Month: January 2014:

Repeat Surgery After Cervical Discectomy and Fusion

Traditionally,  spinal surgery  had a bad reputation.  But,  epidemiological studies have demonstrated efficacy of certain procedures.  Recent analysis of the SPORT data indicates that for a matched population of patients with symptomatic disk herniations  there are better long term outcomes for the surgical patient. Still,  there is the constant fear of spinal surgery leading to additional […]

Whiplash, a spine surgeon’s perspective

Unfortunately,  whiplash has automatic negative connotations to most people. I hope we can have a civil discussion about this very emotional,  personal, and at times, controversial topic. Whiplash does have it orgins related to locomotion.  It was first described as an “acceleration-deceleration” motion to the neck  (Crowe, 1928) typically cause by a collision.    In the 1980’s  the […]

Is Trauma the Cause of Cervical Radiculopathy?

As a practicing orthopaedic Spine Surgeon,  I am constantly asked about the cause of cervical radiculopathy.  From the patients,  I am asked ” Doc,  do you know why I developed this pinched nerve in my neck?”.   And,  since we are now in this environment of medical cost evaluation,  the insurance companies then ask ” Doctor,  […]