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cervical lateral mobilization

Vasileios I Metaxas, Gerasimos A Messaris, George D Gatzounis, George S Panayiotakis
Cervical discectomy and fusion (CDF) is a minimally invasive procedure, where the accurate placement of the implants is accomplished using fluoroscopic guidance. Therefore, the evaluation of the radiation dose becomes mandatory. The purpose of the current study was to assess patient dose during fluoroscopically guided anterior and/or posterior CDF procedures. Thirty-three patients undergoing single or multiple-level CDF were studied using a mobile C-arm system. Data regarding fluoroscopy time (FT), air kerma area product (KAP) and cumulative dose (CD) were recorded...
September 9, 2016: Radiation Protection Dosimetry
J Calvo-Gutiérrez, J L Garrido-Castro, C González-Navas, M C Castro-Villegas, R Ortega-Castro, C López-Medina, P Font-Ugalde, A Escudero-Contreras, E Collantes-Estévez
BACKGROUND: Several measurements are often used in daily clinical practice in the assessment of Ankylosing Spondylitis (AS) patients. The Assessment in SpondyloArthiritis International Society (ASAS) recommend in its core set: chest expansion modified Schöber test, Occiput to wall distance, lateral lumbar flexion, cervical rotation and The Bath Ankylosing Spondylitis Metrology Index (BASMI). BASMI also includes five measurements, some of them recommended by ASAS. Three versions of BASMI have been published with different scales and intervals for each component of the index...
2016: BMC Musculoskeletal Disorders
Umesh Srikantha, Kiran S Khanapure, Aniruddha T Jagannatha, Krishna C Joshi, Ravi G Varma, Alangar S Hegde
OBJECTIVE Minimally invasive techniques are being increasingly used to treat disorders of the cervical spine. They have a potential to reduce the postoperative neck discomfort subsequent to extensive muscle dissection associated with conventional atlantoaxial fusion procedures. The aim of this paper was to elaborate on the technique and results of minimally invasive atlantoaxial fusion. MATERIALS Minimally invasive atlantoaxial fusion was done initially in 4 fresh-frozen cadavers and subsequently in 5 clinical cases...
July 15, 2016: Journal of Neurosurgery. Spine
S Tola, M De Angelis, S Bistazzoni, C Chiaramonte, V Esposito, S Paolini
OBJECTIVE: To demonstrate the effectiveness and safety of hemilaminectomy in spinal-meningioma surgery, with special attention to ventral lesions. We also describe technical tips to enhance surgical-corridor width. PATIENTS AND METHODS: A total of 20 patients (14 female and 6 male) underwent hemilaminectomy for resection of a spinal meningioma between January 2005 and December 2015. Preoperative magnetic resonance imaging defined the tumor location (16 thoracic, 3 cervical, 1 lumbar) and the dural-attachment site (4 ventral, 11 ventrolateral, 3 lateral, 2 posterior)...
September 2016: Clinical Neurology and Neurosurgery
Canan Copurgensli, Gozde Gur, Volga Bayrakcı Tunay
BACKGROUND: Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms. OBJECTIVE: The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, range of motion (ROM), muscle strength, and function in CS. METHODS: Forty-five subjects were randomly placed into three groups: Group 1: control group (conventional rehabilitation-CR); Group 2: MM and CR; Group 3: KT and CR...
May 27, 2016: Journal of Back and Musculoskeletal Rehabilitation
Karthik Madhavan, Lee Onn Chieng, Hanyao Foong, Michael Y Wang
OBJECTIVE Cervical spondylotic myelopathy usually presents in the 5th decade of life or later but can also present earlier in patients with congenital spinal stenosis. As life expectancy continues to increase in the United States, the preconceived reluctance toward operating on the elderly population based on older publications must be rethought. It is a known fact that outcomes in the elderly cannot be as robust as those in the younger population. There are no publications with detailed meta-analyses to determine an acceptable level of outcome in this population...
June 2016: Neurosurgical Focus
G Stein, C Meyer, L Ingenhoff, J Bredow, L P Müller, P Eysel, G Schiffer
Hyperextension injuries of the subaxial cervical spine are potentially hazardous due to relevant destabilization. Depending on the clinical condition, neurologic or vascular damage may occur. Therefore an exact knowledge of the factors leading to destabilization is essential. In a biomechanical investigation, 10 fresh human cadaver cervical spine specimens were tested in a spine simulator. The tested segments were C4 to 7. In the first step, physiologic motion was investigated. Afterwards, the three steps of injury were dissection of the anterior longitudinal ligament, removal of the intervertebral disc/posterior longitudinal ligament, and dissection of the interspinous ligaments/ligamentum flavum...
May 24, 2016: Der Unfallchirurg
Ho Kyu Paik, Sang-Soak Ahn, Jong Yeol Kim, Dal Sung Ryu, Kyung-Hyun Kim, Dong-Kyu Chin, Keun-Su Kim, Yong-Eun Cho, Sung-Uk Kuh
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at
May 5, 2016: Spine Journal: Official Journal of the North American Spine Society
In-Kyung Kee, Jin-Seok Byun, Jae-Kwang Jung, Jae-Kap Choi
[Purpose] Smartphones are widely used by teenagers and adults for various purposes. As teenagers use smartphones more actively than adults, they are more prone to be addicted to smartphones. Furthermore, excessive usage of smartphones can lead to various psychosocial and physical symptoms. [Subjects and Methods] One hundred teenage subjects were recruited and divided into normal and addiction groups, based on the criteria of the smartphone addiction scale-short version questionnaire. Craniocervical posture and mobility were examined by lateral cephalometric analysis and a cervical range of motion instrument...
January 2016: Journal of Physical Therapy Science
Micha Holla, Joske M R Huisman, Nico Verdonschot, Jon Goosen, Allard J F Hosman, Gerjon Hannink
PURPOSE: To review the ability of various types of external immobilizers to restrict cervical spine movement. METHODS: With a systematical review of original scientific articles, data on range of motion, type of used external immobilization device and risk of bias were extracted. The described external immobilization devices were grouped and the mean restriction percentage and standard deviation were calculated. Finally, each device was classified based on its ability to restrict movement of the cervical spine, according to five levels of immobilization: poor (MIL <20 %), fair (MIL 20-40 %), moderate (MIL 40-60 %), substantial (MIL 60-80 %), and nearly complete (MIL ≥80 %)...
July 2016: European Spine Journal
Michael Brogioli, Werner Louis Popp, Urs Albisser, Anne Katrin Brust, Angela Frotzler, Roger Gassert, Armin Curt, Michelle Louise Starkey
After spinal cord injury (SCI), levels of independence are commonly assessed with standardized clinical assessments. However, such tests do not provide information about the actual extent of upper limb activities or the impact on independence of bi- versus uni-lateral usage throughout daily life following cervical SCI. The objective of this study was to correlate activity intensity and laterality of upper-extremity activity measured by body-fixed inertial measurement units (IMUs) with clinical assessment scores of independence...
March 29, 2016: Journal of Neurotrauma
E E Grytsyshina, A N Kuznetsov, A A Panyutina
To analyze extreme sideways turn of the head in owls, a total fresh specimen of Strix aluco was frozen in respective posture and CT-scanned. The maximum turn to one side was found to be 360°, provided that the head is drawn into the shoulders. 160° of this full turn are ensured by the neck axial rotation (this includes ~90° twist of the head relative to epistropheus and, posterior to it, less than 15° per every cervical joint), and the rest 200° are ensured by combination of dorsal and lateral flexion...
2016: Doklady Biological Sciences: Proceedings of the Academy of Sciences of the USSR, Biological Sciences Sections
Yong-Can Huang, Jun Xiao, William W Lu, Victor Y L Leung, Yong Hu, Keith D K Luk
PURPOSE: Fresh-frozen intervertebral disc (IVD) allograft transplantation has been successfully performed in the human cervical spine. Whether this non-fusion technology could truly decrease adjacent segment disease is still unknown. This study evaluated the long-term mobility of the IVD-transplanted segment and the impact on the adjacent spinal segments in a goat model. METHODS: Twelve goats were used. IVD allograft transplantation was performed at lumbar L4/L5 in 5 goats; the other 7 goats were used as the untreated control (5) and for the supply of allografts (2)...
March 23, 2016: European Spine Journal
Toshitaka Yoshii, Takashi Hirai, Kenichiro Sakai, Hiroyuki Inose, Tsuyoshi Kato, Atsushi Okawa
PURPOSE: A multi-detector computed tomography (CT) imaging system with a mobile scanner gantry in the operating room can provide intraoperative reconstructed images with a high resolution. We devised a technique for cervical pedicle screw (CPS) placement using the mobile CT system and evaluated the accuracy of this technique. METHODS: Forty-eight patients who underwent cervical fixation using CPSs were prospectively enrolled in this study. Initial pedicle probing was performed approximately to the depth of the posterior aspect of the vertebral body using fluoroscopic lateral view, and a marking pin was put in place...
June 2016: European Spine Journal
Elisabeth Mogard, Elisabet Lindqvist, Stefan Bergman, Ann Bremander
OBJECTIVE: Research concerning spinal mobility in axial spondyloarthritis (axSpA) has focused on ankylosing spondylitis (AS), and data on the clinical diagnosis of undifferentiated spondyloarthritis (USpA) are limited. The objective was to study differences in spinal mobility between axSpA subgroups AS and USpA, including gender differences. METHODS: A total of 183 patients with axSpA from a rheumatology clinic were included in the study. The earliest recorded spinal mobility measures (cervical rotation/flexion/extension/lateral flexion, tragus-to-wall distance, vital capacity, chest expansion, thoracic flexion, thoracolumbar flexion, lateral spinal flexion, lumbar flexion and intermalleolar distance) were obtained by specialized physiotherapists...
February 24, 2016: Musculoskeletal Care
Laura Guidetti, Umberto Placentino, Carlo Baldari
STUDY DESIGN: In this observational study, we compare fluid inclinometer and smartphone measures to analyze active cervical range of motion (ACROM) in healthy individuals. OBJECTIVE: The purpose of this study was to investigate the reliability and the criterion validity of a smartphone application to analyze head movements. SUMMARY OF BACKGROUND DATA: Recent studies on the reliability and the validity of customized smartphone applications to measure ACROM show good results for frontal and lateral planes' movement analysis, but poor results for the transverse plane...
February 22, 2016: Clinical Spine Surgery
June Ho Lee, Won Man Park, Yoon Hyuk Kim, Tae-Ahn Jahng
STUDY DESIGN: A biomechanical comparison among the intact C2 to C7 segments, the C5 to C6 segments implanted with fusion cage, and three different artificial disc replacements (ADRs) by finite element (FE) model creation reflecting the entire cervical spine below C2. OBJECTIVE: The aim of this study was to analyze the biomechanical changes in subaxial cervical spine after ADR and to verify the efficacy of a new mobile core artificial disc Baguera C that is designed to absorb shock...
August 1, 2016: Spine
Bastian Welke, Michael Schwarze, Christof Hurschler, Thorsten Book, Stephan Magdu, Dorothea Daentzer
PURPOSE AND METHODS: For the treatment of degenerative disc diseases of the cervical spine, anterior cervical discectomy and fusion (ACDF) still represents the standard procedure. However, long term clinical studies have shown a higher incidence of pathologies in the adjacent segments. As an alternative to spinal fusion, cervical total disc replacement (cTDR) or dynamically implants were increasingly used. This in vitro study analyzed the kinematics and intradiscal pressures in seven multi-segmental human cervical spine using hybrid multidirectional test method...
July 2016: European Spine Journal
Xu Li, Fan-Cai Lai, Min-Lian Qiu, Rong-Gang Luo, Jian-Bo Lin, Bo Liao
BACKGROUND: An open esophagectomy for esophageal cancer is a severely invasive procedure. Minimally invasive esophagectomy (MIE) has emerged as an effective alternative to open techniques. Conventionally, a thoracoscopic procedure is performed either in the left lateral decubitus position or in the prone position. Both positions have their disadvantage during the mobilization of the esophagus. In this study, we applied a novel position: the left lateral-prone position in the throacoscopic phase of MIE; we also describe the details of the technique and its feasibility, and present the initial results of this large-volume series...
February 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Dong Yeon Kang
[Purpose] This study investigated the effects of deep cervical flexor training on maintaining forward head posture, muscular endurance, and cervical mobility. It also examined the effectiveness of deep cervical flexor training with a pressure biofeedback unit. [Subjects and Methods] Twenty college students were recruited and randomly assigned to groups that underwent either deep cervical flexor training with a pressure biofeedback unit (experimental group, n=10) or conventional deep cervical flexor training (control group, n=10)...
October 2015: Journal of Physical Therapy Science
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