Role of Subaxial Spinal and Atlantoaxial Instability in Multisegmental Cervical Spondylotic Myelopathy

Author(s):  
Atul Goel
2019 ◽  
Vol 66 ◽  
pp. 83-86 ◽  
Author(s):  
S. Diptiranjan ◽  
S.M. Harshitha ◽  
M.K. Sibin ◽  
S. Arati ◽  
G.K. Chetan ◽  
...  

2020 ◽  
Vol 140 ◽  
pp. e212-e218
Author(s):  
Teng Li ◽  
Chao Ma ◽  
Yue-Qi Du ◽  
Guang-Yu Qiao ◽  
Xin-Guang Yu ◽  
...  

2018 ◽  
Vol 18 (7) ◽  
pp. 1136-1142 ◽  
Author(s):  
Ahmad Fouad Abdelbaki Allam ◽  
Tarek Abdalla Ahmed Abotakia ◽  
Wael Koptan

2013 ◽  
Vol 13 (9) ◽  
pp. 1077-1079 ◽  
Author(s):  
Fioravante Capone ◽  
Francesco Ciro Tamburelli ◽  
Fabio Pilato ◽  
Paolo Profice ◽  
Federico Ranieri ◽  
...  

2017 ◽  
Vol 30 (03) ◽  
pp. 219-222 ◽  
Author(s):  
Michael Stoffel ◽  
Christoph Koch ◽  
Christina Precht ◽  
Maja Waschk ◽  
Alexander Bürki ◽  
...  

Summary Objectives: Atlantoaxial instability has been reported in humans, dogs, equids and ruminants. The functional role of the atlantoaxial ligaments has only been described rudimentarily in equids and ruminants. The goal of the present cadaveric study was to compare the anatomy between the different species and to comparatively assess the role of the stabilizing ligaments of the atlantoaxial joint under sagittal shear loading in canine, equine, and bovine cervical spines. Methods: Three equine, bovine, and canine cadaveric specimens were investigated. Biomechanical testing was performed using a purpose built shear-testing device driven by a uniaxial servo-hydraulic testing machine. Three cycles in a dorsoventral direction with a constant quasi-static velocity of 0.2 mm/s up to a limiting force of 50 N (canine) or 250 N (bovine, equine), respectively, were performed for each specimen tested. Load and linear displacement were measured by the displacement sensor and load cell of the testing system at a sampling rate of 20 Hz. Tests were performed and the range of motion determined with both intact and transected atlantoaxial ligaments. Results: The range of motion was significantly increased after transection of the ligaments only in the canine specimens. The bovine atlantoaxial joint was biomechanically more stable than in equids. Clinical significance: Species-specific anatomical and biomechanical differences of the atlantoaxial ligaments in canines, equids, and bovines were detected. The significance of these differences and their impact on the pathogenesis of atlantoaxial subluxations and subsequent treatment remain open questions.


Spine ◽  
1977 ◽  
Vol 2 (2) ◽  
pp. 100-108 ◽  
Author(s):  
JULIAN HOFF ◽  
MERRY NISHIMURA ◽  
LAWRENCE PITTS ◽  
VIRGINIA VILNIS ◽  
KENNETH TUERK ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
John L. Gillick ◽  
John Wainwright ◽  
Kaushik Das

Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affecting a significant percentage of the population. The cervical spine is often affected in this disease and can present in the form of atlantoaxial instability (AAI), cranial settling (CS), or subaxial subluxation (SAS). Patients may present with symptoms and disability secondary to these entities but may also be neurologically intact. Cervical spine involvement in RA can pose a challenge to the clinician and the appropriate role of surgical intervention is controversial. The aim of this paper is to describe the pathology, pathophysiology, clinical manifestations, and diagnostic evaluation of rheumatoid arthritis in the cervical spine in order to provide a better understanding of the indications and options for surgery. Both the medical and surgical treatment options for RA have improved, so has the prognosis of the cervical spine disease. With the advent of disease modifying antirheumatic drugs (DMARDs), fewer patients are presenting with cervical spine manifestations of RA; however, those that do, now have improved surgical techniques available to them. We hope that, by reading this paper, the clinician is able to better evaluate patients with RA in the cervical spine and determine in which patients surgery is indicated.


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