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Spontaneous resorption of extruded iliac crest graft ina case of high cervical myelopathy
Kumar R,,Chatleya A,,Mahapatra AK
Journal of Mazandaran University of Medical Sciences , 2008,
Abstract: A 38 year old male patient presented to us with complaints of parasthesias in all four limbs with spastic quadriparesis. Magnetic resonance imaging of cervical spine revealed central disc herniation at C2-C3 level with significant cord compression. He was operated for C2-C3 Smith-Robinson anterior cervical discectomy. An autogenous tricortical iliac crest graft of 1.5×1.0 cm was snugly fitted into the disc space. Postoperative check X-ray of the cervical spine showed extrusion of the graft. The patient was managed conservatively. Repeat X-ray of the cervical spine after follow-up of 6 weeks showed resorption of the graft. The distinct strategy of management in this case along with a brief review of literature is discussed.Key words: High cervical myelopathy: Extruded graft: Resorption
Bryan total disc arthroplasty: a replacement disc for cervical disc disease  [cached]
Markus Wenger,Thomas-Marc Markwalder
Medical Devices: Evidence and Research , 2010,
Abstract: Markus Wenger1, Thomas-Marc Markwalder21Neurosurgery, Klinik Beau-Site and Salem-Spital, Berne, Switzerland; 2Attending Neurosurgeon FMH, Private Practice Spine Surgery, Berne-Muri, SwitzerlandAbstract: Total disc arthroplasty is a new option in the treatment of cervical degenerative disc disease. Several types of cervical disc prostheses currently challenge the gold-standard discectomy and fusion procedures. This review describes the Bryan Cervical Disc System and presents the Bryan prosthesis, its indications, surgical technique, complications, and outcomes, as given in the literature.Keywords: cervical spine, degenerative disc disease, disc herniation, myelopathy, spine surgery, bryan prosthesis, complication, outcome
Bryan total disc arthroplasty: a replacement disc for cervical disc disease
Markus Wenger, Thomas-Marc Markwalder
Medical Devices: Evidence and Research , 2010, DOI: http://dx.doi.org/10.2147/MDER.S7605
Abstract: ryan total disc arthroplasty: a replacement disc for cervical disc disease Review (4496) Total Article Views Authors: Markus Wenger, Thomas-Marc Markwalder Published Date July 2010 Volume 2010:3 Pages 11 - 24 DOI: http://dx.doi.org/10.2147/MDER.S7605 Markus Wenger1, Thomas-Marc Markwalder2 1Neurosurgery, Klinik Beau-Site and Salem-Spital, Berne, Switzerland; 2Attending Neurosurgeon FMH, Private Practice Spine Surgery, Berne-Muri, Switzerland Abstract: Total disc arthroplasty is a new option in the treatment of cervical degenerative disc disease. Several types of cervical disc prostheses currently challenge the gold-standard discectomy and fusion procedures. This review describes the Bryan Cervical Disc System and presents the Bryan prosthesis, its indications, surgical technique, complications, and outcomes, as given in the literature.
Etiology and prevention of external cervical root resorption associated to teeth bleaching  [PDF]
Eliane Mendes da SILVA,Denise Piotto LEONARDI,Gisele Aihara HARAGUSHIKU,Flávia Sens Fagundes TOMAZINHO
RSBO , 2010,
Abstract: Introduction and objective: Esthetic dentistry has been prioritizedand the desire for whiter teeth has been increasingly present in dental offices, since whiter teeth tend to indicate health, beauty, youth and a more attractive smile. Teeth bleaching is a conservative method widely used to restore the original color of darkened teeth. However, possible relations with the external cervical root resorption have concerned many researchers and clinicians. Literature review: There are many mechanisms that can activate the external cervical root resorption, such as: chemical and physical action of the bleaching materials used, morphology of the cementoenamel junction associated to the immune system, material concentration, traumas and bleaching technique used. Conclusion: Therefore, considering many factors that are still not conclusive, preventing deleterious effects on teeth and support structures, care must be taken when choosing bleaching agent and bleaching technique, as well as when selecting each case, beyond a proper restoration after teeth bleaching.
Intradural tumor and concomitant disc herniation of cervical spine  [cached]
Bapat Mihir,Rathi Prasanna,Pawar Uday,Chaudhary Kshitij
Indian Journal of Orthopaedics , 2011,
Abstract: We report a rare patient of a simultaneous extradural and intradural compression of the cervical spinal cord due to co-existent intervertebral disc herniation and an intradural schwannoma at the same level. The intradural lesion was missed resulting in recurrence of myelopathy after a surprisingly complete functional recovery following anterior cervical discectomy. Retrospectively, it was noted that the initial cord swelling noticed was tumor being masked by the compression produced by the herniated disc. A contrast magnetic resonance imaging scan is important in differentiating intradural tumors of the spinal cord. A high index of suspicion is often successful in unmasking both the pathologies.
Artificial cervical disc replacement: Principles, types and techniques  [cached]
Sekhon L,Ball J
Neurology India , 2005,
Abstract: Cervical arthroplasty after anterior decompression with insertion of a prosthetic total disc replacement has been suggested as an alternate to anterior cervical fusion. Currently there are four cervical arthroplasty devices available on the market whose results in clinical use have been reported. Each device varies in terms of materials, range of motion, insertion technique and constraint. It is not known which device is ideal. Early studies suggest that in the short term, the complication rate and efficacy is no worse than fusion surgery. Long-term results have not yet been reported. This review examines the current prostheses available on the market as well as discussing issues regarding indications and technique. Pitfalls are discussed and early experiences reviewed. In time, it is hoped that a refinement of cervical arthroplasty occurs in terms of both materials and design as well as in terms of indications and clinical outcomes as spinal surgeons enter a new era of the management of cervical spine disease.
The Management of a Patient with a Cervical Disc Herniation: A Case Report
Sherry Tsao,Peter Pidcoe
Clinical Medicine : Case Reports , 2008,
Abstract: Purpose: To present the management of a patient with a cervical disc herniation and illustrate the efficacy of cervical traction as a main form of treatment for cervical disc herniation in conjunction with a home exercise program.Background: A 71-year-old white female diagnosed with cervical disc herniation at the levels of C5-6 and C6-7 presented to physical therapy with neck pain radiating into the left upper extremity down to the 5th digit of the left hand.Treatment: The patient reported to outpatient physical therapy for cervical disc herniation and radiculopathy. After initial evaluation she received intermittent cervical traction and was given a home exercise program consisting of cervical lateral flexion stretch, unilateral wall stretch for pectoralis muscles and to continue with her over the door cervical traction.Conclusion: Cervical traction and a good home exercise program have been shown to reduce cervical disc herniation and its subsequent symptoms.
RESULTS OF SURGICAL TREATMENT IN CERVICAL HERNIATED DISC ANALYSIS OF 275 CASES  [PDF]
L. Eva
Jurnalul de Chirurgie , 2010,
Abstract: Background: Problems of surgical treatment of cervical disc hernia are still far from being resolved. It shows variety of surgical procedures it. The operations for cervical level with radiculopatie were quite limited. Limits method were dictated by the absence of accurate diagnosis, microsurgical methods, extensions, sometimes unjustified, conservative treatment. Material and method Complex issue of cervical spine degenerative pathologies, particularly cervical disc hernia with radicular syndrome was studied on a group of 275 patients. Results: From the 275 patients with herniated disc cervical admitted in the study, 182 (66.18% of cases) had surgical intervention to a single level disc, 72 patients (26.18% of cases) in two levels, 20 patients (7.27% cases) at three levels and one case (0.36%) at four levels.
Cervical Disc Replacement: A Systematic Review of Medline Indexed Literature  [PDF]
Sudarshan Munigangaiah, John P. McCabe
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.47A1006
Abstract: Anterior Cervical Discectomy and Fusion (ACDF) currently remains as the gold standard treatment for cervical disc herniation and Degenerative Disc Disease (DDD) refractory to conservative management. Even though anterior cervical fusion provides excellent clinical results, it has been implicated in abnormal kinematic strain on adjacent disc level resulting in symptomatic adjacent segment disease. Anterior cervical disc replacement (ACDR) is an alternative procedure to anterior cervical discectomy and fusion. The aims of cervical disc replacement were to preserve the motion at the index level and to protect the adjacent levels from accelerated symptomatic degeneration. The aim of this systematic review was to evaluate the outcomes of cervical disc replacement published in MEDLINE indexed literature. A literature search was carried out in medical electronic database MEDLINE. Keywords used for the search were Cervical vertebrae, Cervical spine, Neck, Intervertebral disc, Total disc replacement, Arthroplasty, Replacement, Treatment outcome. Two authors reviewed titles and abstracts of all two hundred and thirty six hits. The articles that satisfied the inclusion criteria were critically appraised while remaining articles were discarded. Anterior cervical disc replacement is a relatively new technology in spinal surgery. There are several short and intermediate term follow-up studies to prove the safety and efficacy of ACDR with satisfactory clinical and radiological outcomes. More intermediate to long-term follow-up studies are needed to prove the safety and efficacy of ACDR.
Early Term Results of PEEK Cage in Cervical Disc Herniation  [PDF]
?mür KASIMCAN,Hülagü KAPTAN,Kutay ?AKIRO?LU,Celal KILI?
N?ropsikiyatri Ar?ivi , 2009,
Abstract: Objective: In this study, the early term results of surgical treatment in cervical disc herniation with PEEK cage have been investigated.Method: 85 cases, who underwent interbody cage fusion with anterior approach were observed in our clinic between January 2001 and October 2005. The patients with anterior cervical mikrodiscectomy and cage fusion were followed up with check-ups performed at the first day, third month and/or sixth month after the operation. All the patients were subjected to neurological and radiological examinations before and after the operation.Results: The age of the cases ranged between 29 and 74 years (mean 45.2 years). In 29 cases, C5-6 was the most frequently involved level of cervical disc herniation. No PEEK cage migration occurred in any of the patients. No decrease in the disc height was observed and no postoperative cervical kyphosis was detected. Conclusion: The PEEK cage protected the intervertebral disc height in the early period. However, randomized, multicenter and long-term trials are needed to determine the clinical benefits. (Archives of Neuropsychiatry 2009; 46: 98-101)
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