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Cervical and thoracic pain.

J H Bland1

  • 1University of Vermont College of Medicine, Burlington.

Current Opinion in Rheumatology
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

This study reveals novel cervical spine anatomy and physiology, challenging existing assumptions. Further research is needed on the autonomic nervous system in the cervical spine.

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Area of Science:

  • Spinal Anatomy and Physiology
  • Autonomic Nervous System Research
  • Cervical Spine Studies

Background:

  • The cervical spine is traditionally considered fully understood, with no new anatomy or physiology expected.
  • Existing anatomical descriptions may include non-existent structures.
  • The autonomic nervous system's role in the cervical spine remains poorly understood.

Purpose of the Study:

  • To describe previously unreported cervical spine anatomy and physiology.
  • To identify and correct erroneous anatomical descriptions.
  • To highlight the need for research into the cervical autonomic nervous system.

Main Methods:

  • Review of existing literature and anatomical descriptions.
  • Identification of discrepancies between reported and actual cervical anatomy.

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  • Synthesis of findings related to cervical spine pathologies and treatments.
  • Main Results:

    • Description of novel cervical anatomy and physiology.
    • Correction of extensively described but non-existent anatomical features.
    • Evidence of intradiscal gas herniation.
    • Efficacy of early mobilization for chronic neck pain.
    • Successful surgical treatment for severe hemicranial migraine.
    • Utility of MRI in thoracic disc herniation for precise localization and cord compression assessment.

    Conclusions:

    • The cervical spine contains undescribed anatomy and physiology.
    • Further investigation into the cervical autonomic nervous system is warranted.
    • Diverse clinical findings, including disc herniation and migraine, are discussed in the context of cervical spine research.