scholarly journals C1–2 facet disarticulation for correction of iatrogenic cervical kyphosis following occipital-cervical fusion

2020 ◽  
Vol 3 (1) ◽  
pp. V5
Author(s):  
Miki Katzir ◽  
Aboubakr T. Amer ◽  
Asad S. Akhter ◽  
Stephanus V. Viljoen ◽  
Ehud Mendel
Keyword(s):  
Cervical Spine ◽  
Atlantoaxial Instability ◽  
Preoperative Imaging ◽  
Cervical Pain ◽  
Cervical Fusion ◽  
Cervical Kyphosis ◽  
X Ray ◽  
History Of ◽  
Peg Tube ◽  
Progressive Dysphagia

The patient is a 69-year-old woman with a history of atlantoaxial instability and cervical pain who underwent an occipital-cervical fusion at an outside hospital. Five days following the procedure she required a PEG tube due to progressive dysphagia. Compared with preoperative imaging, x-ray shows cervical spine hyperextension with a significant decrease in the occipital–C2 angle. A swallow test confirmed aspiration and pharyngeal phase functional impairment. Two-stage surgery consisted of hardware removal, drilling the fused right C1–2 facet, reinstrumentation, and halo placement. The swallowing test confirmed there is no aspiration. We proceeded with rod placement. The patient recovered completely.The video can be found here: https://youtu.be/YzdJrOm46Y4

Dysphagia and Dysphonia Secondary to Anterior Cervical Osteophytes

Neurosurgery ◽  
1986 ◽  
Vol 18 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Greg Brandenberg ◽  
Lyal G. Leibrock
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Barium Swallow ◽  
X Ray ◽  
Solid Foods ◽  
The Past ◽  
Cervical Osteophytes ◽  
History Of ◽  
Progressive Dysphagia

Abstract A 77-year-old man presented with a 4-year history of progressive dysphagia to the point that he could no longer swallow solid foods. During the past several months, he had developed dysphonia. Cervical spine x-ray films demonstrated massive anterior degenerative osteophytic spurs between C-3 and C-7. Evaluation with barium swallow and cervical computed tomography demonstrated esophageal and laryngeal compression. Resection of the anterior osteophytes resolved the dysphagia and dysphonia.

scholarly journals A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Ryo Takamatsu ◽  
Hiroshi Takahashi ◽  
Yuichiro Yokoyama ◽  
Fumiaki Terajima ◽  
Yasuhiro Inoue ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Swimming Pool ◽  
Atlantoaxial Subluxation ◽  
Bone Union ◽  
Atlantoaxial Joint ◽  
Cervical Pain ◽  
Ligament Injuries ◽  
X Ray ◽  
History Of ◽  
High Level

We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that time, cervical spine plain X-ray images showed no fracture, and the cervical pain disappeared after use of a collar for several weeks. At his first visit to our department, X-ray images showed an unstable atlantoaxial joint. After surgery, weakness of the extremities gradually improved. At 6 months after surgery, bone union was completed and the symptoms disappeared. This case shows that atlantoaxial ligament injuries are difficult to diagnose and may easily be missed. A high level of suspicion is important in such cases, since neurological compromise or deterioration may occur many years after the injury.

Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess

2002 ◽  
Vol 97 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Kevin L. Stevenson ◽  
Matthew Wetzel ◽  
Ian F. Pollack
Keyword(s):  
Cervical Spine ◽  
Neurological Injury ◽  
Cervical Fusion ◽  
Content Type ◽  
Cerebellar Abscess ◽  
Delayed Complication ◽  
History Of ◽  
Delayed Complications ◽  
The Wire ◽  
Fine Print

✓ Delayed complications associated with sublaminar and interspinous wiring in the pediatric cervical spine are rare. The authors present a case of delayed complication in which a cervical fusion wire migrated into the cerebellum, causing subsequent cerebellar abscess 2 years after posterior cervical arthrodesis. A craniotomy was required to remove the wire and drain the abscess. Despite their history of safety and successful fusion, procedures involving sublaminar and interspinous wiring carry a risk of neurological injury secondary to wire migration. A thorough neuroimaging evaluation is required in patients who have undergone fusion and who have neurological complaints to detect late instrumentation-related sequelae.

scholarly journals Isolated Cervical Rib Fracture: A Rare Etiology of Thoracic Outlet Syndrome

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Rayees Ahmad Dar ◽  
Sabiya Hamid Wani ◽  
Majid Mushtaque
Keyword(s):  
Cervical Spine ◽  
Postoperative Period ◽  
Thoracic Outlet Syndrome ◽  
Rib Fracture ◽  
Rare Entity ◽  
X Ray ◽  
Supraclavicular Approach ◽  
Cervical Rib ◽  
Isolated Fracture ◽  
History Of

Isolated fracture of a cervical rib is a very rare entity and usually presents as a painless swelling or as thoracic outlet syndrome. We describe a case of a 45-year-old woman with history of fall two months back. She presented with symptoms of neurogenic thoracic outlet syndrome for one month. Isolated left cervical rib fracture was documented on X-ray cervical spine. Her fractured cervical rib was resected through a supraclavicular approach, and symptoms resolved completely in the postoperative period.

Headache in a Random Sample of 200 Persons: A Clinical Study of a Population in Northern Finland

Cephalalgia ◽  
1981 ◽  
Vol 1 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Rita Nikiforow
Keyword(s):  
Cervical Spine ◽  
Clinical Study ◽  
Family History ◽  
Positive Family History ◽  
Tension Headache ◽  
X Ray ◽  
Different Types ◽  
History Of ◽  
Cervical Spine Radiography ◽  
Unselected Population

Two hundred persons, randomly chosen out of 3,067 who had answered a headache questionnaire modified from Waters, were summoned to an interview and an examination performed by a neurologist. The aim was to obtain prevalence readings for different types of headaches in an unselected population. Simple blood studies and plain skull and cervical spine radiography were performed. The occurrence of headache was 77%, and the prevalence of migraine 9% in men and 28% in women. There was a higher prevalence of headache in women, accounted for solely by their higher frequency of vascular headaches, while the figure for tension headache was 35% for both sexes. Demographic factors did not influence the distribution of the headache types, except for a concentration of vascular headaches in women working in service occupations. A positive family history of migraine was reported significantly more often by persons with migraine than by others. The physical neurological examination, and the laboratory and X-ray investigations performed generally did not contribute to the diagnosis of the headache.

Cervical Lordosis: The Significance of Decreased, Straightened, and Reversed Curves

2015 ◽  
Vol 20 (6) ◽  
pp. 3-5
Author(s):  
Charles N. Brooks ◽  
Marjorie Eskay-Auerbach ◽  
James B. Talmage ◽  
Allan F. Tencer
Keyword(s):  
Cervical Spine ◽  
Sagittal Plane ◽  
Coronal Plane ◽  
Spine Deformity ◽  
Cervical Lordosis ◽  
Normal Range ◽  
Cervical Kyphosis ◽  
X Ray ◽  
Horizontal Gaze ◽  
Over Time

Abstract The normal cervical spine is straight in the coronal plane and usually is lordotic (curved convex anteriorly) in the sagittal plane, and although cervical spine deformity occurs in the coronal plane (eg, scoliosis), sagittal plane deformities are more common. For example, cervical lordosis can be increased (hyperlordosis) within the normal range, decreased (hypolordosis), absent (a straight cervical spine with 0° of curvature on a lateral X ray), or reversed (kyphosis). Primary deformity of the cervical spine often is congenital (eg, wedge vertebra); secondary sagittal deformities may be due to disc degeneration accompanying aging, disease such as ankylosing spondylitis, or surgery (eg, for postlaminectomy kyphosis). Decreased, straightened, or reversed cervical lordosis (DSRCL) may be idiopathic and can be voluntary, and evaluators must differentiate DSRCL that does not change over time vs sagittal plane alignment that varies over time or with a change in posture or position. DSRCL usually is asymptomatic, but severe cervical kyphosis can cause neck pain, myelopathy, dysphagia, loss of horizontal gaze, and other symptoms that are sufficiently severe to result in disability and to require surgical correction. Reports of DSRCL due to spasm, particularly at times temporally remote to an injury, should be met with extreme skepticism. Kyphosis of sufficient severity to be symptomatic usually is a postoperative deformity, not an effect of whiplash.

Spondylolisthesis of the cervical spine

1971 ◽  
Vol 34 (1) ◽  
pp. 99-101 ◽  
Author(s):  
John A. Dawley
Keyword(s):  
Cervical Spine ◽  
Content Type ◽  
X Ray ◽  
Congenital Origin ◽  
History Of ◽  
Fine Print

✓ A case of spondylolisthseis involving the cervical spine in an 11-year-old girl is reported. The age, x-ray appearance, and absence of history of trauma suggest a congenital origin.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

Highlights in the history of X-ray topography1

1995 ◽  
Vol 210 (6) ◽  
Author(s):  
A. R. Lang
Keyword(s):  
Magnetic Domain ◽  
Diffraction Theory ◽  
Dislocation Loops ◽  
X Ray Diffraction ◽  
X Ray ◽  
Domain Structures ◽  
Structure Factors ◽  
History Of ◽  
Dislocation Sources ◽  
Non Destructive

AbstractX-ray topography provides a non-destructive method of mapping point-by-point variations in orientation and reflecting power within crystals. The discovery, made by several workers independently, that in nearly perfect crystals it was possible to detect individual dislocations by X-ray diffraction contrast started an epoch of rapid exploitation of X-ray topography as a new, general method for assessing crystal perfection. Another discovery, that of X-ray Pendellösung, led to important theoretical developments in X-ray diffraction theory and to a new and precise method for measuring structure factors on an absolute scale. Other highlights picked out for mention are studies of Frank-Read dislocation sources, the discovery of long dislocation helices and lines of coaxial dislocation loops in aluminium, of internal magnetic domain structures in Fe-3 wt.% Si, and of stacking faults in silicon and natural diamonds.

Sign in / Sign up

Export Citation Format

Share Document