BACKGROUND Adjacent-segment pathology is an important issue involving the cervical spine, but there have been few comprehensive studies of this problem. The purpose of the current study was to determine the risk factors for adjacent-segment pathology and to compare the survivorship of adjacent segments in patients who underwent cervical spine operations including arthrodesis and motion-sparing ...

STUDY DESIGN Technique description and retrospective data analysis. PURPOSE To describe the technique of cervical kyphosis correction with partial facetectomies and evaluate the outcome of single-stage posterior decompression and kyphosis correction in multilevel cervical myelopathy. OVERVIEW OF LITERATURE Kyphosis correction in multilevel cervical myelopathy involves anterior and posterior...

Early surgical treatment of the cervical spine for neural decompression used the posterior approach to perform cervical laminectomies for trauma and degenerative disease (44, 60, 88). Scoville et al. (72) and Frykholm (31) refined the posterior cervical approach for degenerative disc disease and introduced the laminoforaminotomy technique. About 20 years later, a number of surgeons introduced a...

Cervical spondylotic myelopathy (CSM) is frequently underdiagnosed and undertreated. The key to the initial diagnosis is a careful neurologic examination. The physical findings may be subtle, thus a high index of suspicion is helpful. Poor prognostic indicators and, therefore, absolute indications for surgery are: 1. Progression of signs and symptoms. 2. Presence of myelopathy for six months or...

objective: an assessment of  nonoperative and operative intervention in regards  to  neurological  improvement  following  traumatic  closed  cervical spinal cord injury (csci). method: a retrospective evaluation of a cohort of patients with a csci from c3 to t1 was reviewed. the analysis included a total of 13 eligible patients. the  neurologic  and  functional outcomes  were  recorded  from  ...

Cervical spondylosis is the most frequent reason for progressive impairment of spinal cord and nerve roots, which is clinically manifested as cervical spondylotic myelopathy (CSM), cervical radiculopathy, or both. Eighty operated patients are presented (49 men and 31 women), who had evidence of CSM and/ or radiculopathy. Age ranged from 26 to 80 years (mean 50 years). Depending on the predomina...

Introduction Anterior cervical retropharyngeal approach for decompression of neural structures is well known and considered as an effective surgical procedure. Opportunities for segment fusion or discoarthroplasty for motion preservation are granted. Both conceptions have their advantages and disadvantages separately from risks of the surgical approach. The aim of this study is to present and a...

A 51-year-old man underwent a C5-C7 anterior decompression and fusion. Six years later the patient complained of dysphagia caused by displacement of the cervical plate. One week after the scheduled removal of the implanted material, the patient developed a painful cervical swelling and fever. His cervical radiographs showed that a screw was missing compared to previous studies. Computerized tom...