More Content | Blog

Neck (Cervical Spine) Fracture

I have treated numerous patients suffering from neck fractures, and each injury is different from the next. A neck fracture can happen for many different reasons. Common causes include falls, collisions, diving into shallow water, sudden twists to the neck or severe blows to the head and neck area. The first thing I do with an injured patient is assess the severity of the injury. Is it associated with dislocation or instability? Which cervical bones are broken? Is there a spinal cord or nerve injury? This information helps me determine the best option for treatment. Common treatment options include immobilization, bracing and surgery. Immobilization is safest immediate option at the accident scene, when there is a possibility of a broken neck, as it minimizes or prevents further spinal cord injury.  Bracing is recommended as ongoing treatment  for minor or stable fractures, when allowing the neck to become more stable. A neck brace or collar is often worn until the neck completely heals, usually lasting between 8 – 12 weeks. Certain exercises are often used for a fractured neck that will strengthen and stretch the muscles supporting the cervical vertebrae. This is essential for proper recovery, and is often done with

Read More »

Cervical Spinal Fusion vs. Disc Replacement Surgery

Many of my patients first visit my practice with complaints of neck and arm pain, caused by a herniated disc. Although most episodes of neck pain are temporary, some patients experience chronic pain that ultimately requires surgery. Depending on the patient’s level of discomfort, there are two surgical options, cervical spinal fusion and disk replacement. When cervical spinal fusion surgery is performed, the affected bones in the neck are “fused” together using bone graft material with a plate and cage, so they can heal into one healthy bone. Bone grafts can be taken from a patient’s pelvic bone, or cadaver and synthetic bone are also options. Depending on the type of herniated disc and spinal stability, the spinal surgeon will determine the best method for surgery. These methods are anterior fusion, where the spine is operated on from the front, and posterior fusion, where the spine is operated on from the back. After cervical spinal fusion surgery, surgeons sometimes recommend wearing a brace to support  the fusion progress.  This is more important after a multi-level fusion. Maturation of the fusion can take up to 12 weeks. It is important for patients to limit their physical activity level and allow the

Read More »