Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Adjacent Segment Pathology
- And Finally, a Story about Cervical Vertebrae Anatomical Differences
For HealthBeat …. This is Dr. Todd Eglow.
Welcome to HealthBeat Podcast #573 recorded December 2, 2016.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Adjacent Segment Pathology
A recent study was published in the Asian Spine Journal, related to a problem referred to as Adjacent Segment Pathology.
Anterior cervical fusion has become a standard of care for numerous pathologic conditions of the cervical spine. However, subsequent development of clinically significant disc disease at levels adjacent to fused discs is a serious long-term complication of this procedure.
As more patients live longer after surgery, it is foreseeable that adjacent segment pathology (ASP) will develop in increasing numbers of patients. Also, adjacent segment pathology has been studied more intensively with the recent popularity of motion preservation technologies like total disc arthroplasty.
The true nature and scope of adjacent segment pathology remains poorly understood. The etiology of ASP is most likely multifactorial. Various factors including altered biomechanical stresses, surgical disruption of soft tissue and the natural history of cervical disc disease contribute to the development of ASP.
General factors associated with disc degeneration including gender, age, smoking and sports may play a role in the development of ASP.
Postoperative sagittal alignment and type of surgery are also considered potential causes of ASP.
Therefore, a spine surgeon must be particularly careful to avoid unnecessary disruption of the musculoligamentous structures, reduced risk of direct injury to the disc during dissection and maintain a safe margin between the plate edge and adjacent vertebrae during anterior cervical fusion.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917780/
Cervical Vertebrae Anatomical Differences
A study was published in the European Spine Journal, to describe certain anatomical variations of the foramen transversarium, in spine cervical vertebrae in a contemporary specimen of an Indo-European population and approach their clinical importance during cervical spine surgery.
The study concluded that 10 out of our 17 skeletons were presented with variations (extremely narrow or multiple foramina). This finding of hypoplastic, duplicated and triplicated foramina transversaria in unexpectedly high rates raises questions about the integrity of the contained structures, the possibility of a different path for them.
These variations may induce an extra-osseous position of the vertebra artery, and the ignorance of such an event may have catastrophic consequences during a surgery in the cervical spine.
Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-016-4738-3?wt_mc=alerts.TOCjournals
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Finally, I leave you with the following quote:
“We May Encounter Many Defeats But We Must Not Be Defeated.”
– Maya Angelou
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.