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Cervical Disc Injury

Thursday, January 9th, 2020
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Prospective, Randomised, Double-Blind Clinical Study evaluating the correlation of Clinical Outcomes and Cervical Sagittal Alignment

PUBLISHED: Neurosurgery. 2011 May;68(5):1309-16; discussion 1316. doi: 10.1227/NEU.0b013e31820b51f3. PUB MED: https://www.ncbi.nlm.nih.gov/pubmed/21792113

AUTHORS: Villavicencio AT, Babuska JM, Ashton A, Busch E, Roeca C, Nelson EL, Mason A, Burneikiene S.

RESULTS:  Patients who had maintained or improved segmental sagittal alignment, regardless of graft type, achieved a higher degree of improvement in Short Form-36 Physical Component Summary and Neck Disability Index scores. This was statistically significant (P < .038).

CONCLUSION:  Maintaining a consistent segmental sagittal alignment or increasing segmental lordosis was related to a higher degree of improvement in clinical outcomes.

Spinal Centre Note: Appears surgeons are picking up what Chiropractic BioPhysics practitioners have been talking about. Well done.

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Wednesday, January 8th, 2020
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Does improvement towards a normal Cervical Sagittal configuration aid in the management of Lumbosacral Radiculopathy

PUBLISHED: 2015, Journal of Chiropractic Medicine 14 (2). Pub Med: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523573/

AUTHORS: Moustafa IM, Diab AA, Harrison DE.

Proceedings of the 13th World Federation of Chiropractic Biennial Congress / ECU Convention, Athens, Greece, May 13-16, 2015. Paper #184 Mediterranean Region Award Winning Paper.

INITIAL CONCLUSIONS: Improvement of normal cervical sagittal configuration aids in the management and rehabilitation of patients with lumbosacral disc disruption and radiculopathy.

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Sunday, May 19th, 2019
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Increase in Cerebral Blood Flow indicated by increased Cerebral Arterial area and pixel intensity on brain magnetic resonance angiogram following correction of Cervical Lordosis.

PUBLISHED: Brain Circ. 2019 Jan-Mar;5(1):19-26. doi: 10.4103/bc.bc_25_18. Epub 2019 Mar 27. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/31001596

AUTHORS: Katz EA1, Katz SB1, Fedorchuk CA2, Lightstone DF2, Banach CJ1, Podoll JD3.

RESULTS: Pixel intensity increased 23.0%-225.9%, and a Student’s t-test determined that the increase was significant (P < 0.001). Regression analysis of the change in pixel intensity versus the cervical lordosis showed that as the deviation from a normal cervical lordosis increases, percentage change in pixel intensity on MRA decreases.

CONCLUSION: These results indicate that correction of cervical lordosis may be associated with an immediate increase in cerebral blood flow.

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