Goat is an adequate experimental model for cervical spine testing. However, studies on the anatomy of the cervical spine in goats are limited, and there is no uniform standard for establishing a single-segment anterior cervical discectomy and fusion (ACDF) model in goats. To address this issue, we investigated the cervical spine anatomy of goats and provided a technical basis for establishing a single-segment ACDF model in goats. We measured the imaging anatomical parameters using Mimics Medical 20.0 software. We then performed histological analysis of the cervical spine segment 2-3 (C2-3) segment of six goat cervical spine specimens. Based on the measurements and histological analysis, the fusion cage was designed to be wedge-shaped, the length of the plate was 25 mm, and the length of the screw was 15 mm. Based on the anatomical characteristics of goats, we believed that the C2-3 segment of goats was most suitable for a single-segment ACDF model in goats, and the decompression should be performed medial to the pterygoid joint on both sides, the thickness of the removed endplate was ∼0.6 mm, the cage implanted in the anterior two-thirds of the intervertebral space could maximize the contact area of the cage-endplate interface, and the location of the midline spur could position the implantation of the internal fixtures. Radiological examination at 12 weeks postoperatively suggested that the internal fixtures were in place and new bone formation was visible. These results demonstrated that these technical notes based on anatomical features were practical and could minimize damage to animals.
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http://dx.doi.org/10.1089/ten.TEC.2022.0133 | DOI Listing |
Am J Case Rep
January 2025
Department of Orthopedic Surgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
BACKGROUND The management of unstable atlas fractures remains a subject of ongoing debate and controversy. The conservative surgical treatment commonly involves fusion, resulting in severe loss of cervical spine mobility, and a large incisions and extensive tissue dissection are required. We aim to introduce a novel concept and surgical approach for treating atlas fracture, one that involves minimizing trauma while maintaining mobility of the upper cervical spine without resorting to fusion.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, 40138 Bologna, Italy.
Manual therapies like Osteopathic Manipulative Treatment (OMT) and Gentle Touch Intervention (GTI) are widely employed for improving posture and spinal alignment, but their effects as measured using advanced technologies remain underexplored. This study aims to evaluate the short-term postural effects of these interventions using a non-invasive three-dimensional rasterstereography-based approach, focusing on the cervical arrow, lumbar arrow, kyphotic angle, and lordotic angle parameters. A three-armed randomized controlled trial was conducted with 165 healthy participants.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Neurosurgery, Montefiore Medical Center, Bronx, NY 10461, USA.
Bone mineral density (BMD) is an essential indicator of bone strength and plays a crucial role in the clinical management of various spinal pathologies. Hounsfield units (HUs) calculated from computed tomography (CT) scans are a well-established, effective, and non-invasive method to determine bone density in the lumbar spine when juxtaposed to dual-energy X-ray absorptiometry (DEXA) scans, the gold standard for assessing trabecular bone density. Only recently have studies begun to investigate and establish HUs as a reliable and valid alternative for bone quality assessment in the cervical spine as well.
View Article and Find Full Text PDFLife (Basel)
January 2025
Department of Rehabilitation Sciences, Florida Gulf Coast University, Fort Myers, FL 33965, USA.
Background: High-velocity, low-amplitude (HVLA) manipulation is a common manual therapy technique used for treating pain and musculoskeletal dysfunction. An audible manipulation sound is commonly experienced by patients who undergo HVLA manipulation; however, there is little known about the effects and clinical relevance of the audible manipulation sound on cortical output and the autonomic nervous system. This study aimed to identify the immediate impact of the audible manipulation sound on brainwave activity and pupil diameter in asymptomatic subjects following an HVLA cervical manipulation.
View Article and Find Full Text PDFLife (Basel)
December 2024
Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL 32611, USA.
This review aims to explore the evolution, techniques, and outcomes of minimally invasive spine surgery (MISS) within the field of neurosurgery. We sought to address the increasing burden of spine degeneration in a rapidly aging population and the need for optimizing surgical management. This review explores various techniques in MISS, drawing upon evidence from retrospective studies, case series, systematic reviews, and technological advancements in neurosurgical spine treatment.
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