The use of fluoroscopy guidance together with the loss of resistance technique during epidural injections has been advocated lately; moreover, epidural injections in the absence of fluoroscopic guidance have a high rate of inaccurate needle-tip placement during the injections. However, the approach to the lower cervical and upper thoracic epidural space may be challenging due to its obscure lat...

The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using...

OBJECTIVE To determine whether a swimmer's view or supine (trauma) oblique views are more likely to visualise the lower cervical spine when a lateral view fails to show the cervicothoracic junction. DESIGN A prospective study comparing two 20 week periods. In the first phase the swimmer's view was performed as an additional view when the cervicothoracic junction was not demonstrated. In the s...

A 34-year-old man presented with a 2-year history of progressive bilateral leg weakness , paresthesias, and gait incoordination. Of later onset was nocturnal enuresis. On admission to the medical center, a cystometrogram revealed spastic neurogenic bladder. Physical examination demonstrated symmetrical patchy areas of decreased pinprick sensation below the T4 level. Four beats of clonus were el...

Purpose: The purpose of this case study was to determine whether cervicothoracic osteopathic thrust manipulation can improve a patient with shoulder pain and restriction. Case: This is 35-year autorickshaw driver who complained an acute onset therapist had several differential diagnoses according the patients findings, however, since cervical spine accessory movement findings were significantly...

We present the case of a 55-year-old woman with diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine following posterior inferior cerebellar artery aneurysmal subarachnoid hemorrhage (SAH). She underwent aneurysm clipping with subsequent gradual neurologic decline associated with sensory disturbances, gait ataxia, and spastic paraparesis. Magnetic resonance imaging re...

Artificial disc replacement has been widely used in the lumbar spine since the 1980s, and more recently in the cervical spine. However, artificial disc replacement in the cervicothoracic and thoracic regions is very rare. A 43-year-old otherwise healthy male suffered from right sided cervicobrachialgia. X-rays and MRI revealed left C5/6, C6/7 and C7-T1 disc herniation, compromising the neural f...

At birth, thoracosacral spinal cord networks in mouse can produce a coordinated locomotor-like pattern. In contrast, less is known about the cervicothoracic networks that generate forelimb locomotion. Here we show that cervical networks can produce coordinated rhythmic patterns in the brainstem-spinal cord preparation of the mouse. Segmentally the C5 and C8 neurograms were each found to be alte...

At birth, thoracosacral spinal cord networks in mouse can produce a coordinated locomotor-like pattern. In contrast, less is known about the cervicothoracic networks that generate forelimb locomotion. Here we show that cervical networks can produce coordinated rhythmic patterns in the brain stem-spinal cord preparation of the mouse. Segmentally the C5 and C8 neurograms were each found to be alt...