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Research ArticleArticles

Role of posterior elements in the disc bulging of a degenerated cervical spine

Farid Amirouche, Giovanni F. Solitro, Kris Siemionow, David Drucker, Ashish Upadhyay and Priyesh Patel
International Journal of Spine Surgery January 2015, 9 13; DOI: https://doi.org/10.14444/2013
Farid Amirouche
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
PhD
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Giovanni F. Solitro
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
PhD
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Kris Siemionow
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
MD
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David Drucker
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
MS
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Ashish Upadhyay
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
MD
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Priyesh Patel
Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA
BS
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Article Figures & Data

Figures

  • Fig. 1
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    Fig. 1

    Three configurations adopted for each specimen: a) intact segment, b) laminectomy and c) facetectomy.

  • Fig. 2
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    Fig. 2

    Diagram of Deformation and Load Directions. There was an axial load applied to the specimen the deformation was measured in the vertical and anterior directions.

  • Fig. 3
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    Fig. 3

    Experimental Set-up for Intact Cervical Spine. The anterior sensor measures anterior bulge, the posterior sensor tracks the displacement of the bone movement.

  • Fig. 4
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    Fig. 4

    Experimental Set-up for Cervical Spine Post Laminectomy, the additional sensor is added to measure the posterior bulge.

  • Fig. 5
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    Fig. 5

    Cervical Specimen in Axial Plane showing histological proporties of vertebra and intervertebral discs.

  • Fig. 6
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    Fig. 6

    Experimental results of the intact configuration: Average values of Anterior Bulge (mm) and Vertical Deformation (mm).

  • Fig. 7
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    Fig. 7

    Average values of vertical Deformation (mm) for the three configurations, Standard deviation is shown with error bars for the intact case.

  • Fig. 8
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    Fig. 8

    Experimental results of the Anterior Bulge (mm) for the three: intact, laminectomy, and facetectomy.

  • Fig. 9
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    Fig. 9

    Experimental results of the Posterior Bulge (mm) for both the laminectomy and facetectomy with posterior access.

  • Fig. 10
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    Fig. 10

    Comparison of current data with previous reported studies of the Vertical Deformation (mm).

  • Fig. 11
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    Fig. 11

    Analysis of Average values for the different Spinal segment configuration at a common physiological Load of 250 N (mm).

  • Fig. 12
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    Fig. 12

    Comparison of Bulging and vertical height deformation at maximal load of 550N.

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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Role of posterior elements in the disc bulging of a degenerated cervical spine
Farid Amirouche, Giovanni F. Solitro, Kris Siemionow, David Drucker, Ashish Upadhyay, Priyesh Patel
International Journal of Spine Surgery Jan 2015, 9 13; DOI: 10.14444/2013

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Role of posterior elements in the disc bulging of a degenerated cervical spine
Farid Amirouche, Giovanni F. Solitro, Kris Siemionow, David Drucker, Ashish Upadhyay, Priyesh Patel
International Journal of Spine Surgery Jan 2015, 9 13; DOI: 10.14444/2013
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Keywords

  • disc degeneration
  • cervical spine
  • Bulging
  • laminectomy
  • Facetectomy

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