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Related Concept Videos

Degenerative Disc Disease I: Introduction01:27

Degenerative Disc Disease I: Introduction

Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...
Spinal Cord: Gross Anatomy01:15

Spinal Cord: Gross Anatomy

The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
General Structure of a Vertebra01:30

General Structure of a Vertebra

A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous column.

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Related Experiment Videos

Cervical spine: degenerative conditions.

Andrew G Todd1

  • 1Southern Orthopedic Specialists, 2731 Napoleon Ave., New Orleans, LA, 70115, USA, agtodd@hotmail.com.

Current Reviews in Musculoskeletal Medicine
|October 25, 2011
PubMed
Summary

Degenerative cervical spine disorders are common, causing pain and neurological issues. Newer surgical options like laminotomy and disc arthroplasty show promise for better outcomes, though more research is needed.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Disorders

Background:

  • Degenerative cervical spine disorders affect a significant portion of the population.
  • These conditions can range from episodic discomfort to debilitating pain and neurological deficits.
  • Current management includes non-operative treatments and traditional surgical approaches like decompression and fusion.

Purpose of the Study:

  • To review current treatment modalities for degenerative cervical spine disorders.
  • To evaluate the efficacy and potential complications of traditional surgical interventions.
  • To explore the role of emerging surgical techniques such as laminotomy/foraminotomy and total disc arthroplasty.

Main Methods:

  • Review of existing literature on degenerative cervical spine disorders.

Related Experiment Videos

  • Analysis of outcomes and complications associated with various surgical treatments.
  • Discussion of ongoing clinical trials and future research directions.
  • Main Results:

    • Traditional surgical methods like decompression and fusion are effective but can lead to adjacent level disease.
    • Laminotomy/foraminotomy and total disc arthroplasty offer potential advantages in avoiding some complications.
    • These newer techniques aim to provide similar clinical results with potentially fewer adverse effects.

    Conclusions:

    • Non-operative treatments remain crucial for managing cervical spine disorders.
    • While promising, the long-term benefits and widespread applicability of newer surgical technologies require further investigation.
    • Continued research is essential to establish the definitive role of these advancements in patient care.