Introduction Patients suffering from remaining disability after anterior cervical decompression and fusion (ACDF) surgery for cervical disc disease may be prescribed physical activity (PPA) or neck-specific exercises (NSEs). Currently, we lack data for the success of either approach. There is also a knowledge gap concerning the use of internet-based care for cervical disc disease. The scarcity of these data, and the high proportion of patients with various degrees of incapacity following ACDF, warrant increased efforts to investigate and improve cost-effective rehabilitation. The objective is to compare the effectiveness of a structured, internet-based NSE programme, versus PPA following ACDF surgery. Methods and analysis This is a prospective, randomised, multicentre study that includes 140 patients with remaining disability (amp;gt;= 30% on the Neck Disability Index, NDI) following ACDF for radiculopathy due to cervical disc disease. Patient recruitment occurs following attendance at routine ...
The invention discloses a posterior cervical vertebra plate clamp. The overall structure of the posterior cervical vertebra plate clamp is in a bridge shape, the posterior cervical vertebra plate clamp is composed of a connecting plate mainly of a supporting structure, an inner clamping plate and an outer clamping plate, the inner clamping plate and the outer clamping plate are arranged on the two sides, and fixed tooth and fixed holes are arranged on the inner clamping plate and the outer clamping plate respectively. The posterior cervical vertebra plate clamp can be used for auxiliary treatment of cervical spondylotic myelopathy, congenital cervical spinal stenosis, multi-segmental cervical degeneration with spinal canal stenosis, ossification of posterior longitudinal ligaments, excessive cervical lordosis and other diseases. Compared with a traditional nail rod system and an unilateral door opening fixing system, surgical risks can be effectively reduced, the surgical process can be
Define Cervical vertebrae. Cervical vertebrae synonyms, Cervical vertebrae pronunciation, Cervical vertebrae translation, English dictionary definition of Cervical vertebrae. adj. 1. Of or relating to the uterine cervix. 2. Of or relating to the neck. adj of or relating to the neck or cervix adj. of or pertaining to the cervix or...
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Description of disease C1 (cervical vertebra). Treatment C1 (cervical vertebra). Symptoms and causes C1 (cervical vertebra) Prophylaxis C1 (cervical vertebra)
1. Which statement about the cervical spine and its injuries is true?. a. Less than one half of spinal cord injuries result from cervical spine fractures.. b. The upper cervical spine isdefined as extending from C1 through C3.. c. Seventy-five percent (75%) of cervical spine injuries occur in the upper cervical spine.. d. The most common area of cervical injury is C3 to C7.. 2. Which statement best reflects current thinking about imaging studies for cervical spine evaluation?. a. Radiographic films should always be performed initially.. b. Computed tomography (CT) scans should always be first-line studies.. c. There is controversy whether radiography or CT scan should be performed first.. d. Magnetic resonance imaging (MRI) is not needed to examine cervical spine injuries.. 3. The teardrop fracture. a. is a stable fracture.. b. involves disruption of all 3 spinal columns.. c. results from forceful flexion with compression.. d. is difficult to visualize on plain radiographs.. 4. Management of a ...
TY - JOUR. T1 - Sagittal alignment of the cervical spine after the laminoplasty. AU - Suk, Kyung Soo. AU - Kim, Ki Tack. AU - Lee, Jung Hee. AU - Lee, Sang Hun. AU - Lim, Yang Jin. AU - Kim, Jin Soo. PY - 2007/11/1. Y1 - 2007/11/1. N2 - STUDY DESIGN. Prospective study. OBJECTIVE. To identify the impact of laminoplasty on range of motion (ROM) and sagittal alignment of the cervical spine. SUMMARY OF BACKGROUND DATA. Cervical laminoplasty is an effective procedure decompressing multilevel spinal cord compression. Preoperative lordosis of the cervical spine is a prerequisite for laminoplasty, and maintaining postoperative lordosis is also important for decompression of the spinal cord. MATERIALS AND METHODS. Eighty-five patients who planned open door laminoplasty from C3-C7 were studied. Preoperative diagnosis included myelopathy cases associated with cervical spondylosis in 52, ossification of posterior longitudinal ligament in 29, and multilevel disc herniation in 4 cases. Cervical spine lateral ...
Background Safe placement of the screws is a critical aspect of trans-pedicle internal fixation, and little information on in vivo morphology of the cervical vertebrae pedicle measured with imaging methods is available. The aim of this study was to measure the dimensions of cervical vertebrae C3 to C7 and provide screw length, screw diameter and tilt angle for clinical cervical vertebra trans-pedicle internal fixation.. Methods Thirty Chinese men and women underwent high-speed spiral computed tomography measurements to obtain data for C3 to C7, and the morphology of the cervical vertebra pedicles was reconstructed.. Results Reconstructed computer tomography image data revealed that: (1) pedicle sponge width increased incrementally from C3 to C7, (2) pedicle depth was similar for C3 to C7, (3) pedicle angle decreased incrementally from 47.20 degrees to 33.76 degrees for C3 to C7, and (4) pedicle point to midline distance was similar for C3 to C7. There were no statistical differences in ...
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Cervical spine surgery side effects - What does it mean to have cervical spine surgery? On the neck. The cervical spine is the neck area. Common cervical spine operations address disk problems, nerve pressure or irritation, spinal cord problems. Other problems are tumors, infections, broken bones.
Complex disorders of the cervical spine can be serious conditions that need to be properly managed by specialists. The most common symptoms of cervical
MATERIALS AND METHODS: Twenty healthy volunteers underwent a T2-weighted, 3T MRI of the cervical spinal cord. Two experts marked the C3-C8 cervical nerve rootlets, C3-C7 vertebral bodies, and pontomedullary junction. A semiautomated algorithm was used to locate the centerline of the spinal cord and measure rostral-caudal distances from a fixed point in the brain stem, the pontomedullary junction, to each of the spinal rootlets and vertebral bodies. Distances to each location were compared across subjects. Six volunteers had 2 additional scans in neck flexion and extension to measure the effects of patient positioning in the scanner. ...
We conducted a prospective randomized study to investigate predictive factors for short- and long-term outcome of anterior cervical decompression and fusion (ACDF) as measured by current pain intensity on the Visual Analogue Scale (VAS) and by disability using the Neck Disability Index (NDI). Current understanding about how preoperative and short-term outcome data predict long-term outcome is sparse, and there are few studies involving analysis of short-term follow-up using multivariate approaches with quantification of the relative importance of each variable studied. A total of 95 patients were randomly allocated for ACDF with the cervical intervertebral fusion cage or the Cloward procedure. The mean follow-up time was 19 months (range 12-24) for short-term follow-up and 76 months (range 56-94 months) for long-term. Background factors, radiologically detected findings, physiological measurements, treatment type, pain, and disability were used as potential predictors. Multivariate statistical ...
Complications in cervical spine surgery can be avoided by proper treatment measures. Dheerajbojwani consultants will make cervical spine surgery treatment...
This page includes the following topics and synonyms: Cervical Disc Disease, Cervical Disc Herniation, Cervical Radiculopathy, Cervical Disc Herniation Management, Cervical Disc Disorder with Radiculopathy.
Anterior cervical arthrodesis has been widely used to treat the degenerative cervical spine. Although the results of ACDF are generally in the good to excellent range, interbody fusion of the cervical spine after cervical discectomy, aside from causing restriction of neck movements, also accelerates degeneration of adjacent disc levels because of the increased stress from fusion. Long-term radiographic follow-up of patients with anterior cervical fusion has demonstrated degenerative changes in the non-fused segments of the spine including disc space narrowing and osteophyte formation.. To conclude, fusion provokes a functional overload of the discs bordering the fusion that is directly correlated to the number of fused levels. Radiographic observations show a greater mechanical stress on the discs, especially in the arthrodeses involving more than one level.. Artificial discs were designed to replace the entire intervertebral disc and to preserve the physiological motion of the operated level. ...
This program explains posterior cervical fusion. Posterior cervical fusion is also known as PCF. The program includes the following sections: the anatomy of the spine, the symptoms and causes of cervical fracture, alternative treatments for cervical fracture, treating cervical fracture with posterior cervical fusion, risks and complications of posterior cervical fusion, and what to expect after posterior cervical fusion.
Fig. (1) Measure of Cervicothoracic Lordosis. A) the line between the centroid of C2 and the centroid of C7; B) the line between the centroid of C7 and the centroid of T6. ...
TY - JOUR. T1 - Pretreatment of Anxiety before Cervical Spine Surgery Improves Clinical Outcomes. T2 - A Prospective, Single-Institution Experience. AU - Adogwa, Owoicho. AU - Elsamadicy, Aladine A.. AU - Cheng, Joseph. AU - Bagley, Carlos. PY - 2016/4/1. Y1 - 2016/4/1. N2 - Background: Affective disorders such as depression and anxiety have been shown to contribute to inferior outcomes after spine surgery. A high baseline level of anxiety is associated with refractory postoperative pain and patient dissatisfaction with surgery. The aim of this prospective study is to assess whether the pretreatment of anxiety before spine surgery improves patient reported outcomes 1-year after an anterior cervical discectomy and fusion (ACDF) procedure. Methods: A total of 27 adult patients with a known history of anxiety disorder (pretreated cohort: 11 patients, control cohort: 16 patients) undergoing ACDF at Duke University Medical Center were included in this study. All patients were diagnosed with an ...
BACKGROUND: Context: Degenerative changes in the cervical spine occur in an age-dependent manner. As the U.S. population continues to age, the incidence of age-dependent, multi-level, degenerative cervical pathologies is expected to increase. Similarly, the average age of patients with cervical spondylotic myelopathy (CSM) will likely trend upward. Posterior cervical fusion (PCF) is often the treatment modality of choice in the management of multi-level cervical spine disease. Although outcomes following anterior cervical fusion for degenerative disease have been studied among older patients (aged 80 years and older), it is unknown if these results extend to octogenarian patients undergoing PCF for the surgical management of CSM ...
Cervical corpectomy surgery used to relieve pressure on the spinal cord by removing the damaged vertebral bone at the cervical spine. This surgery is done by Dr Quirno in New York.
Indications for use: Fractures, disclocations, incomplete dislocations of cervical vertebrae; early-stage rehabilitation after surgery on the cervical spine and injuries of cervical vertebrae; evacuation by transportation when cervical spine injuries are suspected; cervical radiculopathy; moderate and severe cervical spine instability complicated by neurological manifestations; osteochondropathies, cervical abnormalities, changes in the structure of vertebrae of different nature; status after surgery on cervical structures requiring continuous monitoring of the post-operative field; tracheostomes; rehabilitation treatment after cranial-spinal and cranial-cerebral injuries.. ...
Experimental Mechanics in Nano and Biotechnology: Development of a Virtual Model and Experimental Simulator for the Human Cervical Spine
Dr. Haines recently presented research outcomes at the 44th annual meeting of the Cervical Spine Research Society, held in Toronto, Canada, December 1-3, 2016. The society is the largest international research group dedicated to the cervical spine.. He presented the results of current cervical spine research data including the first study that has compared spinal fusion versus motion-preserving surgery for cervical myelopathy, or compression of the spinal cord in the neck, with respect to cost and clinical outcomes. His research shows that in select patients, motion preserving neck surgery may be a preferred option over spinal fusion.. Dr. Haines, along with this esteemed group of presenters, discussed new developments and techniques related to treatment of the cervical spine, and fostered research concerning the diagnosis and treatment of cervical spine injury and disease.. ...
Cervical Spine MRI - MedHelps Cervical Spine MRI Center for Information, Symptoms, Resources, Treatments and Tools for Cervical Spine MRI. Find Cervical Spine MRI information, treatments for Cervical Spine MRI and Cervical Spine MRI symptoms.
This life-size skull includes 7 cervical vertebrae, nerve branches and vertebral artery, all mounted on a fixed base. Skull features a removable calvarium, 3 lower teeth and a hinged lower jaw on springs. Cannot be removed from base. Size: 8-1/4w x 11-1/4h x 8-1/4d.
Significant progress has been made in lumbar and cervical disc replacement therapy. Several cervical disc prostheses have recently gained FDA approval. Although arthroplasty has not been previously described in the thoracic spine, selected patients with long-segment fusion to the level of C-7 have altered cervicothoracic and upper thoracic biomechanics and may benefit from motion-preservation therapy for T1-2 disc herniation. Currently, FDA-approved prostheses are indicated only for patients with single-level degenerative disc disease between C-3 and C-7 and no history of cervical arthrodesis.. The authors describe a 52-year-old woman who had previously undergone C3-7 fusion and returned 4 years later with symptoms of C-8 myeloradiculopathy and radiological evidence of T1-2 degenerative disc disease. She underwent T1-2 arthroplasty in which a Prestige artificial cervical disc was placed via an anterior cervicothoracic approach. Motion at C7-T1 and T1-2 was preserved, and the patient made an ...
The cervical spine is composed of many different anatomic structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings that can detect painful problems when they occur. The different parts of the cervical spine are normally well balanced and able to handle all of the movements, stresses, and strains of the body gracefully. However, when the different parts of the cervical spine are injured or start to wear out, your neck can be a significant source of pain and discomfort.. Studies show that approximately fifty percent of the population has evidence of degenerative changes in their cervical spine by the age of fifty. These changes happen because the discs that act as shock absorbers between the vertebral bodies of the cervical spine wear out, as we grow older. As the intervertebral disks wear out, they begin to collapse, or herniate, and become less flexible. The common causes of neck pain and cervical disorders include arthritis, injuries, and trauma. ...
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Smoking has been linked to a worsening degenerative disc disease in the cervical spine, researchers at Emory University in Atlanta, Georgia, have announce
The purpose of the present study was to investigate the influence of the evaluation technique on the outcome of the Cloward procedure in cervical radiculopathy. The retrospective study included 94 consecutive patients operated on with anterior decompression and fusion with heterologous bone (Surgibone, Unilab). There were 56 men and 38 women, with a mean age of 48 years (range 27-78 years). Sixty-six patients had a single-level fusion, 26 a two-level fusion and one patient had a three-level fusion. The follow-up rate was 91/94 (97%) and evaluation was performed by an independent observer. Pain was quantified by visual analogue scale (VAS, range 0-100), functional disability by the new functional index Cervical Spine Functional Score (CSFS, range 0-100) and by the Neck Pain Disability Index (NPDI, range 0-100). The overall clinical outcome was assessed as excellent, good, fair or poor by both the patient and by the independent observer using Odoms criteria. At a mean follow-up of 26 months ...
593 Hansraj FINAL Neuro and Spine Surgery SURGICAL TECHNOLOGY INTERNATIONAL XXV Assessment of Stresses in the Cervical Spine Caused by Posture and Position of the Head KENNETH K. HANSRAJ, MD CHIEF OF SPINE SURGERY NEW YORK SPINE SURGERY & REHABILITATION MEDICINE NEW YORK, NEW YORK ABSTRACT P reamble. Billions of people are using cell phone devices on the planet, essentially in poor posture. The purpose of this study is to assess the forces incrementally seen by the cervical spine as the head is tilt- ed forward, into worsening posture. This data is also necessary for cervical spine surgeons to under- stand in the reconstruction of the neck. -1- #593 Hansraj FINAL Assessment of Stresses in the Cervical Spine Caused by Posture and Position of the Head HANSRAJ DiscussionDISCUSSION MATERIALS AND METHODS A model of the cervical spine was created with realistic values in Cosmosworks, a finite element assessment package. Calculations were made and then forces were extracted in newtons and then ...
Emerging Scientific Studies. Several scientific reports regarding "Artificial Cervical Joint Devices" have become available. One such initial "long term follow-up" for "Artificial Disc Implantation" was reported at the American Association of Neurological Surgeons Annual Meeting held in San Francisco on 26 April 2006. The report was based upon a European Multi-center Study that was tabulated in Leuven, Belgium and consisted of 67 patients, some of whom have been monitored for up to 9 years. The authors identified several unanticipated consequences of the "artificial disc" that was used in this study (the "Bryan"-type device shown in Figures 15 & 16 above.) Whereas it was hoped that progression of Spondylosis (Bone Spur formation) at the adjacent Cervical Levels would be markedly reduced, if not aborted entirely, in actual fact there was progression of the Spondylosis at the adjacent level(s) in 20 of 38 patients (52.6%).. It appears that the device designers and manufacturers, have ...
This is one of many cross sections from a CT (computed tomography) scan in a person who sustained a severe fracture of C2 (second cervical vertebrae). Bone in this CT image is the white density in the middle of the image. The fracture of C2 is seen as a disruption of this white density. - Stock Image M330/1254
Since spinal arthritis and disc disease (SADD) is commonly found at areas of altered stress (force per unit area) and strain (deformation), an engineering analysis is necessary to determine the exacting loads acting on the cervical spine vertebra in different spine configurations. The model developed looked at the loads on the cortical (outside covering of the vertebra) and the medullary (spongy vertebra core) bone of the cervical vertebra C2-T1.. The model developed by Harrison and colleagues identified that the stresses (forces per unit area) acting on the cervical vertebra and discs in translation postures are very large in the lower spine segments (C2-T1) and opposite in direction compared to a normal lordosis. It was found that the anterior or forward head translation posture was associated with the largest combined stresses; their model predicted that the stresses were up to 4.25 times greater compared to the normal, healthy lordosis of the cervical spine.. This analysis provides the basis ...
Home > Medical Reference and Training Manuals > > Figure 2-19. The typical vertebrae. (A, typical cervical vertebra; B, typical thoracic or dorsal vertebra; C, typical lumbar vertebra). - Anatomy for X-Ray ...
Amendia has launched the Ceres midline cervical plate.. The Ceres midline cervical plate system is intended for anterior screw fixation of the cervical spine (C2-C7) as an adjunct to fusion. It is indicated for degenerative disc disease, spondylolisthesis, trauma, spinal stenosis, deformity, tumour, pseudarthrosis or failed previous fusion.. With a width of 10.5mm and low profile 2.3mm, the Ceres midline cervical plate is designed for one and two-level surgeries and is available in 18 different length sizes.. ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Fusion of the cervical spine is indicated for instability. If instability of the cervical spine is not treated, kyphosis with neurological deficits may develop. One complication of spinal fusion is...
STUDY DESIGN: Prospective clinical trial. OBJECTIVE: The authors present their initial multicenter experience in the surgical management of 1-level degenerative disc disease of the cervical spine with anterior cervical discectomy and fusions (ACDF) u
ACDF - Anterior Cervical Discectomy and Fusion is a common surgical procedure used to treat neck problems such as bulging, herniated disc, degenerative disc disease and spinal instability etc. Discectomy is the removal of the disc and any fragments between the vertebrae. After the disc is removed, the space is filled with a bone graft, the goal is to help the bones to fuse together into one solid bone.
Usually, patients with fracture of the cervical vertebrae suffered a direct trauma or an accident and the healing process has already started, therefore, depending on the type of fracture and precise diagnostic investigations they have particular protective guardians.. When the process of consolidation of the fracture is radiologically proven, it is crucial to start a specific rehabilitation program.. The first goal is the recovery of mobility through cautious passive manual traction performed strictly in line, and stretching into the active form of the paravertebral cervical dorsal and trapezius. To complete this step is also necessary postural correction of the cervical-thoracic spine in seated position and standing in front of the mirror.. Then you can move on to the second phase, the recovery of the strength of the deep muscles of the cervical spine through progressive isometric exercises at first with low intensity to prevent excessive sliding of the vertebral endplates on each other and of ...
Depending on your particular situation, you may have a choice between two cervical spine decompression options: open neck surgery or minimally invasive decompression.. Open neck surgery - An open neck surgery typically requires a large incision in the neck or throat, muscle disruption and removal of vertebral bone and/or soft tissues impinging upon the spinal cord or a nerve root. If a large portion of spinal anatomy must be removed, the affected area of the spine may require a fusion procedure. Spinal fusion involves the insertion of bone grafts and stabilizing hardware, such as a support cage, rods and screws to fuse two vertebrae together. Hospitalization is required, along with a lengthy recovery. Full range of motion will never be restored to the fused area of the spine.. Minimally invasive decompression - During a minimally invasive decompression procedure, the surgeon is able to spare surrounding muscles and tissue from being cut or torn. Using a small incision, the surgeon is able to ...
Cervical spine surgical treatment is a fragile complex operation employed for problems in negligence the spine running with the neck area and which entail the vertebrae, disks, and nerves. The cervical area describes seven vertebrae and eight pairs of spine nerves (C1 to C8).. The health conditions that individuals generally experience in this region are herniation and stenosis and both need surgery like a treatment solution.. A herniated intervertebral disk or tucked disk because it is more generally known takes place when a component or every part of the disk change from its place or break open because of injuries or strain and pressure via a weakened disk. This places pressure on spine nerves located within the disk causing extreme discomfort, weakness and numbness.. A tucked disk usually happens in the low back or lumbar part of the spine and affects middle-aged and older men more frequently than every other population. Other medication is born using the condition.. Spine stenosis is ...
To date, several studies were conducted to find which procedure is superior to the others for the treatment of cervical myelopathy. The goal of surgical treatment should be to decompress the nerves, restore the alignment of the vertebrae, and stabilize the spine. Consequently, the treatment of cervical degenerative disease can be divided into decompression of the nerves alone, fixation of the cervical spine alone, or a combination of both. Posterior approaches have historically been considered safe and direct methods for cervical multisegment stenosis and lordotic cervical alignment. On the other hand, anterior approaches are indicated to the patients with cervical compression with anterior factors, relatively short-segment stenosis, and kyphotic cervical alignment. Recently, posterior approach is widely applied to several cervical degenerative diseases due to the development of various instruments. Even if it were posterior approach or anterior approach, each would have its complication. There is no
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Author: Marc Heller, DC. Title: Common Clinical Patterns in the Middle and Lower Cervical Spine. Summary: I love when I get to see a familiar clinical situation with new eyes; when I can fill in the blanks and more fully understand the pattern.
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