The anterolateral approach is a popular and safe method of exposing the lower cervical spine (levels C3 to T1) for management of cervical spine disease. We present a description of the technique we use in conducting the procedure, a review of the literature, and a retrospective chart review of 30 consecutive patients who underwent cervical spine exposure via a left anterolateral approach. All patients had an uneventful perioperative course, and the two patients who experienced postprocedure symptoms recovered completely within 1 month without treatment.
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Chiropr Man Therap
January 2025
Department of Chiropractic Medicine, Integrative Spinal Research Group, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Background: Spinal manipulation (MAN) and mobilization (MOB) are biomechanically different yet both elicit pain reduction and increased range of motion. Previous investigations have focused on quantifying kinetics (e.g.
View Article and Find Full Text PDFSurg Endosc
January 2025
Excellence Center for GI Endoscopy, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
Background: Prone positioning during endoscopic retrograde cholangiopancreatography (ERCP) can lead to post-procedure neck pain due to increased cervical spine stress and prolonged muscle stretching. This study aimed to evaluate the efficacy and satisfaction of an ergonomic wedge pillow for patients undergoing prone ERCP.
Methods: Patients indicated for ERCP were randomized 1:1 to a study group (with the pillow) or a control group.
Clin Spine Surg
January 2025
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia.
Study Design: A retrospective database study.
Objective: To compare complications and costs associated with endoscopic and open lumbar decompression on a large scale.
Background: Though open lumbar decompression is considered the gold standard, endoscopic procedures are on the rise.
Unfallchirurgie (Heidelb)
January 2025
Klinik für Unfall‑, Hand- & Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient's medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed.
View Article and Find Full Text PDFClin Spine Surg
January 2025
Department of Neurosurgery, Misericordia International Clinic, Barranquilla.
Study Design: Cohort retrospective study.
Objective: We evaluated and compared the outcomes of anterior cervical discectomy with fusion (CDF) and anterior cervical corpectomy with iliac crest graft and fusion (CCF) in patients with ≥3 level degenerative cervical myelopathy (DCM).
Background: Anterior and posterior approaches are widely employed in DCM when compressive elements predominate in the anterior or posterior spinal cord, respectively.
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