OBJECTIVE To investigate the effect of different pillow heights on the slope of the cervicothoracic spine segments. METHODS A prospective analysis of data from 16 asymptomatic adults (aged 20 to 30 years) was carried out. Exclusion criteria were history of injury or accident to the cervicothoracic spine, cervicothoracic spine surgery, or treatment for neck symptoms. We used three different pi...

A short cut review was carried out to establish whether swimmer’s views were better than superior oblique views at visualising the C7/T1 junction. Eleven papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weakne...

Chiari type I malformation with cervicothoracic syringomyelia although very common in clinical practice usually in children can progress slowly and mimic muscular dystrophies in adulthood. We present a rare adult case of Chiari type I malformation with cervicothoracic syringomyelia subterfuge as Flail arm syndrome. A 44-year-old man was diagnosed with congenital type I Chiari malformation with ...

Intraspinal intradural lipomas are rare congenital tumours. This case report describes a patient with an intramedullary cervicothoracic lipoma, demonstrated on magnetic resonance imaging and treated by subtotal resection and laminectomy. The clinical and pathological features of the case are discussed.

introduction:neurogenic mediastinal tumors comprise a wide range of benign and malignant diseases. a group of these tumors, located at thoracic apex, sometimes spread to cervical spaces causing numerous surgical difficulties. in thoracotomy approaches, due to proximity of the tumors to major blood vessels, complete removal of these tumors from cervical spaces is impossible or may cause intraope...

In severe spinal deformity, pain and neurological disorder may be caused by spinal cord compression. Surgery for spinal reconstruction is desirable, but may be difficult in a case with severe deformity. Here, we show the utility of a 3D NaCl (salt) model in preoperative planning of anterior reconstruction using a rib strut in a 49-year-old male patient with cervicothoracic degenerative spondylo...

Clay-shoveler's fracture is an avulsion fracture of one or more spinous processes of the lower cervical and/or upper thoracic vertebra. The site of fracture is most commonly C6, C7 or T1 but it occurs rarely at multiple levels. More often the mechanism is a combination of direct impact and hyperflexion of the neck. It concerns healthy individuals with no history of prior disease. These injuries...

Ankylosing spondylitis patient with chin-on-chest deformity and Anderson lesion as the apex of kyphosis in the cervicothoracic region is rare, and there was no consensus on the best surgical strategy for it. Here we report such a rare case of a 28-year-old man, who presented with a history of unsatisfactory appearance, cervicothoracic kyphosis, neck pain (VAS = 7), difficulty in ambulation, and...