Flexion and traction effect on C5-C6 foraminal space

Humphreys, S. Craig; Chase, Jeffrey; Patwardhan, Avinash G.; Shuster, John K.; Lomasney, Laurie M; Hodges, Scott D.

doi:10.1016/s0003-9993(98)90179-4

Cited by 35 publications

(33 citation statements)

References 13 publications

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“…Humphreys et al [13] found that cervical IVF widths are larger in healthy individuals than in symptomatic persons using CT scans. It is found in the present work that the cervical IVF widths are larger in healthy individuals than in patients suffering from radiculopathy using both X-rays and CT scans.…”

Section: Discussionmentioning

confidence: 99%

Morphological and radiometrical study of the human intervertebral foramina of the cervical spine

Ahmed

El-Shaarawy

Ishaq³

et al. 2014

Folia Morphol

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Section: Discussionmentioning

confidence: 99%

Morphological and radiometrical study of the human intervertebral foramina of the cervical spine

Ahmed

El-Shaarawy

Ishaq³

et al. 2014

Folia Morphol

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“…The neck extension vector caused by the traction force through mandible could be counteracted by the downward force of head weight due to gravity. It has been reported that traction forces with a flexion moment were especially effective on the posterior elements of spinal vertebral column, such as posterior intervertebral discs, apophyseal joints, spinal muscles, and ligaments [12,21]. The increase in the posterior disc spaces implied that there would be an increase in the tension of posterior annular fibers and posterior longitudinal ligament.…”

Section: Evaluation Of Errors and Repeatabilitymentioning

confidence: 99%

“…However, clinical caution was suggested because cervical flexion might aggravate an existing tear in the annulus fibrosis, compress the anterior disc part, and cause further extrusion of herniated nucleus pulposus [21,32,34]. Cervical traction with excessive flexion might not be well tolerated by patients with spinal diseases [12].…”

Section: Evaluation Of Errors and Repeatabilitymentioning

confidence: 99%

“…The results of the greater posterior disc spaces obtained in the present study during anterior lean traction were supported by the previously published researches. These researches advocated a better traction effect on the separation of intervertebral spaces by traction with spinal flexion [12,21,22]. The efficacy of cervical traction was usually investigated in supine position despite of the frequent application in a sitting condition at clinics [1,3,4,13,37].…”

Section: Comparison Between Axial and Anterior Lean Tractionsmentioning

confidence: 99%

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Comparison of the intervertebral disc spaces between axial and anterior lean cervical traction

et al. 2009

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The insufficient investigations on the changes of spinal structures during traction prevent further exploring the possible therapeutic mechanism of cervical traction. A blind randomized crossover-design study was conducted to quantitatively compare the intervertebral disc spaces between axial and anterior lean cervical traction in sitting position. A total of 96 radiographic images from the baseline measurements, axial and anterior lean tractions in 32 asymptomatic subjects were digitized for further analysis. The intra-and inter-examiner reliabilities for measuring the intervertebral disc spaces were in good ranges (ICCs = 0.928-0.942). With the application of anterior lean traction, the statistical increases were detected both in anterior and in posterior disc spaces compared to the baseline (0.29 mm and 0.24 mm; both P \ 0.01) and axial traction (0.16 mm and 0.35 mm; both P \ 0.01). The greater intervertebral disc spaces obtained during anterior lean traction might be associated with the more even distribution of traction forces over the anterior and posterior neck structures. The neck extension moment through mandible that generally occurred in the axial traction could be counteracted by the downward force of head weight during anterior lean traction. This study quantitatively demonstrated that anterior lean traction in sitting position provided more intervertebral disc space enlargements in both anterior and posterior aspects than axial traction did. These findings may serve as a therapeutic reference when cervical traction is suggested.

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“…Cervical radiculopathy is a pain and/or sensorimotor deficit syndrome that is defined as being caused by compression of a cervical nerve root [1][2][3][4]. The compression can occur as a result of disc herniation, spondylosis, instability, trauma, or rarely, tumors.…”

Section: Introductionmentioning

confidence: 99%

Cervical Radiculopathy: A Review

Caridi

Pumberger

Hughes

2011

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

172

125

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Background Cervical radiculopathy is defined as a syndrome of pain and/or sensorimotor deficits due to compression of a cervical nerve root. Understanding of this disease is vital for rapid diagnosis and treatment of patients with this condition, facilitating their recovery and return to regular activity. Purpose This review is designed to clarify (1) the pathophysiology that leads to nerve root compression; (2) the diagnosis of the disease guided by history, physical exam, imaging, and electrophysiology; and (3) operative and non-operative options for treatment and how these should be applied. Methods The PubMed database was searched for relevant articles and these articles were reviewed by independent authors. The conclusions are presented in this manuscript.

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Flexion and traction effect on C5-C6 foraminal space

Cited by 35 publications

References 13 publications

Morphological and radiometrical study of the human intervertebral foramina of the cervical spine

Morphological and radiometrical study of the human intervertebral foramina of the cervical spine

Comparison of the intervertebral disc spaces between axial and anterior lean cervical traction

Cervical Radiculopathy: A Review

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