ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

A study was conducted to attempt to elucidate the significance of the nuchal ligament in the human body. In this investigation, the nuchal ligament of man and the domesticated ox were compared anatomically, functionally, and biomechanically. Significant findings include the demonstration of the entry and arborization of nerve fibers into the substance of both human and bovine nuchal ligaments. It is postulated that some of the small nerve filaments might represent proprioceptive receptors which participate in a proposed connection between the nerves in the nuchal ligament and the posterior cervical musculature by way of the spinal cord. Hence the nuchal ligament may have neurophysiologic significance and assist in head position and control. The bovine nuchal ligament possesses elastic properties which may be shared by human ligamentum flava.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

In an effort to facilitate the diagnosis and treatment of instability of the lower cervical spine, a definition of the termclinical instabilityand a systematic method for identifying it based on an analytic review of the literature is presented.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Cervical angina, an uncommon constellation of symptoms produced by cervical osteoarthritis but closely mimicking coronary ischemic disease, will be discussed and its meager literature reviewed. A series of 7 cases from Pennsylvania Hospital will be evaluated, emphasizing that distinct clinical diagnosis can be made and that mechanical therapeutic techniques can be effective. A discussion of both known and suggested pathophysiologic mechanisms of pain production and their anatomic significance will be offered.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The procedures for operative treatment of cervical spinal disease and injury have proven to be technically simple and to have a low incidence of postoperative morbidity. There are occasional technical difficulties, however, which have been encountered during these procedures, one of the most common being graft failure for a variety of reasons. Work currently being done on the efficacy of a technique to circumvent graft failure is reported here. Segments of fibula have been used to secure stability and arthrodesis in the management of 26 patients with disease or injury of the cervical spine. Surgical objectives have been uniformly achieved in 19 patients with proper selection and adequate followup. Early technical problems are described.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Among the functions intended for SPINE is the definition of the problems in the field of spine surgery. The Presidential Address delivered by Robert B. Winter, MD to the Scollosis Research Society in 1974 traces the development of successful methods of treatment for genetic scollosis and depicts the current state of the art. However, Dr. Winter shows that substantial deficits exist in the general application of the knowledge at hand, and large numbers of questions remain unanswered, even today. While his challenge is given to the members of that Society specifically, his arguments should be the proper concern of all involved in the management of spine deformity.—HL

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Fourteen of 15 myelodysplastic patients evaluated for developmental scoliosis were found to have communicating hydrosyringomyelia, a manifestation of spontaneously arrested hydrocephalus. Eight of these patients had progressive extremity paralysis in addition to the scoliosis. Treatment by ventricular decompression was associated with short term stabilization in 6 early cases of scoliosis. However, more advanced scoliosis in 2 patients continued to progress. Neurologic deficits were improved even in advanced cases by ventricular shunting. The authors propose that hydromyelia and syringomyelia are the cause of developmental scoliosis in myelodysplasia and suggest methods of investigating and treating patients with these conditions.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The Terminology Committee of the Scoliosis Research Society has compiled the present glossary which is intended to provide a uniform terminology for use in publications, presentations, and when teaching by members of the Society and other orthopaedists who do a substantial amount of work with scoliosis. All descriptions and names of casts and instrumentation systems have been eliminated.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The low-back pain problem reviewed in this paper represents a great challenge to orthopaedic surgeons around the world. Although in most instances a rather undramatic problem, low-back pain is, in patients aged 30 to 60 years, the most expensive ailment from a socio-economic viewpoint. The intervertebral disc is most likely the cause of the pain, but at present the etiology is unknown, and hence, for the majority of patients, only symptomatic treatment is available. So far no convincing evidence exists that any type of conservative treatment for the patient with low-back pain is superior to nature's own course. The paramount importance of a correct preoperative diagnosis for those with sciatica due to disc herniation is reiterated. For 98% of patients, the present knowledge of the psychologic, social, and mechanical stress factors, which are described in this paper, should be utilized for proper counseling, together with attempts at correction with any type of noninvasive modality according to the preference of the individual physician.

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The efficacy of meglumine iocarmate (Dimeray, Dimer-X) as a myelographic agent was evaluated by comparing myelographic findings in 67 patients with data obtained from discography in 62 patients and from surgery in 5. Myelography demonstrated the presence of defects at the same level at which they were found with discography in 57 of the 62, and with surgery in all 5 cases. Meglumine iocarmate (Dimeray, Dimer-X) is considered to be a relatively safe contrast material with gives improved radiographic definition in the lumbosacral spinal canal when compared with iodophenylundelic acid (Pantopaque).

ISSN:0362-2436    

出版商:OVID    

年代:1976

数据来源: OVID