Disorders of the Cervical Spine by Eurig Jeffreys (Eds.)

By Eurig Jeffreys (Eds.)

This name may still attract the orthopaedic doctor, the neurologist, the neurosurgeon and the rheumatologist who all proportion universal flooring with recognize to the cervical backbone

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Extra resources for Disorders of the Cervical Spine

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American Journal of Neuroradiology, 5, 385-390. S. and Mulholland, R . C (1988) A comparison between magnetic resonance imaging and scintigraphic bone imaging in the diagnosis of disc space infection in an animal model. Spine, 13, 1042-1048. K. (1974) The cervical spino-laminar line. Journal of Association of Canadian Radiologists, 25, 224-226. N. W. (1991) Case of the month: not so pseudo. British Journal of Radiology, 64, 375-376. S. A. (1987) Cervical discogenic syndrome. Result of operative intervention in patients with positive discography.

1986) Cystic necrosis of the spinal cord in compressive cervical myelopathy demonstration by iopamidol CT myelography. American Journal of Neuroradiology, 7, 693-701. C, Hopkins, C E . S. (1961) Diagnos­ tic criteria of basilar impression. Radiology, 76, 572-576. P. (1964) Fallacy of cervical discography: report of 50 cases in normal subjects. Journal of American Medical Association, 188, 799-801. A. S. (1969) An analysis of cervical discography with surgical verifications. Journal of Neurosurgery, 30, 38-41.

If the neck pain is sclerotomal, however, and it is not clear from which level the pain is origi­ nating, then discography is of value. The disc is approached from the anterolateral aspect medial to the carotid artery and lateral to the pharynx. A 21 gauge needle is placed against the anterolateral aspect of the annulus after local infiltration of anaesthetic. A 26 gauge needle is passed through the 21 gauge and into the centre of the nucleus. The position of the needle tip is confirmed by screening in the AP and lateral planes.

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