The Triangle Model of Congenital Cervical Stenosis

  title={The Triangle Model of Congenital Cervical Stenosis},
  author={Tyler James Jenkins and Harry T Mai and Robert J. Burgmeier and Jason W. Savage and Alpesh A. Patel and Wellington K. Hsu},
STUDY DESIGN Retrospective Cross-Sectional Study OBJECTIVE.: Identify the pathoanatomical features of the cervical spine associated with congenital stenosis SUMMARY OF BACKGROUND DATA.: Congenital cervical stenosis (CCS) describes a patient with a decreased spinal canal diameter at multiple levels of the cervical spine in the absence of degenerative changes. [] Key Method Anatomic measurements obtained at each level (C3-C7) included: coronal vertebral body, AP vertebral body, pedicle width, pedicle length…

Is cervical disc arthroplasty good for congenital cervical stenosis?

OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be as safe and effective as anterior cervical discectomy and fusion (ACDF) in the management of 1- and 2-level degenerative disc

Stability-preserving decompression in degenerative versus congenital spinal stenosis: demographic patterns and patient outcomes.

Lumbar Pedicle Morphology and Vertebral Dimensions in Isthmic and Degenerative Spondylolisthesis—A Comparative Study

The osseous anatomy is significantly different in patients with a DS than with an isthmic spondylolisthesis, and patients with an IS have smaller pedicles in the lumbar spine.

Cervical Stenosis in the Elite Athlete

Clinical history, physical exam, imaging characteristics, and sport played are the four critical factors to consider when providing recommendation to the elite athlete with CS.

Cervical and Thoracic Spondylotic Myelopathies.

The current understanding of the epidemiology, pathophysiology, clinical assessment, natural history, and treatment options in degenerative myelopathies of the cervical and thoracic spine is discussed.

Updated Return-to-Play Recommendations for Collision Athletes After Cervical Spine Injury: A Modified Delphi Consensus Study With the Cervical Spine Research Society.

This study provides modified Delphi process consensus statements regarding cervical spine injury management in collision sport athletes from leading experts in spine surgery, sports injuries, and cervical trauma.

Cervical and Thoracic Spine: Normal Variants and Artifacts

The complex development of the spine, particularly the cervical spine, merits attention to aid in recognition of spinal normal anatomic variants.

Return to Play Guidelines After Cervical Spine Injuries in American Football Athletes: A Literature-Based Review.

The decision to allow elite American football athletes to return to play should involve an understanding of the average RTP time, the potential risks of recurrence or re-injury, and individual characteristics such as position played and pathology on imaging.



Prevalence of cervical spine stenosis. Anatomic study in cadavers.

Cervical spine stenosis appears to be very common and the radiographic finding of cervical stenosis should therefore be correlated with the clinical presentation prior to decision-making regarding treatment.

Establishment of parameters for congenital stenosis of the cervical spine: an anatomic descriptive analysis of 1066 cadaveric specimens

Values of SCD < 13 mm and IPD <-23 mm are strongly associated with the presence of CCS at all levels and Logistic regression demonstrated a significant association between these parameters and presence ofCCS with OR > 18 at each level.

[Roentgenological study of antero-posterior diameter in developmental canal stenosis of cervical spine].

  • M. Higo
  • Medicine
    Nihon Seikeigeka Gakkai zasshi
  • 1987
The antero-posterior diameter of the cervical spinal canal was measured in groups of normal subjects, patients with neck-shoulder-arm syndrome and cervical spondylosis and the measured values were analyzed statistically.

The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine

The results suggest that cervical spinal canal diameter of less than 13 mm may be associated with an increased risk for development of pathological changes in cervical intervertebral discs and the presence of a congenitally narrow canal can expose individuals to a greater risk of developing cervical spinal stenosis.

Physical characteristics of patients with developmental cervical spinal canal stenosis

In conclusion, developmental cervical spinal canal stenosis seems to be highly likely in patients with smaller inter inner canthal distance, which is more than twice the average for patients with cervical spine disease.

Does developmental canal stenosis influence surgical results of bilateral open-door laminoplasty for cervical spondylotic myelopathy?

The results indicate that developmental canal stenosis is not a factor that influences surgical results, and there were no significant differences in clinical results between patients with and without this disorder.

Is congenital bony stenosis of the cervical spine associated with lumbar spine stenosis? An anatomical study of 1072 human cadaveric specimens.

It appears that congenital stenosis of the cervical spine is associated with congenital lumbar stenosis, and the presence of tandem stenosis appears to be, at least in part, related to the tandem presence of a congenitally small cervical and lumbr canal.

Congenital lumbar spinal stenosis: a prospective, control-matched, cohort radiographic analysis.

Prevalence of Cervical Spine Stenosis

The purpose of this study was to use direct measurement of skeletal specimens to determine the spectrum of the sagittal diameters of the cervical spinal canal, the frequency of cervical stenosis in the general population, and the prevalence of cervix stenosis for different age groups, races, and sexes.

Morphological Analysis of the Cervical Pedicles, Lateral Masses, and Laminae in Developmental Canal Stenosis

Myelopathy is expected to progress in patients with DSC and these patients with severe neurologic symptoms may need cervical operation, however, posterior screw insertions should be considered more carefully than in NDCS patients.