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At least 19 recordsLinked to original sources

Dome-like expansive laminoplasty for the second cervical vertebra.

The second cervical vertebra (C2) is in a pivotal position for the alignment and stability of the cervical vertebrae as a whole. Since its spinal canal is wider at the cranial and narrower at the caudal end, a dome-like excision of the inner side of the spinal canal from the caudal toward the cranial end results in the decompression of the lesion, preserving the dorsal part of the C2. The authors performed this C2 dome-like expansive laminoplasty on 33 patients (25 cases of the ossification of the posterior longitudinal ligament, six of developmental spinal canal stenosis, and two of spondylosis) and kept them under follow-up observation, which ranged from 1 to 7 years (mean, 3.5 years). The result was satisfactory in terms of the decompression and stability of the cervical vertebrae: even 5 years after the operation, no osteogenesis was noted in the expanded spinal canal to induce compression again. It thus may be concluded that this method is good enough to replace conventional laminectomy.

Aged

The ossification of the costal element of the seventh cervical vertebra with particular reference to cervical ribs.

During 16 years of study at Northwick Park Hospital 715 fetuses were radiographed to determine the incidence of skeletal malformations. A technique using low kV and industrial film provided higher resolution radiographs than would have been possible in live births because of dose considerations. Gestational age calculated from LMP and ultrasound findings ranged from less than 18 weeks to 42 weeks. A separate costal element of C7, the possible precursor of a cervical rib, could be identified in 63% of fetuses. Males outnumbered females 403:311 but there was no intersex difference in the presence of such rudimentary cervical ribs with 63 and 64% respectively in each group. Of the 452 cases with separate costal elements, 73% were bilateral. Of the unilateral group 60% occurred on the right and 40% on the left. There was no significant difference in the incidence between the gestational age groups from 20 weeks onwards, confirming that the disappearance of the separate element occurs predominantly after birth, 394 cases (87%) of fetuses had an otherwise normal skeleton.

Cervical Rib Syndrome

A comparative study of the foramen transversarium of the sixth and seventh cervical vertebrae.

The purpose of our study was to evaluate the individual variations of the foramen transversarium of the seventh cervical vertebra. This foramen sometimes has the same dimensions as the foramina of the other cervical vertebrae, but it can also be smaller, or absent. In cases where a foramen is present in the seventh cervical vertebra, vascular or nerve structures (or both) can be occasionally observed within. When the transverse foramina are found to contain none of the above structures, what then is to be found within this space? According to our results, the transverse foramina of the seventh cervical vertebra almost always contains vascular and nerve branches as well as fibrous and adipose tissues. This report concerns the results of the macroscopic and microscopic studies concerning the contents of the transverse foramina of the sixth and seventh cervical vertebrae. The comparative study was completed at the Department of Anatomy of the Faculty of Medicine, University Laval.

Cadaver

Computed tomography of congenital spondylolisthesis of the sixth cervical vertebra.

Congenital anomalies of the cervical spine occur relatively commonly. An interesting anomaly is congenital spondylolisthesis of the sixth cervical vertebra. We are presenting a case of this anomaly as imaged with plain radiography and computed tomography. We have also reviewed the previous literature and attempted to clarify distinctions between bilateral cervical spondylolysis with spondylolisthesis and other cervical spine lesions.

Adolescent

[Differential roentgenological diagnosis of injuries of the lower cervical vertebrae].

On the basis of 14 experiments with simulation of the lower cervical vertebra dislocations on cadavers and human cervical vertebra blocks, combined with stage discography, the authors singled out 3 groups of +disk and ligament structure damages: damage of capsular--ligamentous apparatus of the rear support complex; damage of ligamentous--capsular apparatus and disk; damage of ligamentous-capsular apparatus, frontal longitudinal ligament and total rupture of a disk. Differentiation is made according to the degree of dislocation of vertebra bodies and articular processes. The data are confirmed by the results of discography of 20 patients.

Adolescent

[Contents of the transversal foramen of the seventh cervical vertebra].

The purpose of our study was to evaluate the individual variations of the foramen sometimes has the same dimensions as the foramen of the other cervical vertebrae, but it can also be smaller, or absent. In cases where the foramen is present in the seventh cervical vertebra, vascular or nerve structures (or both) can be occasionally observed within. When the transverse foramina are found to contain none of the above structures, what then is to be found within this space? According to our results, the transverse foramina of the seventh cervical vertebra almost universally contain vascular and nerve branches as well as fibrous and adipose tissue. This report concerns the results of the macroscopic and microscopic studies concerning the contents of the transverse foramina of the seventh cervical vertebra.

Cervical Vertebrae

CT and MRI in hydatid disease of cervical vertebrae.

Hydatid disease (HD) of the cervical spine is rare. A case investigated by computed tomography (CT) and magnetic resonance imaging (MRI) is presented. While CT shows the bone lesion better, MRI is superior in demonstrating compression of neural structures. The complementary use of CT and MRI in such cases is suggested.

Adult

[Fusion of the cervical vertebrae of mammals].

Morphogenesis of the cervical vertebrae has been investigated in Dipis sagitt. and in Rattus norvegicus. The main distinctive feature of the Dipis embryos at the mesenchymal stage is their very thin perichordal intervertebral rings. As a result, short cartilaginous vertebral bodies and thin intervertebral discs develop, cervical segments lengthen more slowly than those of the Rattus. Because of the small length of the Dipis cervical segments, the cartilaginous neural arches and the transverse processes of 2-6 vertebrae draw nearer and fuse. Owing to the insufficient development of the Dipis intervertebral discs and the nuclei pulposae, the normal formation of the vertebral epiphyses is disturbed, this results in fusion of the neighbouring osseous vertebral bodies.

Animals

The venous drainage of the cervical vertebrae of the ox (Bos taurus L.).

The venous drainage of the cervical vertebrae of the ox was studied in 16 animals (Friesland, Jersey and Guernsey cross-breeds), ranging from near full-term foetuses to adults. The extra- and intraosseous veins of the cervical vertebrae are described and illustrated. The nutrient vessels are derived from the vertebral, deep cervical, occipital and internal jugular veins. In addition to the dorsal and ventral external venous plexuses, a lateral external venous plexus is described. The intraosseous veins correspond in the main to the arteries. They are described and illustrated with reference to the available literature. In both young and adult animals anastomoses between epi- and metaphysial vessels are reported. The role of the internal ventral vertebral venous system as a collateral pathway is stressed and comments are made on its possible functional role.

Aging

Eosinophilic granuloma of the second cervical vertebra.

The occurrence of eosinophilic granuloma in the body of the second cervical vertebra of a young adult male is presented. The necessity of making a histologic diagnosis and prevention of vertebral instability led to operative intervention. Treatment consisted of posterior fixation of the spinous processes of the second and third cervical vertebrae with size 0 wire. Through a transoral approach the lesion was curetted, and bone chips were placed in the vertebral defect. The patient remains well, and disease-free, after 36 months.

Adult

[CT of fractures and ligament ruptures of the 1st and 2d cervical vertebrae].

On the basis of a patient material from a period of 14 months in a neuroradiological department, the fracture types in the first and second cervical vertebrae are reviewed. Computed tomography is found to be of particular value in cases of suspected fractures of the first cervical vertebrae, which is frequently found to be considerably more fragmented on computed tomography than in conventional x-rays, while fractures can be excluded in other cases. In cases of fracture of the second cervical vertebrae, computed tomography can reveal rotation of fragments of the body into the spinal canal while fractures of the dens may be overlooked if supplementary reconstructive sections are not carried out.

Cervical Vertebrae

The arterial blood supply of the cervical vertebrae of the ox (bos taurus l.).

The arterial supply to the cervical vertebrae of the ox was studied in 22 animals (Friesland, Jersey and Guernsey cross-breeds), ranging from near full-term foetuses to adults. Various techniques, including angiography and clearing of bone, were employed to expose the extra- and intraosseous distribution of the arteries and a description is given of a modified Spalteholtz clearing technique. The extraosseous nutrient arteries are described and illustrated. A uniform pattern emerged from the investigation and it is suggested that the main branches be named: (1) the artery of the vertebral arch; (b) the artery of the transverse process; (c) the basivertebral arteries. Frequent anastomoses between epi- and metaphysial vessels in young animals are reported, and stress is laid on the effective collateral supply maintained by the extra- and intraosseous nutrient vessels.

Animals