Effect of cervical spine motion on the neuroforaminal dimensions of human cervical spine.

Abstract:

:A nerve root impingement within a stenotic neuroforamen is a common sequela of cervical degenerative arthritis and herniated nucleus pulposus. Understanding of the effects of cervical position on foraminal size is important in the assessment of pathology and injury, for selection of a provocative maneuver to elicit symptoms and in selecting a position of immobilization for the management of nerve root impingement syndrome. This biomechanical study of human cadaver cervical spines reports the measured variations in the sizes of neuroforamina as a function of cervical positioning. Five fresh frozen adult human cadaver cervical spines (C2-T1) were tested with combinations of flexion-extension and rotational position. Ten pounds of axial load was applied to simulate a normal loading of a cervical spine. The foramina of C5, C6, and C7 were directly measured using a set of finely graded circular probes. Compared to the foraminal diameter at the neutral position, there were statistically significant reductions in the foramen diameter of 10% and 13%, at 20 degrees and 30 degrees of extension respectively (P < 0.01). Conversely, in flexion, there were statistically significant increase of 8% and 10% at 20 degrees and 30 degrees of flexion respectively (P < 0.01). Though there was a reduction in the foraminal size with ipsilateral 20 degrees rotation, and an increase with contralateral 20 degrees rotation, these changes were not significantly different from the mean of the control. Combinations of flexion or extension position with axial rotation did not significantly change the foraminal size compared to the respective sagittal position with no axial rotation.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Yoo JU,Zou D,Edwards WT,Bayley J,Yuan HA

doi

10.1097/00007632-199210000-00001

keywords:

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

1131-6

issue

10

eissn

0362-2436

issn

1528-1159

journal_volume

17

pub_type

杂志文章

相关文献

SPINE文献大全
  • Differences in the relationship between psychosocial distress and self-reported disability in patients with chronic low back pain in six pain rehabilitation centers in the Netherlands.

    abstract:STUDY DESIGN:A cross sectional multicenter study in six outpatient Rehabilitation Centers (RCs) in the Netherlands. OBJECTIVE:This study aims to confirm or refute the finding that a strong relationship exists between psychosocial distress and self-reported disability in patients with nonspecific chronic low back pain ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e3181e8af83

    authors: Preuper HR,Boonstra AM,Wever D,Heuts PH,Dekker JH,Smeets RJ,Brouwer S,Geertzen JH,Reneman MF

    更新日期:2011-05-20 00:00:00

  • A vertebral fracture in childhood is not a risk factor for disc degeneration but for Schmorl's nodes: a mean 40-year observational study.

    abstract:STUDY DESIGN:Observational cohort study. OBJECTIVE:To evaluate by MRI whether a vertebral fracture during childhood is a risk factor for degeneration of adjacent discs. SUMMARY OF BACKGROUND DATA:Several studies infer that trauma is a major cause of disc degeneration. Only 1 study has by magnetic resonance imaging (M...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181573d6a

    authors: Möller A,Maly P,Besjakov J,Hasserius R,Ohlin A,Karlsson MK

    更新日期:2007-10-15 00:00:00

  • Somatosensory cortical evoked potential changes after deformity correction.

    abstract::The somatosensory cortical evoked potentials recorded during posterior spine fusion and instrumentation for 99 consecutive patients with idiopathic scoliosis, 18 years of age or younger, were retrospectively reviewed. The potentials were recorded from scalp electrodes while synchronously stimulating both tibial nerves...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Albanese SA,Spadaro JA,Lubicky JP,Henderson NA

    更新日期:1991-08-01 00:00:00

  • Distraction Arthrodesis of the C1-C2 Facet Joint with Preservation of the C2 Root for the Management of Intractable Occipital Neuralgia Caused by C2 Root Compression.

    abstract:STUDY DESIGN:Prospective observational cohort study. OBJECTIVE:To compare the outcomes of our new technique, distraction arthrodesis of C1-C2 facet joint with C2 root preservation (Study group), to those of conventional C1-C2 fusion with C2 root transection (Control group) for the management of intractable occipital n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001031

    authors: Yeom JS,Riew KD,Kang SS,Yi J,Lee GW,Yeom A,Chang BS,Lee CK,Kim HJ

    更新日期:2015-10-15 00:00:00

  • Primary tumors of the spine.

    abstract::Eighty-two cases of primary neoplasms of the spine, diagnosed and treated at the University of Iowa, were reviewed in an attempt to identify features of diagnostic and prognostic importance, and to evaluate the effectiveness of surgical treatment with respect to survival. Thirty-one benign and 51 malignant tumors were...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198711000-00004

    authors: Weinstein JN,McLain RF

    更新日期:1987-11-01 00:00:00

  • Improvement in quality of life following surgery for adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:We used the Climent Quality of Life for Spinal Deformities Scale prospectively in a nonrandomized prospective comparative cohort of operative versus observational management of adolescent idiopathic scoliosis. OBJECTIVE:To compare the change in disease-specific quality of life associated with operating on...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/BRS.0b013e31815a51cd

    authors: Howard A,Donaldson S,Hedden D,Stephens D,Alman B,Wright J

    更新日期:2007-11-15 00:00:00

  • An unusual case of CV junction tuberculosis presenting with quadriplegia.

    abstract:STUDY DESIGN:Isolated tubercular involvement of craniovertebral junction in a human immunodeficiency virus-positive patient causing paraplegia and sudden death with radiologic features is presented. OBJECTIVES:Isolated involvement of craniovertebral junction by tuberculosis causing quadriparesis is a rare entity. The ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000083257.63544.A9

    authors: Raut AA,Narlawar RS,Nagar A,Ahmed N,Hira P

    更新日期:2003-08-01 00:00:00

  • Prevalence, Comorbidities, and Risk of Perioperative Complications in Human Immunodeficiency Virus-Positive Patients Undergoing Cervical Spine Surgery.

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:To evaluate outcomes of human immunodeficiency virus (HIV) positive patients after cervical spine surgery. SUMMARY OF BACKGROUND DATA:Highly active antiretroviral medications have qualitatively altered the natural history of HIV, thus increasing the number of HI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001103

    authors: Lovy AJ,Guzman JZ,Skovrlj B,Cho SK,Hecht AC,Qureshi SA

    更新日期:2015-11-01 00:00:00

  • United States' trends and regional variations in lumbar spine surgery: 1992-2003.

    abstract:STUDY DESIGN:Repeated cross-sectional analysis using national Medicare data from the Dartmouth Atlas Project. OBJECTIVE:To describe recent trends and geographic variation in population-based rates of lumbar fusion spine surgery. SUMMARY OF BACKGROUND DATA:Lumbar fusion rates have increased dramatically during the 198...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000248132.15231.fe

    authors: Weinstein JN,Lurie JD,Olson PR,Bronner KK,Fisher ES

    更新日期:2006-11-01 00:00:00

  • The effect of corticosteroid administration on soft-tissue inflammation associated with rhBMP-2 use in a rodent model of inflammation.

    abstract:STUDY DESIGN:In vivo rodent model. OBJECTIVE:Investigate the effect of systemic corticosteroid administration on soft-tissue inflammation after local delivery of recombinant human bone morphogenetic protein-2 (rhBMP-2). SUMMARY OF BACKGROUND DATA:Corticosteroid use in cases of soft-tissue inflammation associated with...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31827eca09

    authors: Tan Y,Montgomery SR,Aghdasi BG,Inoue H,Kaner T,Tian H,Terrell R,Zhang X,Wang JC,Daubs MD

    更新日期:2013-05-01 00:00:00

  • Single-level instrumented posterolateral fusion of lumbar spine with beta-tricalcium phosphate versus autograft: a prospective, randomized study with 3-year follow-up.

    abstract:STUDY DESIGN:A prospective, randomized clinical study comparing beta-tricalcium phosphate (beta-TCP) with autograft bone graft with follow-up of 3 years. OBJECTIVE:To determine the efficacy of beta-TCP as a bone graft substitute combined with local autograft obtained from decompression compared with the use of autolog...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181732a8e

    authors: Dai LY,Jiang LS

    更新日期:2008-05-20 00:00:00

  • Effects of torsion on intervertebral disc gene expression and biomechanics, using a rat tail model.

    abstract:STUDY DESIGN:In vitro and in vivo rat tail model to assess effects of torsion on intervertebral disc biomechanics and gene expression. OBJECTIVE:Investigate effects of torsion on promoting biosynthesis and producing injury in rat caudal intervertebral discs. SUMMARY OF BACKGROUND DATA:Torsion is an important loading ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d9b58b

    authors: Barbir A,Godburn KE,Michalek AJ,Lai A,Monsey RD,Iatridis JC

    更新日期:2011-04-15 00:00:00

  • Intra-observer reproducibility and interobserver reliability of the radiographic parameters in the Spinal Deformity Study Group's AIS Radiographic Measurement Manual.

    abstract:STUDY DESIGN:Retrospective cross-sectional assessment of the reproducibility and reliability of radiographic parameters. OBJECTIVE:To measure the intra-examiner and interexaminer reproducibility and reliability of salient radiographic features. SUMMARY OF BACKGROUND DATA:The management and treatment of adolescent idi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000160840.51621.6b

    authors: Dang NR,Moreau MJ,Hill DL,Mahood JK,Raso J

    更新日期:2005-05-01 00:00:00

  • The role of epidural fibrosis and defective fibrinolysis in the persistence of postlaminectomy back pain.

    abstract::Clinical features, contrast-enhanced lumbar tomographic findings, and biochemical plasma fibrinolytic parameters were critically assessed in 70 patients suffering severe, chronic postsurgical low-back and radicular pain to determine the cause of their persisting symptoms. Patients exhibited gross functional disability...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199109000-00005

    authors: Cooper RG,Mitchell WS,Illingworth KJ,Forbes WS,Gillespie JE,Jayson MI

    更新日期:1991-09-01 00:00:00

  • Detection of Mycobacterium tuberculosis in formaldehyde solution-fixed, paraffin-embedded tissue by polymerase chain reaction in Pott's disease.

    abstract:STUDY DESIGN:Twenty-five formaldehyde solution-fixed, paraffin-embedded tissue blocks from vertebral biopsy specimen materials with presumptive diagnosis of tuberculous spondylitis and nonspecific vertebral osteomyelitis were studied. OBJECTIVES:To evaluate the sensitivity and specificity of polymerase chain reaction ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199609010-00011

    authors: Berk RH,Yazici M,Atabey N,Ozdamar OS,Pabuccuoglu U,Alici E

    更新日期:1996-09-01 00:00:00

  • Reliability and concurrent validity of the adapted Chinese version of Scoliosis Research Society-22 (SRS-22) questionnaire.

    abstract:STUDY DESIGN:Validation study to define validity and reliability of an adapted and translated questionnaire. OBJECTIVE:Assessment of the concurrent validity and reliability of a Chinese version of SRS-22 outcome instrument. SUMMARY OF BACKGROUND DATA:No valid health-related quality of life (HRQL) outcome instrument e...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000261562.48888.e3

    authors: Cheung KM,Senkoylu A,Alanay A,Genc Y,Lau S,Luk KD

    更新日期:2007-05-01 00:00:00

  • Health outcome assessment before and after lumbar laminectomy for radiculopathy.

    abstract:STUDY DESIGN:Forty-one patients undergoing lumbar laminectomy for radiculopathy resulting from herniated discs assessed their health status using a generic health outcome instrument (Medical Outcomes Study Short Form 36) before surgery and at an average of 2 years after surgery. OBJECTIVES:To assess whether lumbar lam...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199604150-00010

    authors: Albert TJ,Mesa JJ,Eng K,McIntosh TC,Balderston RA

    更新日期:1996-04-15 00:00:00

  • Patients with adult spinal deformity treated operatively report greater baseline pain and disability than patients treated nonoperatively; however, deformities differ between age groups.

    abstract:STUDY DESIGN:Multicenter, prospective analysis of consecutive patients with adult spinal deformity (ASD). OBJECTIVE:Identify age-related radiographical parameters associated with poor health-related quality of life (HRQOL) and treatment preferences for ASD. SUMMARY OF BACKGROUND DATA:Patients with ASD report discrepa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000414

    authors: Fu KM,Bess S,Shaffrey CI,Smith JS,Lafage V,Schwab F,Burton DC,Akbarnia BA,Ames CP,Boachie-Adjei O,Deverin V,Hart RA,Hostin R,Klineberg E,Gupta M,Kebaish K,Mundis G,Mummaneni PV,International Spine Study Group.

    更新日期:2014-08-01 00:00:00

  • Biologic Responses to Orthopedic Implants: Innate and Adaptive Immune Responses to Implant Debris.

    abstract::Almost 20% of joint replacement implants fail at 15 to 20 years. Reports suggest that systemic effects of metal-on-metal implants and local effects of total joint arthroplasty implants contributing to implant failure are immune system based. Sometimes implant wear debris can cause implant failure resulting from bone f...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001436

    authors: Hallab NJ

    更新日期:2016-04-01 00:00:00

  • Incidence of intravascular penetration in transforaminal cervical epidural steroid injections.

    abstract::STUDY DESIGN A prospective, observational, human, study was conducted. OBJECTIVES To evaluate the incidence of vascular penetration during fluoroscopically guided, contrast-enhanced transforaminal cervical epidural steroid injections, and to determine whether the observation of blood in the needle hub can be used to p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200301010-00007

    authors: Furman MB,Giovanniello MT,O'Brien EM

    更新日期:2003-01-01 00:00:00

  • Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of the lumbar spine.

    abstract:STUDY DESIGN:The location of pedicle screws in relation to adjacent superior segment facet joints in 106 patients after lumbar spinal fusion was assessed using computed tomography and plain radiographs. OBJECTIVES:To document the incidence of adjacent superior segment facet joint violation following transpedicular ins...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.BRS.0000042361.93572.74

    authors: Shah RR,Mohammed S,Saifuddin A,Taylor BA

    更新日期:2003-02-01 00:00:00

  • Elderly as a Predictor for Perioperative Complications in Patients Undergoing Multilevel Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Regression Modeling Study.

    abstract:STUDY DESIGN:This was a single-institute retrospective study. OBJECTIVE:To describe perioperative and postoperative complications in elderly who underwent multilevel minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) while identifying predictors of complications. SUMMARY OF BACKGROUND DATA:The numbe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003369

    authors: Claus CF,Lytle E,Tong D,Bahoura M,Garmo L,Yoon E,Jasinski J,Kaufmann A,Richards B,Soo TM

    更新日期:2020-06-01 00:00:00

  • Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review.

    abstract:STUDY DESIGN:A case of spinal chronic subdural hematoma (SCSDH) in association with anticoagulant therapy was treated surgically. OBJECTIVE:To clarify the etiopathogenesis, clinical presentation, and surgical outcomes of SCSDH. SUMMARY OF BACKGROUND DATA:Intracranial chronic subdural hematoma is a well-recognized com...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000202760.30257.88

    authors: Jimbo H,Asamoto S,Mitsuyama T,Hatayama K,Iwasaki Y,Fukui Y

    更新日期:2006-03-15 00:00:00

  • Vertebral endplate and disc changes in the aging sand rat lumbar spine: cross-sectional analyses of a large male and female population.

    abstract:STUDY DESIGN:Lumbar vertebral segments from a large cross-sectional population of male and female sand rats were assessed for quantitative determination of lumbar endplate bone mineral density (BMD) and radiologic features. OBJECTIVE:To determine radiologic and BMD characteristics in the lumbar spines of males and fem...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318158cd69

    authors: Gruber HE,Gordon B,Williams C,Norton HJ,Hanley EN Jr

    更新日期:2007-11-01 00:00:00

  • IgG and IgM concentration in the prolapsed human intervertebral disc and sciatica etiology.

    abstract:STUDY DESIGN:A prospective study was conducted in patients who underwent surgeries for sciatica. The results were compared to those of control subjects. OBJECTIVES:This study expanded knowledge about the pathogenesis of back pain and sciatica in disc herniation. METHODS:Nucleus pulposus, retrieved from 10 patients wh...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199406000-00003

    authors: Spiliopoulou I,Korovessis P,Konstantinou D,Dimitracopoulos G

    更新日期:1994-06-15 00:00:00

  • Two cases of Pseudomonas aeruginosa epidural abscesses and cervical osteomyelitis after dental extractions.

    abstract:STUDY DESIGN:Case report. OBJECTIVES:To report 2 unusual cases of Pseudomonas aeruginosa epidural abscesses and cervical osteomyelitis after routine dental extractions and to review relevant literature. SUMMARY OF BACKGROUND DATA:Pseudomonas aeruginosa is a rare cause of cervical osteomyelitis in patients after denta...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e31816c9120

    authors: Walters HL,Measley R

    更新日期:2008-04-20 00:00:00

  • Effect of altering titer, serotype, and promoter in recombinant adenoassociate virus gene therapy expression of spinal cord neurons and astrocytes.

    abstract:STUDY DESIGN:Descriptive histologic analysis of spinal cord gene therapy. OBJECTIVE:To maximize protein expression in rat spinal cord using recombinant adenoassociate virus viral vector. SUMMARY OF BACKGROUND DATA:There are few reports of spinal cord genetic transfer. There have been no reports that compare technique...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000147909.59083.da

    authors: Harrop JS,Poulsen DJ,Xiao W,Freese A,During MJ

    更新日期:2004-12-15 00:00:00

  • Costs of school scoliosis screening: a large, population-based study.

    abstract:STUDY DESIGN:This was a population-based retrospective study. OBJECTIVE:To fully estimate the costs of the Hong Kong scoliosis screening program through a large, population-based study. SUMMARY OF BACKGROUND DATA:School screening for scoliosis has often been criticized for having high costs. In fact, the screening co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181cbcc10

    authors: Lee CF,Fong DY,Cheung KM,Cheng JC,Ng BK,Lam TP,Mak KH,Yip PS,Luk KD

    更新日期:2010-12-15 00:00:00

  • Transoral endoscopic odontoidectomy to decompress the cervicomedullary junction.

    abstract:STUDY DESIGN:Clinical study. OBJECTIVE:To investigate the feasibility of the transoral endoscopic odontoidectomy without occipitocervical fusion. SUMMARY OF BACKGROUND DATA:Endoscopic transnasal resection of the odontoid process is less invasive than the conventional transoral odontoidectomy. However, the endonasal a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182941735

    authors: Qiuhang Z,Feng K,Bo Y,Hongchuan G,Mingchu L,Ge C,Feng L

    更新日期:2013-06-15 00:00:00

  • Local application of disc-related cytokines on spinal nerve roots.

    abstract:STUDY DESIGN:To analyze the effects of tumor necrosis factor-alpha, interleukin-1beta, and interferon-gamma on cauda equina function and to define if any of these cytokines could induce nerve root dysfunction comparable with the situation with application of nucleus pulposus. SUMMARY OF BACKGROUND DATA:Proinflammatory...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200208010-00004

    authors: Aoki Y,Rydevik B,Kikuchi S,Olmarker K

    更新日期:2002-08-01 00:00:00