Air force fighter jet pilots often face significant physiological challenges during high-acceleration maneuvers, where the neck is particularly vulnerable to injury from head inertia effects in high-G environments, making it crucial yet challenging to understand the mechanisms of these injuries. This paper employs a finite element model of the human head-neck structure to simulate its dynamic responses to high Gz (airplane pulling up causing body acceleration from head to foot) maneuvers and evaluate potential soft tissue injuries in the cervical spine. The model was validated in three biomechanical conditions most relevant to the injury analysis of this study using experimental data from a cervical spine torsion test, a dynamic cadaver head-neck sagittal loading experiment, and a human volunteer drop tower deceleration test. A typical high Gz maneuver, along with "check-6" head turn, was simulated using active muscle functions to analyze injury risks in the cervical spine. The effect of acceleration magnitude and additional mass of the helmet was also analyzed. Analysis of the tissue strains suggested higher injury risk for the intervertebral disc and capsular ligament of the facet joints at the mid-lower cervical spine, which is consistent with the reported pilot neck injuries or degenerative changes. Analysis of the macro biomechanical injury metrics indicated low risk of severe injury to the cervical spine, which is also consistent with the real-world findings reported in the literature. This comprehensive approach enabled a thorough investigation into the potential soft tissue injuries that may arise during high Gz maneuvers, providing valuable insights for the future development of injury prevention and mitigation strategies.
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http://dx.doi.org/10.1002/cnm.70022 | DOI Listing |
Esophageal perforation is a rare but serious complication that can occur post-cervical spine surgery. This case report presents the clinical course, diagnostic challenges and management strategies of a patient who had a late-diagnosis esophageal perforation after anterior cervical spine surgery (ACSS). A woman in her 50s underwent ACSS for cervical spondylosis.
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Department of Spine Surgery, Kameda Medical Center, Chiba, JPN.
Various conditions can cause myelopathy due to cervical epidural fluid collection, including idiopathic cervical epidural hematoma, traumatic cervical epidural hematoma, infectious myelitis, epidural abscess, spinal cord infarction, post-traumatic cerebrospinal fluid (CSF) leakage, and epidural tumors. While physical compression from hematoma, abscess, or epidural tumors is common, and carcinomatous meningitis can cause CSF flow obstruction and accumulation leading to myelopathy, rapid progression of serous fluid collection causing myelopathy is rare. We report a case of myelopathy caused by rapid accumulation of epidural exudate from a metastatic tumor in the cervical lamina.
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March 2025
Klinik für Neurologie, Diako Mannheim, Speyerer Str. 91-93, 68163, Mannheim, Deutschland.
Background: Retropharyngeal calcific tendinitis is an aseptic inflammation of the longus cervicis muscle. This rare acute pain disorder of the neck region is a prognostically benign condition compared to neurological or otorhinolaryngological differential diagnoses.
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J Integr Med
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Zhejiang Key Laboratory of Neuropsychopharmacology, School of Pharmaceutical Sciences, Jinhua Academy, Zhejiang Chinese Medical University, Hangzhou Zhejiang Province, 310053, China. Electronic address:
Objective: Treating peripheral nerve injury (PNI) presents a clinical challenge due to limited axon regeneration. Strychni Semen, a traditional Chinese medicine, is clinically used for numbness and hemiplegia. However, its role in promoting functional recovery after PNI and the related mechanisms have not yet been systematically studied.
View Article and Find Full Text PDFJ Neurol Surg A Cent Eur Neurosurg
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Department of Neurosurgery, University Hospital Leipzig, Leipzig, Germany.
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