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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.
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.
The vertebral column is often used as a marker of human anatomy. This includes: At C1, base of the nose and the hard palate; At C2, the teeth of a closed mouth; At C3, the mandible and hyoid bone; At C4, the common carotid artery bifurcates. From C4–5, the thyroid cartilage [10] From C6–7, the cricoid cartilage [10]
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
The middle cervical ganglion is presumed to represent the union of the two sympathetic ganglia corresponding to cervical segments C5–C6 since its gray rami communicantes usually join the cervical spinal nerves C5–C6, however, the ganglion sometimes also contributes gray rami communicantes to spinal nerves C4 and C7.
Within the cervical spine, most joints are innervated by the medial branch nerve (a branch of the dorsal rami) from the same levels. In other words, the facet joint between C4 and C5 vertebral segments is innervated by the C4 and C5 medial branch nerves. However, there are two exceptions:
The cervical spinal nerve 5 (C5) is a spinal nerve of the cervical segment. [1]It originates from the spinal column from above the cervical vertebra 5 (C5). It contributes to the phrenic nerve, long thoracic nerve, and dorsal scapular nerve before joining cervical spinal nerve 6 to form the upper trunk, a trunk of the brachial plexus, which then forms the lateral cord, and finally the ...
Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .