1.Measurement and clinical significance of cervical lordosis.
Yu-ting ZHANG ; Xiang WANG ; Hong-sheng ZHAN
China Journal of Orthopaedics and Traumatology 2014;27(12):1062-1064
Measurement of cervical lordosis is the basic method for evaluating cervical function, and important reference for determine treatment decision. However, how to choose appropriate measurement in accordance with different situation, as well as the relationship among these methods is not clear. An increasing number of studies suggested that different measurements could directly affect the judgment of cervical lordosis. Therefore, comparative study of cervical vertebrae plays an important role in clinical treatment for cervical spondylosis under different cervical curvature conditions.
Cervical Vertebrae
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anatomy & histology
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Humans
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Lordosis
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diagnosis
;
pathology
3.High Grade Infective Spondylolisthesis of Cervical Spine Secondary to Tuberculosis.
Shailesh HADGAONKAR ; Kunal SHAH ; Ashok SHYAM ; Parag SANCHETI
Clinics in Orthopedic Surgery 2015;7(4):519-522
Spondylolisthesis coexisting with tuberculosis is rarely reported. There is a controversy whether spondylolisthesis coexists or precedes tuberculosis. Few cases of pathological spondylolisthesis secondary to tuberculous spondylodiscitis have been reported in the lumbar and lumbosacral spine. All cases in the literature presented as anterolisthesis, except one which presented as posterolisthesis of lumbar spine. Spondylolisthesis in the cervical spine is mainly degenerative and traumatic. Spondylolisthesis due to tuberculosis is not reported in the lower cervical spine. The exact mechanism of such an occurrence of spondylolisthesis with tuberculosis is sparsely reported in the literature and inadequately understood. We report a rare case of high grade pathological posterolisthesis of the lower cervical spine due to tubercular spondylodiscitis in a 67-year-old woman managed surgically with a three-year follow-up period. This case highlights the varied and complex presentation of tuberculosis of the lower cervical spine and gives insight into its pathogenesis, diagnosis, and management.
Aged
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*Cervical Vertebrae/pathology/radiography
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Female
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Humans
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*Spondylolisthesis/etiology/radiography
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*Tuberculosis, Osteoarticular/complications/diagnosis/pathology
4.Analysis and discussion on the facet of the spinal column, spiral CT lock multiplanar reconstruction and 3D reconstruction.
Zhifeng ZHENG ; Shuhang WANG ; Donglei SI
Journal of Central South University(Medical Sciences) 2015;40(10):1143-1147
OBJECTIVE:
To investigate the imaging appearances and diagnostic value of axial CT scanning, spiral CT multiplanar reconstruction (MPR) and three-dimensional (3D) reconstruction in vertebral facet joints locking.
METHODS:
A total of 31 cases of vertebral facet joints locking, with injuries in different parts, were recruited to explore their CT features, and to evaluate their advantages in diagnosis against each other.
RESULTS:
Among the CT images of 31 cases with "Hamburger" sign in axial view, there were 21 cases of cervical spine and 10 cases of thoracolumbar segment; in vertical plane of MPR, "top to top" form was formed below the inferior and the superior articular process, accompanied by I° spondylolisthesis and inferior articular process tip fracture; 5 cases were unilateral locked cervical spine; none case for thoracolumbar segment. The inferior articular process was crossed with the superior articular process below and moved forward, formed "back to back" form, accompanied by II°-III° spondylolisthesis. 9 or 6 cases were bilateral or unilateral locking cervical spine, 10 cases were thoracolumbar segment, accompanied by teardrop fracture in the vertebral body below cervical spine. In coronal plane of MPR, inferior articular process showed ingression in different extent, and relied on the superior articular process below or locked in the articular fossa (21 cases for cervical spine); inferior articular process displayed upward displacement or appeared with the superior articular process at the same time, which meant joint structure disappearing thoracolumbar segment (10 cases). In 3D reconstruction, 31 cases displayed clearly in the spatial form of vertebral facet joints locking and the degree of spondylolisthesis of vertebral body.
CONCLUSION
MPR and 3D image were more clear and intuitive in vertebral facet joints locking comparing to axial CT scan image. Spiral CT MPR and 3D reconstruction contributed to the diagnosis of vertebral facet joints locking and the reduction of misdiagnoses rates.
Cervical Vertebrae
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pathology
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Fractures, Bone
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pathology
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Humans
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Imaging, Three-Dimensional
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Lumbar Vertebrae
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pathology
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Tomography, Spiral Computed
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Tomography, X-Ray Computed
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Zygapophyseal Joint
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pathology
5.Intraosseous lipoma of adjacent upper cervical vertebral bodies with significant paravertebral expansion.
Bin ZHU ; Xiao-Guang LIU ; Zhong-Jun LIU ; Hung-I LIAO ; Liang JIANG ; Feng WEI
Chinese Medical Journal 2010;123(21):3160-3162
Adult
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Bone Neoplasms
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diagnosis
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Cervical Vertebrae
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pathology
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Humans
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Lipoma
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diagnosis
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Male
6.Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature.
Kyung Jin SONG ; Byeong Yeol CHOI
Asian Spine Journal 2014;8(4):531-539
Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.
Cervical Vertebrae
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Diskectomy*
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Female
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Pathology
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Spinal Diseases
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Total Disc Replacement
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Transplants
;
Treatment Outcome
7.Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature.
Kyung Jin SONG ; Byeong Yeol CHOI
Asian Spine Journal 2014;8(4):531-539
Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.
Cervical Vertebrae
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Diskectomy*
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Female
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Pathology
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Spinal Diseases
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Total Disc Replacement
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Transplants
;
Treatment Outcome
8.Diagnosis and treatment of cervical disc calcification in children.
Hongguang XU ; Yipeng WANG ; Ke CHOU ; Song JIN ; Qichun ZHAO ; Qi FEI
Chinese Journal of Surgery 2002;40(2):124-126
OBJECTIVESTo investigate the diagnosis and treatment cervical disc calcification in children.
METHODS13 children with cervical disc calcification were analysed retrospectively. Cervical pain was observed after influenza in 5 children, suddenly cervical pain in 3, sudden wryneck in 3 cases. Two children with this disease were accidentally found after injury.
RESULTS14 calcifications of cervical disks were found in 13 children. Clinical symptoms disappeared after symptomatic management. Calcification disappeared in 5 months.
CONCLUSIONSCervical disc calcification in children is a kind of benign self-limited disease. Correst understanding of pathophysiologic course of this disease helps to avoid unnecessary surgery.
Adolescent ; Calcinosis ; diagnosis ; therapy ; Cervical Vertebrae ; pathology ; Child ; Child Health Services ; Female ; Humans ; Male
9.Current study and research progress of whiplash injury of cervical vertebrae.
China Journal of Orthopaedics and Traumatology 2011;24(7):613-615
Whiplash injury is a common injures in our daily lives, but the mechanism of it and the best treatment is largely unknown. The development of chronic pain and disability following whiplash injury is not uncommon and results in substantial social and economic costs. Clinical manifestation and recovery time are difference, which make it difficult for doctor diagnosis and treatment. The current study have shown that the social class, severity of collision, compensation and lawsuit, physical and psychological factors were relevant predictors for the outcome of whiplash. This article is try to overview the status quo of the whiplash injury.
Cervical Vertebrae
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injuries
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Humans
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Prognosis
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Whiplash Injuries
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diagnosis
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pathology
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physiopathology
;
therapy
10.Association between cervical vertebral maturation stages and dental calcification stages in patients with unilateral complete cleft lip and palate.
Xiao-Xu FANG ; Cun-Hui FAN ; Qing XUE ; Tao XU ; Wen-Lin XIAO ; Zhong-Hui TIAN ; Xiao-Lin XU
West China Journal of Stomatology 2019;37(2):180-186
OBJECTIVE:
The purpose of the study is to investigate the relationship between dental calcification stages (DCS) and cervical vertebral maturation stages (CVMS) in patients with unilateral complete cleft lips and palates (UCLP) and to provide a theoretical basis for the treatment time selection of cleft lip and palate (CLP) patients.
METHODS:
A total of 123 UCLP patients and 215 non-CLP subjects were selected. The DCS of the left mandibular canine, premolar, and second molar in non-CLP subjects and on both cleft sides of UCLP patients were assessed utilizing the Demirjian method. CVMS was observed utilizing the Baccetti method. The results were analyzed by Spearman rank correlation, and the correlation coefficients were compared.
RESULTS:
There was a correlation between the CVMS and the DCS of the left mandibular canine, the first premolar, the second premolar, and the second molar in the non-CLP subjects and on both cleft sides of the UCLP patients (r=0.762-0.864, P<0.05; r=0.809-0.914, P<0.05, respectively). The correlation between the CVMS and the DCS of the mandibular first premolar was highest among the UCLP patients. Except for the first and the second premolars of UCLP females, the correlation between the DCS and the CVMS of the other teeth did not differ among the non-CLP subjects (P>0.05).
CONCLUSIONS
DCS can be utilized as a biological index to determine the growth development statuses. The correlation between the CVMS and the DCS of the mandibular first premolar was the highest.
Bicuspid
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Calcinosis
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Cervical Vertebrae
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pathology
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Cleft Lip
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physiopathology
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Cleft Palate
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physiopathology
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Cuspid
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Female
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Humans