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In addition, physical therapy and related healing modalities (e.g., massage, acupuncture) may be recommended in order to promote proper healing, as well as to strengthen the surrounding muscles that can take over the neck brace's 'job' of ensuring proper spinal alignment when the patient starts (around 4 to 6 weeks after surgery) to wean off ...
Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
In 2004, a pulsed electromagnetic field system was approved by the FDA as an adjunct to cervical fusion surgery in patients at high risk for non-fusion. [6] On 8/9 September 2020 the FDA recommended to shift PEMF medical devices from the Class 3 category to a Class 2 status. [7]
X-ray of interbody fusion cage in cervical vertebrae, Juliet system. X-ray of interbody fusion cage in L5S1 vertebrae. An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded.
Cervical spinal cord injuries can result in tetraplegia or paraplegia, depending on severity. [6] Of spine injuries, only 0.01% [7] are unstable and require intervention (either surgery or a spinal orthosis). [8]
The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [ 2 ] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
Cervical spinal stenosis is one of the most common forms of spinal stenosis, along with lumbar spinal stenosis (which occurs at the level of the lower back instead of the neck). Thoracic spinal stenosis, at the level of the mid-back, is much less common. [2] Cervical spinal stenosis can be far more dangerous by compressing the spinal cord.
[19] [20] All prospective, randomized clinical studies that have been run in the United States have shown lumbar and cervical disc replacements to provide faster recovery, better long-term patient satisfaction, and fewer incidents of adjacent segment degeneration than comparative spinal fusion options. [19] [20]