Purpose of Review Anterior cervical fusion, the gold standard for reconstruction following anterior cervical decompression, is both safe and effective but potentially accelerates degeneration of adjacent segments. Artificial disk replacement is an emerging technology with the potential to maintain motion and decrease adjacent segment degeneration. Several devices are currently in pilot studies ...

WHAT EVIDENCE EXISTS REGARDING AUDIBLERELEASE SMT AT A CONFIRMED CERVICAL DISK PROTRUSION SITE? A 50-year-old male patient seeks care for neck and arm pain. Cervical orthopedic tests are negative except for localized pain. Sensory testing reveals no abnormal changes. Although he reports arm pain, you cannot pinpoint any specifi c dermatome levels. Muscle strength testing shows no weakness. He ...

BACKGROUND Disk-associated cervical spondylomyelopathy (DA-CSM) is a multifactorial neurological disorder in which progressive caudal cervical spinal cord compression is mainly caused by one or more intervertebral disk protrusions. The Doberman pinscher breed seems predisposed for this condition. The underlying cause and pathophysiology of DA-CSM are currently unknown. Recently, wider intervert...

The "prong deflector" tool improves accuracy and ease of access to the cervical disk spaces for use in cervical diskography. The tool allows control, deflection, and stabilization of vital neck structures (carotid artery, thyroid cartilages and pharynx) while allowing fluoroscopic visualization during needle insertion without direct operator radiation exposure. Use of the prong deflector result...

STUDY DESIGN Prospective MR analysis of the cervical spine of 30 asymptomatic volunteers. OBJECTIVES To evaluate the prevalence of annular tears, bulging discs, disc herniations and medullary compression on T2-weighted and gadolinium-enhanced T1-weighted magnetic resonance (MR) images of the cervical spine in symptom free volunteers. SUMMARY OF BACKGROUND DATA Few studies have reported the ...

Intervertebral disk disease (IVDD) is common in dogs; cervical IVDD accounts for 13-25% of all cases. Ventral slot decompression provides access to ventral and centrally extruded or protruded disk material. However, procedures to remove dorsally or laterally displaced material are more difficult. This case series describes the use of perineural injection as a potential treatment option for dogs...

Study Design Case series. Objective Posterior percutaneous endoscopic cervical diskectomy (PECD) can preserve the disk in patients with a foraminal disk herniation. However, progressive angulation at the operated segment is a concern, especially for patients with cervical lordosis < 10 degrees. The change in cervical lordosis after posterior PECD was analyzed. Methods Medical records were revie...

Study Design Retrospective cohort study. Objective The objective was to measure the change of flavum ligament diameter during positional changes of the cervical spine using kinetic magnetic resonance imaging (MRI) and to examine the correlational diameter changes of the flavum ligament, disk bulging, and the spinal canal from extension to flexion positions. Methods One hundred eight-nine patien...

The optimal surgical approach for cervical disk disease remains a matter of debate, especially for multilevel disease. The purpose of this study was to compare the results of 2 surgical strategies for cervical disk disease involving 3 levels: hybrid constructs, artificial disk replacement combined with midlevel anterior cervical diskectomy and fusion (ACDF), and 3-level ACDF. The authors prospe...

BACKGROUND French Bulldog (FB) has significantly gained in popularity over the last few years, and seems to be frequently affected by various neurological conditions. The purpose of this retrospective study was to report the prevalences of neurological diseases in a large population of FB, presented with neurological signs between 2002 and 2016, and for which a definitive diagnosis was establis...