background: the global status report of the world health organization (who) on road safety suggested that india is leading in road traffi c accidents in the world. according to the report on road accidents in india in 2010 by the transport research wing, ministry of road transport and highways, new delhi, kerala ranked third in accidents per lakh population and second in persons injured per lak...

Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affecting a significant percentage of the population. The cervical spine is often affected in this disease and can present in the form of atlantoaxial instability (AAI), cranial settling (CS), or subaxial subluxation (SAS). Patients may present with symptoms and disability secondary to these entities but may also be neurologic...

Cervical laminoplasty was developed as an alternative to cervical laminectomy for treatment of cervical myelopathy, in which hinges are created to lift the lamina. Various techniques of laminoplasty have since been developed after two prototype techniques: Hirabayashi's open-door laminoplasty and Kurokawa's spinous process splitting (double-door) laminoplasty. Several in vitro studies report su...

Study Design Case report. Objective There is a paucity of literature describing the use of bone graft substitutes to achieve fusion in the pediatric cervical spine. The outcomes and complications involving the off-label use of bone morphogenetic protein (BMP)-2 in the pediatric cervical spine are not clearly defined. The purpose of this article is to report successful fusion without complicatio...

ATLANTOAXIAL subluxation (AAS) is found in 11– 46% of patients with rheumatoid arthritis. Rheumatoid patients with AAS may be at risk of life-threatening neurologic injury caused by exacerbation of the subluxation in the head and neck position during airway maneuver; therefore, appropriate management of the cervical spine is essential. Tokunaga et al. have recommended the protrusion position, w...

Despite the success of modern conservative therapy severe spinal instability, surgical methods still retain their importance in treatment this pathology, but even most successful operation may be vain without subsequent adequate rehabilitation. This report summarizes features rehabilitation patients after surgery for injuries cervical spine using and means physiofunctional treatment.

BACKGROUND Total spondylolisthesis, or dislocation of 1 cervical vertebrae, is only caused by high-energy trauma and is usually fatal. Cervical spine fractures and dislocations often cause 3-column structural damage to the cervical spine, injury to the spinal cord, and precipitating alignment of the cervical vertebrae, as well as cervical instability, which are detrimental, show poor prognosis,...

OBJECT The authors present a series of 16 patients who underwent inside-outside occipital and posterior cervical spine stabilization. METHODS In this technique, the screw was placed from the inside of the occiput to the outside. An articular (lateral) mass plate was contoured to the shape of the occipital bone and the cervical spine and affixed to the occiput with a flat-headed screw or stud ...

BACKGROUND Rheumatoid arthritis is sometimes associated with radiographic evidence of instability of the cervical spine, most commonly an abnormal subluxation between vertebrae. When this instability compromises the space that is available for the spinal cord, it may be predictive of paralysis. However, the prevalence of radiographic signs of instability that are predictive of paralysis among p...