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    CSRS
    The material presented at the CSRS Annual Meetings has been made available by the Cervical Spine Research Society for educational purposes only. The material is not intended to represent the only, nor necessarily best method or procedure appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. The CSRS disclaims any and all liability for injury or other damages resulting to any individual attending the annual meeting and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals whether these claims shall be asserted by physician or any other person.
  • Cervical Spinal Cord Injury Modifies Distal Lumbar Locomotor Central Pattern Generator (CPG)

    Introduction: Cervical spinal cord injury (SCI) has a devastating impact on quality of life and presently there are no effective treatment options for the motor dysfunctions that ensue.  The neural network responsible for the generation of walking (locomotor CPG) is located within the lumbar enlargement. It is presumed that this neural network remains intact but dormant after trauma, making the locomotor CPG the main target for restoring walking in SCI patients.
  • Complications of Iliac Crest Bone Graft in Cervical Spine Surgery

    Background: There is wide variation in the reported prevalence and severity of morbidity associated with iliac crest bone grafts (ICBG) for spine fusions. As these data have often been derived from lumbar fusion patients, the possibility that residual symptoms from the low back and donor site may have co-mingled casts doubt on the accuracy of such assessments. Methods: Patients who had a posterior cervical fusion with ICBG from 2002-2012 were evaluated with an ICBG specific questionnaire and the Oswestry Disability Index.  A matched group of cervical laminoplasty patients were given the ODI.
  • Clinical Outcome of Cervical Laminoplasty and Postoperative Radiological Change for Cervical Myelopathy with Degenerative Spondylolisthesis

    Introduction: The presence of spondylolisthesis often represents segmental instability in cervical spine as well as lumbar spine, and fusion surgery is sometimes performed for cervical lesion with spondylolisthesis. Cervical laminoplasty is a common decompression surgery for cervical myelopathy, but its clinical result for cervical spondylolisthesis has not been well studied. The purpose of this study was to investigate the clinical outcome of cervical laminoplasty for cervical myelopathy with degenerative spondylolisthesis and to examine the postoperative radiological change of spondylolisthesis.
  • Effect of Inclusion of Asymptomatic Spondylotic Levels on Adjacent Segment Disease following ACDF

    Introduction: This study examined the incidence of symptomatic adjacent segment disease with new radiculopathy or myelopathy referable to a motion segment adjacent the site of a previous anterior arthrodesis of the cervical spine. Materials/Methods: A consecutive series of 570 patients, who had a total of 603 anterior cervical arthrodesis for the treatment of cervical spondylosis with radiculopathy, myelopathy or both, were followed for a maximum of thirteen years after the index operation.
  • Stability of Clinical Outcome Measures following Anterior Cervical Spine Surgery

    Introduction: Two-year follow-up is often thought of as the minimum required term for evaluating clinical outcomes, although the rationale for such is not obvious. The purpose of this study was to investigate the stability of outcome measures over time following anterior cervical surgery, and secondly, to investigate the stability of individual patient scores over time.
  • Functional Assessment of Local vs. Distal Transplantation of Human Neural Stem Cells following Chronic Spinal Cord Injury

    Introduction: Previous studies have demonstrated functional recovery of rats with spinal cord contusions after transplantation of neural stem cells adjacent to the site of acute injury.  No known studies up to this point, however, have analyzed the effects of distal intrathecal injection of stem cells in chronic spinal cord injury. Materials/Methods: 4 groups of Long-Evans hooded rats were identified: 2 experimental and 2 control. A moderate spinal cord contusion at the T10 level was created by use of the Multicenter Animal Spinal Cord Injury Study Impactor.
  • Characteristics of Residual Symptoms following Laminoplasty in Diabetic Patients with Cervical Spondylotic Myelopathy: A Prospective Cohort Study in 505 Patients with Cervical Spondylotic Myelopathy

    Introduction: Diabetes is one of the most frequent coexisting diseases; therefore, surgical options have been increasing for diabetic patients. However, there has been no study to assess the postoperative residual symptom after cervical laminoplasty in a large series of patients with cervical spondylotic myelopathy (CSM). This study aimed to compare the outcome of cervical laminoplasty in diabetic patients and non-diabetic patients with CSM and to characterize the residual symptoms following laminoplasty in diabetic patients with CSM. Materials and Methods: A total of 505 consecutive patients with CSM (331 males; 189 females) who were followed up for more than one year after surgery were enrolled.