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World Scientific Publishing Company, Incorporated
Cervical Spondylosis and Similar Disorders / Edition 1

Cervical Spondylosis and Similar Disorders / Edition 1


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Cervical Spondylosis and Similar Disorders / Edition 1

With rapid advances in medical technology and progress in medicine during the last 27 years, severe disability or sustained neck-shoulder-arm pain secondary to cervical spondylosis can be detected much earlier. Excellent or good results of surgery can be achieved compared to the past, due mainly to advances in diagnostic imaging and surgical procedure.Through research into cervical spondylotic myelopathy, particularly the conditions combined with a narrow spinal canal, orthopaedic surgeons in Japan have revealed the key mechanism involved in myelopathy and the specific manifestation leading to early recognition of the affliction, the “myelopathy hand”, and have invented a canal-expansive laminoplasty. Extensive decompression of the impinged spinal cord with remarkable ill effects such as instability or adhesion was accomplished for the first time. Further study has been ongoing to clarify the pathomechanism of “spondylosis” through biomechanical and animal model studies.This volume consists of contributions by experts worldwide on the recent advances in the study of cervical spondylosis and will serve as a valuable reference for all researchers, surgeons and postgraduate students.

Product Details

ISBN-13: 9789810227449
Publisher: World Scientific Publishing Company, Incorporated
Publication date: 09/28/1998
Pages: 763
Product dimensions: 6.70(w) x 9.80(h) x 1.40(d)

Table of Contents

Introductory Remarksix
Chapter 1Age-Related Changes of the Cervical Spine and Epidemiology of Neck Pain1
Chapter 2Clinical Anatomy of the Cervical Spine15
Chapter 3Biomechanics of Spondylosis33
Chapter 4An Animal Model of Cervical Spondylosis
(i)Spondylosis of Rodents as a Consequence of Spinal Instability63
(ii)Genetic Susceptibility to Intervertebral Disc Degeneration in Transgenic Mice77
Chapter 5Pathology and Pathophysiology
(i)Pathology of Cervical Spondylosis, Spondylotic Myelopathy, and Similar Disorders -- Is Clinicopathological Correlation Verified?89
(ii)The Pathophysiology of Chronic Compressive Cervical Myelopathy141
Chapter 6Symptomatology
(i)Axial Symptoms Including Cervical Migraine and Cervical Angina167
(ii)Radicular Symptoms, Myelopathic Symptoms Including Spastic and Amyotrophic Hand181
Chapter 7Radiographic Evaluation of the Cervical Spine223
Chapter 8Electrophysiological Diagnosis for Radiculopathy and Myelopathy: Differential Diagnosis271
Chapter 9Diagnosis and Differential Diagnosis
(i)The Neurologist's View on Differential Diagnosis in Patients with Cervical Spine Disorders287
(ii)The Surgeon's View on Differential Diagnosis in Patients with Cervical Spine Disorders297
Chapter 10Non-Surgical Treatment
(i)Non-Surgical Treatment Including Physical Therapy331
(ii)Traction (with a Cervical Halter or Skull Tongs) and Epidural Steroid Injection for Radicular Pain Secondary to Cervical Disc Hernia and Spondylosis349
Chapter 11Surgical Treatment
(i)The Development of the Surgical Approaches for Cervical Radiculopathy and Spondylotic Myelopathy357
(ii)Anterior Approach to Cervical Spondylosis395
(iii)Surgical Approach to Radicular Pain of the Degenerative Cervical Spine441
(iv)Anterior Surgery Specific to Deltoid Muscle Paresis455
(v)Laminectomy for Cervical Spondylosis: Indications and Techniques477
(vii)Comparison Between Anterior and Posterior Approach523
(viii)Fusion and Cervical Spondylosis -- To Fuse or Not to Fuse539
(ix)Instruments and Substitutes for Bone Graft555
(x)Causes of Neurological Regression During the Postoperative Period and Unexpected Outcome577
(xi)Morbidity and Mortality in Surgery for Cervical Spondylosis -- Toward More Effective and Safe Surgery589
Chapter 12Prognosis and Risk Factors in Cervical Spondylosis627
Chapter 13Premature Spondylosis in the Cervical Spine in Athetoid Cerebral Palsy651
Chapter 14Cervical Spondylosis and Trauma
(i)Spinal Cord Injury in Elderly Persons with Cervical Spondylosis671
(ii)Whiplash Injuries and Cervical Spondylosis683
Chapter 15Ossification of the Posterior Longitudinal Ligament (OPLL): Epidemiology, Pathology, Etiology, Diagnosis and Treatment701

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