DOCSLIB.ORG

Spine-Brochure.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Spine-Brochure.Pdf Our Team Spinal Disorders Treated at the About Us Comprehensive Spine Center MICHAEL C. GERLING, MD The Comprehensive Spine Center is a multi-specialty Assistant Professor, Orthopaedic Surgery We provide a full spectrum of spine care, from group of highly trained physicians and care providers, Director, Spine Service exclusively dedicated to the most modern treatment conservative measures and pain management to Board-Certified in Orthopaedic Surgery options for spinal disorders of the neck and back. EDUCATION: University of California, San Diego minimally invasive procedures and large scale RESIDENCY: Ochsner Clinic, New Orleans reconstruction of spinal deformity. Our patients receive comprehensive care for the FELLOWSHIP: Case Western Reserve University myriad conditions that cause neck or back pain, AREAS OF EXPERTISE: Minimally Invasive Surgery, Disk Degeneration, • Ankylosing Spondylitis including trauma, work-related injuries, spinal Cervical Spine Conditions deformity, radiculopathy, infection, tumors, and • Arthritis degenerative spine diseases such as osteoarthritis, osteoporosis and kyphosis. CARL B. PAULINO, MD • Cauda Equina Syndrome University Orthopaedic Associates Assistant Professor, Orthopaedic Surgery Cervical Radiculopathy As the only academic medical center in Brooklyn, Scoliosis Surgeon, Spine Service • ComprehensiveComprehensive SUNY Downstate Medical Center is on the cutting- Board-Eligible in Orthopaedic Surgery edge of research and technology. Our surgeons EDUCATION: Saint George's University • Compression Fractures RESIDENCY: SUNY Downstate Medical Center are the only ones in the borough employing the FELLOWSHIP: NYU Hospital for Joint Diseases • Degenerative Disc Disease (DDD) latest, minimally invasive surgical techniques. Smaller AREAS OF EXPERTISE: Fractures and Dislocations incisions, less blood loss, and faster recovery time Scoliosis, Spinal Deformity, Back Pain, • result in the best possible outcomes for our patients. Total Disc Replacement Herniated Disc • SPINESPINE We also understand the importance of commun- SANJEEV AGARWAL, MD • Low Back Pain/Instability ication. Consistent interplay among our various Assistant Professor, Physical Medicine & Rehabilitation services ensures continuity of care under one Director, Interventional Pain Management • Myelopathy healthcare umbrella. Board-Certified in Physiatry and Pain Medicine EDUCATION: King George Medical College • Sciatica We are dedicated to eliminating our patients' pain, RESIDENCY: Nassau University Medical Center CenterCenter improving their quality of life, and returning them Scoliosis FELLOWSHIPS: Case Western Reserve University; • to a fully functional lifestyle as quickly as possible. University of Cincinnati AREAS OF EXPERTISE: • Spinal Cord Injury Interventional Pain Management, Back Pain, Fluoroscopic Injections • Spinal Stenosis • Spondylolisthesis Practice Locations • Torticollis According to the American Academy University Hospital of Brooklyn • • Traumatic Disorders of the Spine 470 Clarkson Avenue, Lower Level, Brooklyn, NY 11203 of Orthopaedic Surgeons, 80% of 710 Parkside Avenue, Brooklyn, NY 11226 Americans will suffer a bout of back pain • Whiplash Long Island College Hospital in their lifetime. 97 Amity Street, Brooklyn, NY 11201 Most insurance plans are accepted, including Medicare, No Fault, Workers’ Compensation and Managed Care Plans. • Back pain is the most common cause of Park Slope job-related disability in America, according 33 Prospect Park West, Brooklyn, NY 11215 Call for an Appointment to the National Institutes of Health, and Bay Ridge costs about $50 billion a year in treatments. or Additional Information 9202 Fort Hamilton Parkway, Brooklyn, NY 11209 6900 4th Avenue, Brooklyn, NY 11209 (718) 270-2045 An Affiliate of SUNY Downstate Medical Center • Approximately 1 in every 50 people will Department of Orthopaedic Surgery & Rehabilitation Medicine Canarsie experience a herniated disk at some point 9413 Flatlands Avenue, Suite 102 East, Brooklyn, NY 11236 MAILING ADDRESS in their life. 450 Clarkson Avenue, Box 30, Brooklyn, NY 11203 (718) 270-2045 Rockaway 114-12 Beach Channel Drive, Suite 7, Rockaway Park, NY 11694 www.downstate.edu/orthopaedics Back and Neck Pain— Comprehensive Diagnosis Spine Surgery Advantages of You Don’t Have to Live With it Minimally Invasive Surgery We work closely with board-certified When non-surgical options have been unsuccessful, surgical musculoskeletal radiologists to provide treatment can decompress the nerves, stabilize the spine and Many people live with daily back or neck pain, perhaps Small incisions from a pinched nerve or auto accident.They often a comprehensive diagnosis. help to correct spinal deformities. • Small surgical scars assume—incorrectly—that their only choices are to If pain still persists after conservative Some spinal procedures can be done with minimally • suffer or undergo major surgery. treatments are exhausted, we will invasive techniques, such as microscopic diskectomies • Less blood loss However, at the Comprehensive Spine Center, we have order diagnostic tests, such as x-rays, and cervical decompressions. In other cases, large scale • Less trauma to the body many levels of treatment options available to alleviate CT scans, bone scans, MRI or nerve reconstruction of Less post-operative pain their discomfort. Whether a crushed disc or just chronic, studies. spinal deformity • nagging pain, we can treat all spine problems. may be necessary. • Lower infection rate Degenerative We are the only surgeons in Shorter hospitalization Brooklyn performing state-of-the-art Disorders Related to Aging spondylolisthesis, • minimally invasive spine surgery. spinal instability, Quicker recovery Most patients leave the hospital the The Baby Boomer generation is already experiencing age- • following day with merely a bandaid! related spinal problems such as spondylolisthesis, disc disease, sciatica or radiation sciatica, spinal stenosis, myelopathy and radiculopathy. Most into the arms are Nerve Root Compression… conditions respond to conservative treatment. When sur- common disorders Microscopic Surgical Decompression gery is deemed necessary, minimally invasive procedures Interventional Pain Management that respond very well to surgical generally result in a much quicker, easier and full recovery. "People with sports injuries—led by boomers— A very small percentage of patients actually require surgery. are now the No. 2 group coming into the doctor's intervention. Many people find relief from pain through non-surgical office, behind those complaining of a cold." — U.S. News & World Report For patients who The majority of spinal disorders can be interventional procedures. have had previous treated without surgery. Our specialists in Interventional Pain Management use surgery and still experience difficulty, we are considered fluoroscopic-guided injections for non-surgical treatment the leading experts in Brooklyn. Our team consists of of back and neck pain. In addition to its obvious therapeutic orthopaedists, physiatrists, neurosurgeons, anesthesiologists, benefit, an injection can also play a very important diagnostic physician assistants, nurses and physical therapists. Traditional approaches require A minimally invasive technique large incisions resulting in muscle achieves a similar goal while Early Intervention is Advisable role in the identification of the source of pain for patients damage. That delays recovery minimizing tissue injury and who have had back pain unresponsive to treatment. and can ultimately lead to collateral damage. decreased strength in the back. After a complete medical history and physical examination, Epidural or facet joint injections can be extremely effective we generally begin with conservative treatment, such as in relieving chronic pain, sometimes permanently, and various types of nerve blocks may be used to avoid surgery. Spinal Minimally Invasive... Ms. Miller had spondylolisthesis…tremendous pain, bone anti-inflammatory medications, muscle relaxants, nerve crunching on bone, pressure smashing down on the nerve roots. stabilizers or prescription pain patches. cord stimulation may also be an option in select cases. Maximally Effective “The pain was going on for eight or nine years. I was very Team of Physical Therapy Spine Specialists depressed. I’m a single mother and I always worked. I was Just as open knee surgery was rendered archaic by the Physical therapy is often very effective and may include NEVER out of a job. Now I couldn’t work, I had no income and advent of arthroscopy, spine surgery has recently taken a this was DEVASTATING. I couldn't stand long enough to take a modalities such as heat, cold, massage, ultrasound, electrical similar leap. When surgery is warranted, the procedures of shower. When I was walking I had to stop every three or four stimulation, traction Scoliosis in Adults and Children today barely resemble those of the past. Only 10 years ago, minutes to take a break.” or acupuncture, and if you had back surgery, you could expect to spend up to a a specialized exer- She had been seen by at least four doctors.They sent her for Scoliosis, an abnormal curvature week in the hospital and a year of recovery before returning everything except, apparently, an MRI and an evaluation for cise program. We to normal activities, not to mention a very large scar. have both inpatient of the spine, most often manifests spinal surgery. "People warned me against doing back surgery." and outpatient itself in children
Load more

Recommended publications
  • Torticollis Is a Clinical Diagnosis Based on Head Tilt in Association with a Rotatory Deviation of the Cranium
    24. Define type of torticollis? Torticollis is a clinical diagnosis based on head tilt in association with a rotatory deviation of the cranium. Congenital muscular torticollis is the most common type of torticollis. It presents in the newborn period. Its cause is unknown, but it has been hypothesized to arise from compression of the soft tissues of the neck during delivery, resulting in a compartment syndrome. Radiographs of the cervical spine should be obtained to rule out congenital vertebral anomalies. Clinical examination reveals spasm of the sternocleidomastoid muscle on the same side as the tilt causing the typical posture of head tilt toward the tightened muscle and chin rotation to the opposite side. Initial treatment is stretching and is successful in up to 90% of patients during the first year of life. Surgery is considered for persistent deformity after 1 year of age. Common problems noted in patients with congenital muscular torticollis include congenital hip dysplasia and plagiocephaly (facial asymmetry). Source: Spine Secret Plus, 2nd ed. page 256. 25. What clinical problems result from basilar impression? Patients present with a short neck, painful cervical motion, and asymmetric of the skull and face. Additional clinical problems include nuchal pain, vertigo, long tract signs with associated cerebellar ataxia, and lower cranial nerve involvement resulting in dysarthria and dysphagia Source: Spine Secret Plus, 2nd ed. page 258 26. What is Steel’s Rule of Third? Steel noted that the area of the spinal canal at the C1 leve in a normal person could be divided into equal thirds with one third occupied by the odontoid process, one third by the spinal cord, and one third as empty space.
    [Show full text]
  • Sciatica and Chronic Pain
    Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh 123 Sciatica and Chronic Pain Robert W. Baloh Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh, MD Department of Neurology University of California, Los Angeles Los Angeles, CA, USA ISBN 978-3-319-93903-2 ISBN 978-3-319-93904-9 (eBook) https://doi.org/10.1007/978-3-319-93904-9 Library of Congress Control Number: 2018952076 © Springer International Publishing AG, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
    [Show full text]
  • Can Eyes Cause Neck Pain? International Journal of Therapy and Rehabilitation, 23 (10)
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Northumbria Research Link Citation: Hood, Wendy and Hood, Martin (2016) Can eyes cause neck pain? International Journal of Therapy and Rehabilitation, 23 (10). pp. 499-504. ISSN 1741-1645 Published by: Mark Allen Publishing URL: http://dx.doi.org/10.12968/ijtr.2016.23.10.499 <http://dx.doi.org/10.12968/ijtr.2016.23.10.499> This version was downloaded from Northumbria Research Link: http://nrl.northumbria.ac.uk/28627/ Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University’s research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher’s website (a subscription may be required.) Sensory Integration: Can eyes cause neck pain? Abstract This article is an analysis of literature relating to ocular-motor imbalance and the potential postural consequences.
    [Show full text]
  • CASE REPORT Cervical Spondylolysis
    Acta Orthop. Belg., 2006, 72, 511-516 CASE REPORT Cervical spondylolysis : A case report Seddik OUESLATI, Khalil ZAOUIA, Mouna CHELLI From the M. Matri Hospital, Ariana, Tunisia Cervical spondylolysis is defined as a corticated cleft a relatively innocuous condition, thus preventing between the superior and inferior articular facets of inappropriate treatment and unnecessary surgery. the articular pillar, the cervical equivalent of the pars We present a case of this anomaly as imaged interarticularis in the lumbar spine. Of primary with plain radiography, computed tomography and importance is its recognition to avoid confusion with MRI. Differential diagnosis and a brief review of more clinically significant abnormalities such as the literature are discussed. fracture or dislocation. This case report describes bilateral spondylolysis and associated dysplasia of C5 in a 31-year-old female. CASE REPORT We describe the radiographic presentation of this anomaly, stressing the importance of computed A 31-year-old woman was referred by her gen- tomography for correct diagnosis. eral practioner to our hospital, with neck and right A review of the literature on this interesting abnor- shoulder pain. This had started 7 years previously mality and a complete differential diagnosis are pre- without any identifiable trauma or other precipitat- sented. ing event. She was then treated conservatively with analgesics. Three months prior to her consultation, Keywords : cervical spine ; spondylolysis ; spondylolis- her neck pain worsened, without any neurological thesis ; radiography ; computed tomography ; magnetic deficit. On physical examination weakness of resonance imaging. abduction of the right shoulder was noted. Palpation of her neck revealed mild tenderness over the mid-cervical spine with painful limitation of INTRODUCTION Spondylolysis with or without spondylolisthesis is a rare condition in the cervical spine, charac- terised by the presence of a corticated cleft between ■ Seddik Oueslati, MD, Registrar.
    [Show full text]
  • Pattern of Premature Degenerative Changes of the Cervical Spine in Patients with Spasmodic Torticollis and the Impact on The
    J Neurol Neurosurg Psychiatry 2000;68:465–471 465 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.68.4.465 on 1 April 2000. Downloaded from Pattern of premature degenerative changes of the cervical spine in patients with spasmodic torticollis and the impact on the outcome of selective peripheral denervation S J Chawda, A Münchau, D Johnson, K Bhatia, N P Quinn, J Stevens, A J Lees, J D Palmer Abstract modic torticollis with botulinum toxin Objectives—To characterise the pattern of seems to have a protective eVect. Patients and risk factors for degenerative changes with spasmodic torticollis and restricted of the cervical spine in patients with spas- head mobility who do not adequately modic torticollis and to assess whether respond to treatment should undergo these changes aVect outcome after selec- imaging of the upper cervical spine. tive peripheral denervation. Patients with imaging evidence of moder- Methods—Preoperative CT of the upper ate or severe degenerative changes seem cervical spine of 34 patients with spas- to respond poorly to selective peripheral modic torticollis referred for surgery were denervation. reviewed by two radiologists blinded to the (J Neurol Neurosurg Psychiatry 2000;68:465–471) clinical findings. Degenerative changes were assessed for each joint separately Keywords: osteoarthritis; spasmodic torticollis; com- and rated as absent, minimal, moderate, puted tomography; selective peripheral denervation or severe. Patients were clinically assessed before surgery and 3 months postopera- Idiopathic spasmodic torticollis is the most tively by an independent examiner using common form of adult onset focal dystonia.1 It standardised clinical rating scales. For comparison of means a t test was carried is characterised by repetitive or sustained con- tractions of neck muscles that lead to an out.
    [Show full text]
  • Adolescent Idiopathic Torticollis: Morphological Vertebral Changes of the Spinal Canal and the Spinal Cord Position: a Case Report
    ISSN: 2469-5777 Carbonell and Ruiz. Trauma Cases Rev 2017, 3:056 DOI: 10.23937/2469-5777/1510056 Volume 3 | Issue 2 Trauma Cases and Reviews Open Access CASE REPORT Adolescent Idiopathic Torticollis: Morphological Vertebral Chang- es of the Spinal Canal and the Spinal Cord Position: A Case Report Pedro Gutiérrez Carbonell* and Ruiz Miñana E Check for Department of Orthopedic Surgery and Traumatology, General University Alicante Hospital, Spain updates *Corresponding author: Pedro Gutiérrez Carbonell, Department of Orthopedic Surgery and Traumatology, General Uni- versity Alicante Hospital, Paraje Ledua E-25, 03660-Novelda, Spain, Tel: 00-34-606-468-139, Fax: 00-34-965-242-454, E-mail: [email protected] (Sandifer Syndrome), traumatic or oropharyngeal inflam- Abstract mation (Grisel’s Syndrome), anomalies of the brain stem Cervical spinal canal deformities can be caused by muscu- and cervical spine (syringomyelia, diastematomyelia and lar deforming forces, as in the case of a 10-year-old male with inveterate left torticollis. Atlas and axis bone deformi- Arnold-Chiari malformation) or tumors of the posterior ties were observed, including subluxation of the odontoid cranial fossa (astrocytoma and ependymoma) [1-5]. After apophysis, hypertrophy of the anterior arch of the atlas, hy- this wide differential diagnosis was made, orthopedic and poplasia of the posterior arches of atlas, and deformation occasionally surgical treatment of torticollis with muscular of the spinal canal accompanied by an eccentric position of the spinal cord. After tenotomy of Sternocleidomastoid etiology is performed, preferably, within the first year of Muscle (SCM) and 5-years of follow-up, the deformities life, because after this age facial deformities are irrevers- were unchanged.
    [Show full text]
  • Your Chiropractic
    Your chiropractic diagnostic Your health on a daily basis your chiropractic Therapeutic use of ice and heat Sleep Position report of findings Your pillow should keep your neck aligned with the Skull rest of your spine. HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN ICE : For severe injuries (first 48 hours), swellings, bruises, sprains, stabbing pains • On your back side, place a pillow under your knees NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • or joint pains. to ease spinal tensions. VERTEBRAE C1 1. Apply ice or gel pack. EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • C2 • On your side, a pillow between your knees will avoid C3 2. Always use a thin piece of cloth between the ice pack and your skin. SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS HEADACHES • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • Cervical C4 3. Apply ice for 10 to 12 minutes every hour. having a twisted torso and spine. C5 C6 4. In subacute or chronic conditions, ice can be used 2 to 3 times for 10 to 12 minutes • Never sleep on your stomach. TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES C7 every day. DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • T1 5. NEVER leave ice on for more than 12 minutes.
    [Show full text]
  • MRI Findings for Low Back Pain Can Be Misleading
    March 1, 2007 • www.familypracticenews.com Musculoskeletal Disorders 43 MRI Findings for Low Back Pain Can Be Misleading BY BRUCE K. DIXON taken within 6-12 weeks of the start of a new low back er had some degenerative disease at the L4-5 level and, Chicago Bureau pain episode, were then compared with baseline (asymp- at follow-up scan, had a grade 1 spondylolisthesis with in- tomatic) images. creased stenosis,” Dr. Carragee said. S EATTLE — MRI findings within 12 weeks of serious Within the total cohort, 25% were evaluated with a Subjects involved in current compensation claims were low back pain inception are unlikely to represent new lumbar MRI for clinically serious low back pain episodes more likely to have an MRI scan to evaluate a low back structural change, according to a study at Stanford (Calif.) occurring during follow-up, and pain episode but were unlikely to University. 6% had a primary radicular com- have significant new findings. “We had hypothesized that serious low back pain plaint. Of those 51 patients, 43 ei- ‘Physicians “In usual practice, if a patient episodes would be commonly associated with new and ther had an unchanged MRI or directing has minor trauma from a fender specific findings on MRI, and we were really thinking showed regression of baseline treatment need to bender or a fall and you get an about such things as annular tears, fissures, disk hernia- changes. be careful before MRI, it shows a high-intensity tion, new disk protrusion, and end plate changes. But ... “There are relatively few new saying, “Aha! I zone, an annular fissure, or end the data didn’t support that hypothesis,” said Dr.
    [Show full text]
  • Neuro Spine Care for Kids
    Volume 2, Issue 1 NEURO SPINE CARE FOR KIDS David Wrubel, M.D., and Barun Brahma, M.D. When the spine is properly functioning, a child can run, jump, play and learn—a kid can be a kid. However, when the spine malfunctions due to a birth defect, tumor, injury or disease, a child’s activity level can change overnight. The Pediatric Spine: Not Just an Adult Spine To use an old adage, children are not small adults. This statement is particularly appropriate when discussing the spine. At birth, the newborn spine is relatively straight, lacking the normal sagittal curves seen in adults. When the newborn begins holding his head up, the cervical lordosis develops, which is followed by development of the lumbar lordosis when the child begins standing and walking. A child’s head proportionately accounts for far more total body area and mass than an adult’s head, a roughly one-to-four ratio in infants compared to a one-to-seven ratio in adults. This, combined with disproportionately weak cervical musculature and small spinous processes, places greater stress on the pediatric cervical spine, helping to explain why the cervical spine is the most injured segment of the immature spine. Other significant differences between the pediatric and adult spine include anterior wedging of the vertebral bodies; more horizontal orientation of the facet joints; and overall laxity of the spinal ligaments (particularly the interspinous ligament). These factors both predispose children to a different pattern of injury and disease and present special challenges in the management of pediatric spine pathology.
    [Show full text]
  • Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?
    children Article Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome? Jun-il Park, Joo-Hyun Kee , Ja Young Choi and Shin-seung Yang * Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Korea; [email protected] (J.-i.P.); [email protected] (J.-H.K.); [email protected] (J.Y.C.) * Correspondence: [email protected] Abstract: It has been reported that congenital muscular torticollis (CMT) may result in secondary scoliosis over long-term follow-ups. However, there are few reports on whether CMT causes pelvic malalignment syndrome (PMS). This study aimed to investigate the relationship between CMT and PMS and to determine the factors associated with the development of PMS in children with longstanding CMT. Medical records of 130 children with CMT who had long-term follow-up were reviewed retrospectively. The chi-squared test and logistic regression analysis were used to determine which initial clinical parameters contributed to the development of PMS. Among 130 children with CMT, 51 (39.2%) developed PMS with or without compensatory scoliosis during long-term follow-up, indicating a high prevalence of PMS in children with a CMT history. Initial clinical symptoms such as a limited range of motion of the neck or the presence of a neck mass could not predict the development of PMS. Even if the clinical symptoms are mild, long-term follow-up of children with CMT is essential to screen for PMS. Citation: Park, J.-i.; Kee, J.-H.; Choi, Keywords: pelvic malalignment syndrome; congenital muscular torticollis; long-term follow-up; scoliosis J.Y.; Yang, S.-s.
    [Show full text]
  • Complications of Cervical Spine Manipulation Therapy: 5-Year Retrospective Study in a Single-Group Practice
    Neurosurg Focus 13 (6):Clinical Pearl, 2002, Click here to return to Table of Contents Complications of cervical spine manipulation therapy: 5-year retrospective study in a single-group practice DAVID G. MALONE, M.D., NEVAN G. BALDWIN, M.D., FRANK J. TOMECEK, M.D., CHRISTOPHER M. BOXELL, M.D., STEVEN E. GAEDE, M.D., CHRISTOPHER G. COVINGTON, M.D., AND KENYON K. KUGLER, M.D. Oklahoma Spine and Brain Institute, Tulsa, Oklahoma; and Texas Tech University, Author: provide city and state Object. The authors report a series of 22 patients in whom major complications developed after cervical spinal manipulation therapy (CSMT). A second objective was to estimate the regional incidence of these complications and to compare it with the very low incidences reported in the literature. Methods. During a 5-year period, practioners at a single group neurosurgical practice in Tulsa, Oklahoma, treated 22 patients, who were markedly worse during, or immediately after, CSMT. The details of these cases are reported. The 1995 US Government National Census was used to define the regional referral population for Tulsa. The pub- lished data regarding the incidence of serious CSMT-related complications and the rate of CSMTs undertaken nation- ally were used to estimate the expected number of CSMT-related complications in the authors’ region. The number (22 cases) reported in this series was used to estimate the actual regional incidence. Complications in the series included radiculopathy (21 cases), myelopathy (11 cases), Brown–Séquard syndrome (two cases), and vertebral artery (VA) occlusion (one case). Twenty-one patients underwent surgery. Poor outcomes were observed in three, outcome was unchanged in one, and 17 improved.
    [Show full text]
  • Left Torticollis Right Torticollis
    Objectives Torticollis and Plagiocephaly To gain a better understanding of: • WHAT are torticollis and plagiocephaly Diana Sullivan Compton, PT • WHY the incidence has increased so dramatically Children’s Hospital of Eastern Ontario • WHO is most at risk • HOW you can help with prevention • WHEN intervention should be initiated Left torticollis Right torticollis WHAT is torticollis? • The word torticollis describes a posture characterized by ipsilateral side flexion (± flexion or extension) and contralateral rotation N.B. Torticollis is named by the direction of the TILT, not the TURN. • Other soft tissue (skin, fascia) and muscles may also be affected Review of Anatomy • Muscle most commonly associated with torticollis is the sternocleidomastoid (SCM) • There is a SCM on each side – 1 can be tight Splenius capitis – 1 can be weak Levator scapula – A combination of both Platysma Scalenes 1 Types of Torticollis Differential Diagnosis • Congenital muscular torticollis (CMT) • Less common – Intra-uterine positioning – Klippel-Feil syndrome – Fibromatosis – Cervical spine articular malformations, subluxations, or – Generally, shortening of SCM on one side dislocations – Incidence varies from 0.4-1.9% (Karmel-Ross, 1997) to 16% – CNS lesions (cervical spinal cord, intracranial) or peripheral (Stellwagen, 2008) nerve lesions • Can also be acquired after birth – Benign paroxysmal torticollis – SCM shortening less likely – GERD (Sandifer’s syndrome) – Contralateral weakness generally the problem – Ocular torticollis – Vestibular torticollis Associated
    [Show full text]