European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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To understand the anatomical relationship between the cervical sympathetic trunk (CST) and the cervical fascia and to provide a more reliable method for avoiding CST injury during the anterolateral cervical spine surgical approach. ⋯ The CST was tightly adhered to the alar fascia and could be naturally retracted with the alar fascia. Retracting the alar fascia can effectively protect the CST.
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The aim of the current study was to investigate the extent of smartphone use, possible correlation with neck pain and/or psychological impairment in office workers. ⋯ Smartphone overuse in office workers significantly increases the chance of neck pain by 6 times. Hence SO has been associated with, not only somatic complaints, but also psychological distress such as anxiety, stress, and depression. This may necessitate adherence to neck-school, when smartphone use is associated with neck pain.
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We present an organized hospital plan for the management of Coronavirus disease (COVID-19) patients requiring emergency surgical interventions. To introduce a multidisciplinary approach for the management of COVID-19-infected patients and to report the first operated patient in the Corona unit. ⋯ The current COVID-19 pandemic requires an extra-ordinary organization of the medical and surgical care of the patients. It is possible to manage an infected or a potentially infected patient surgically, but a multidisciplinary plan is necessary to protect other patients and the medical staff.
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Case Reports
Permanent twelfth nerve palsy secondary to C0 and C1 fracture in patient with craniocervical pneumatisation.
Craniocervical pneumatisation of both occiput and upper cervical vertebrae is extremely rare. Although it was stated that hyperpneumatisation can lead to fracture, only few cases of such injuries have been reported. Generally, craniocervical fractures represent a small number of cervical spine injuries and they are usually caused by high-energy trauma and can be associated with lower cranial nerves palsy. ⋯ At follow-up, the patient reported no pain and no restriction in head movement. Total hypoglossal nerve palsy remained unchanged. Conservative treatment is a method of choice in such cases.
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The traditional teaching has been that proper function of a cervical disc replacement is dependent upon appropriate placement, which includes centering the device in the coronal plane. The purpose of this study was to identify the most reliable anatomical landmark for determining midline placement of an implant within the cervical disc space under fluoroscopy. ⋯ The results of this investigation suggest that the tip of the uncinate and the medial border of the pedicle are more accurate measures of midline in the cervical spine than the center of the spinous process and are less susceptible to inadvertent off-axis imaging.