Abstract Background The goals of cervical internal fixation are to provide immediate stability control an unstable segment and improve bony union. Early methods preferred a posterior approach consisted simple wire cancellous bone graft. Later, anterior, became recent additions surgeon’s armamentarium. Objectives Comparing between anterior in subaxial ligamentous subluxation regarding the applic...

BACKGROUND Upper cervical spine instability is one of the most critical orthopedic problems in patients with Down syndrome. However, arthrodesis of the upper cervical spine in these patients can be very difficult to achieve and has a high complication rate because of mental retardation and accompanying various medical conditions of the vital organs. Even now, surgeries in such patients, especia...

PURPOSE To evaluate functional MR imaging in patients with rheumatoid arthritis (RA) involving the cervical spine. MATERIAL AND METHODS We used a device that allows MR examination to be made of the cervical spine in infinitely variable degrees of flexion and extension. Dynamic functional MR imaging was performed on 25 patients with RA. RESULTS Functional MR imaging was able to show the degr...

A 26 year old motorcyclist was received by the trauma team in our accident and emergency department after a head on collision with a motor vehicle. He had been correctly immobilised and his primary survey was essentially normal. He was alert and orientated with a Glasgow Coma score of 15 and had no symptoms or signs of spinal injury. His cervical spine radiography was also normal. Neurological ...

The aim of management of injury of the spinal cord, if feasible, is to reduce the occuring neurologic deficit and protect any additional loss of neurologic function. Most of complications are noted during the peroperative or immediate postoperative period. Dysphagia is common occurance in the early postoperative period following anterior cervical spine surgery. There are many reasons that lead ...

The evaluation and management of cervical spine injuries is a core component of the practice of emergency medicine. This article focuses on evaluation and management of blunt cervical spine trauma by the emergency physician. Pertinent anatomy of the cervical spine and specific cervical spine fractures are discussed, with an emphasis on unstable injuries and associated spinal cord pathology. The...

STUDY DESIGN A biomechanical study using a cadaver model was conducted to define the function of the nuchal ligament in the restraint of flexion of the cervical spine. OBJECTIVE To test the hypothesis that surgical resection of the nuchal ligament significantly reduces the structural restraints to cervical flexion. SUMMARY OF BACKGROUND DATA Although previous studies have examined the role ...

An analytical study of 59 patients who underwent the posterior operation for cervical spondylosis with myelopathy at-the London Hospital between 1945 and 1960 has been made. The postoperative period of observation ranged from five to 20 years with an average of 10 years. Initially 36 patients were improved by the operation, 24 considerably so, and in 15 patients further deterioration was preven...