cervical spine).
Translational Motion Segment Integrity
Established ratable threshold is 3.5 mm.
- C2 on C3: 1.4 mm
- C3 on C4: 1.8 mm
- C4 on C5: 2.8 mm
- C5 on C6: 3.0 mm
C1 on C2 Translation & Subluxation
Shifting > 1.7m
Shifting > 1.7mm indicates subluxation; > 3.0mm indicates laxity of Alar and/or accessory ligaments.
m iShifting > 1.7mm indicates subluxation; > 3.0mm indicates laxity of Alar and/or accessory ligaments.
ndicates subluxation; > 3.0mm indicates laxity of Alar and/or accessory ligaments.- Lateral translation overhang to Right: 3.0 mm
- Lateral translation overhang to Left: 3.0 mm
Provider: Dr. Ben Breidenbach DC, CCSP, FACO
Chiropractic Orthopedist
Chiropractic Orthopedist
Other DMX Reports
Ligament Integrity Analysis
- Transverse Ligament: Damage indicated by an increase in ADI.
- Posterior Longitudinal Ligament: Damage indicated by anterolisthesis at C2 on C3, C3 on C4, and C4 on C5. Widening of posterior intervertebral disc space at C4-C5.
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Interspinous Ligament: Separation between C3-C4 spinous processes.
*Cervical instability at this level according to AMA guides.
Capsular & Upper Cervical Analysis
- Capsular Ligament: Gapping of the facet joint on the right at C3-C4 and C4-C5 when bending left; and on the left at C3-C4, C4-C5, and C5-C6 when bending right.
-
Alar & Accessory Ligaments: Overhang of the lateral mass of C1 bilaterally. Change in the para-odontoid space during bilateral lateral bending.
*Craniocervical instability is suspected at this level.
Clinical Definition Note:
The term "Damage" as used in this report concerning any ligament represents a ligamentous laxity or instability due to excess stretching or tearing, and is therefore painful, progressive, and permanent.