Their professionalism, extensive knowledge, compassionate caring and overall medical services paperless are extraordinaire. If you live in the houston area or even hours away, i highly recommend. Cubbage for your orthopedic needs. Im a collegiate golfer at the u of Ark. During summer I had severe back pain that went down my leg. Clifford Kitten recommended I see. The doc and his nurse karen are awesome. He ordered tests, called late evening (same day) with results and I had surgery the next morning.
Its been two months since my surgery and I still feel great. Cubbage is all for trying conservative approaches before even mattress discussing surgery. He only recommends a surgical approach when all else has failed or there is so much damage that waiting could cause irreversible damage. I am very pleased with his work glad I did. I also liked how his post op directions stress the importance of strict walking schedule. Cubbage, karen, billing Dept. Spring, tx, i am very pleased with the orthopedic services provided. Matthew Cubbage and his nurse karen. Cubbage and Karen are the best spine and neck specialist team in the houston / Cypress Texas area.
He made my surgery so easy recovery was a breeze. Cubbage for a job done excellently! It was a long road for me with back pain. I had my surgery, and on the next day of getting up I was sore but my back pain was gone. I could not believe it I wanted to cry i felt great! All I could do is think about. Cubbage and his team and their special skills that made me feel great again.
High-Grade Adult Isthmic L5S1 Spondylolisthesis: a report
Keim and colleagues present the following lumbar spinal stenosis (LSS) anatomical classification scheme 18 : Lateral, secondary to superior articulating process (SAP) hypertrophy medial, secondary to inferior articulating process (IAP) hypertrophy central, due to hypertrophic spurring, bony projection, or ligamentum flavum/laminar thickening Fleur de lis. Cervical (Neck thoracic, lumbar, sacrum, home patient Info » Testimonials. Submit Testimonials, injured my back (2nd time!) and was in extreme pain. Unable to walk, stand or sit. Cubbage reviewed my mri on Fri he immediately had his staff after work me into his schedule on Mon. Which was delayed (due to major ice storm) until Thurs.
Am and performed surgery on following Mon. Less than two weeks i am walking and near pain free. beaumont, tx, ka, i first went to see dr Cubbage in March 2017 after hurting my back (again) on business overseas. We tried all the different options available for my situation, but none of them gave me any relief, so disc replacement surgery (L4/5) was agreed upon. I had surgery nov 6th 2017 and I have been amazed at the results. My hospital stay in Cypress Medical Center was very pleasant too. I cannot thank dr Cubbage, tim, karen and the rest of the staff enough for the treatment I have recieved.
These changes, which include intervertebral disk degeneration, disk space narrowing, spur formation, and facet and ligamentum flavum hypertrophy, can lead to the narrowing of the cervical spinal canal. Cervical spondylotic myelopathy (CSM) refers to the clinical presentation resulting from these degenerative processes. Csm is the most common cause of spinal cord dysfunction in adults older than 55 years. Degenerative changes of the cervical spine have been observed in as many as 95 of asymptomatic individuals older than 65 years. Myelopathy is believed to develop in up to 20 of individuals with evidence of spondylosis. 5, 11, 13, 14, 15, 16, 17 lateral cervical stenosis results from encroachment on the lateral recess and the neuroforamina of the cervical region, primarily as a result of hypertrophy of the uncovertebral joints, lateral disc annulus bulging, and facet hypertrophy.
Thoracic spinal stenosis The thoracic spinal canal varies from 12 to 14 mm in diameter in the adult. Thoracic spinal stenosis is often associated with focal disease of a long-standing nature. It may be associated with disk bulging or herniation, hypertrophy of the posterior elements (namely, the facet and ligamentum flavum and, occasionally, calcification of ligamentum flavum. Primary central thoracic spinal stenosis is rare. In some cases, hypertrophy or ossification of the posterior longitudinal ligament results in central canal stenosis. 6 lateral thoracic stenosis may result from hypertrophy of facet joints with occasional synovial cyst encroachment. Lumbar spinal stenosis The diameter of the normal lumbar spinal canal varies from 15 to. Lumbar stenosis results from a spinal canal diameter of less than 12 mm in some patients; a diameter of 10 mm is definitely stenotic.
Spondylolisthesis Treatment - physiotherapy Treatment
In hyperextension, the cervical cord increases in diameter. Within the canal, the anterior roots are pinched between the annulus margins and spondylitic bony bars. In the posterior canal, hypertrophic facet joints and thickened infolded ligamentum flavum compress the dorsal nerve roots. In hyperflexion, neural structures are tethered anteriorly against the bulging disc annulus and spondylitic bars. In the event of a vertebral collapse, the cervical spine loses its shape, which may result in anterior cord compression. In the central cervical spinal region, hypertrophy of the ligamentum flavum, bony spondylitic hypertrophy, and bulging of the disc annulus contribute to development of central spinal stenosis. In each case, the relative significance of each structure contributing to the stenotic pattern is variable. Congenital stenosis of the cervical spine may predispose an individual to myelopathy as a result of minor trauma or spondylosis. 5, 6, 10, 11, 12, 13, 14, cervical spondylosis refers to age-related degenerative changes help of the cervical spine.
Cervical stenosis, the anteroposterior (AP) diameter of the normal adult male cervical canal has a mean value of 17-18 mm at vertebral levels C3-5. The lower cervical canal measures 12-14. Cervical stenosis is associated with an ap diameter of less than 10 mm, while diameters of 10-13 mm are relatively stenotic in the upper cervical region. Sagittal measurements taken of the anteroposterior diameter of the cervical spinal canal are highly variable in otherwise healthy persons. An adult male without spinal stenosis has a diameter of 16-17 mm in the upper and middle cervical levels. Magnetic resonance imaging (MRI) scans osteosynthesis and reformatted computed tomography (CT) images are equally as effective in obtaining these measurements, while radiography is not accurate. View Media gallery, movement of the cervical spine exacerbates congenital or acquired spinal stenosis.
consequently, arises from facet joint sap hypertrophy. Other causes include developmentally short pedicle and facet joint morphology, as well as osteophytosis and hnp anterior to the nerve root. The lumbar nerve root compressed below sap retains the same segmental number as the involved vertebral level (eg, L5 nerve root is impinged by L5 sap). The mid zone extends from the medial to the lateral pedicle edge. Mid-zone stenosis arises from osteophytosis under the pars interarticularis and bursal or fibrocartilaginous hypertrophy at a spondylolytic defect. Exit-zone stenosis involves an area surrounding the foramen and arises from facet joint hypertrophy and subluxation, as well as superior disk margin osteophytosis. Such stenosis may impinge the exiting spinal nerve. Far-out (extracanalicular) stenosis entails compression lateral to the exit zone. Such compression occurs with far lateral vertebral body endplate osteophytosis and when the sacral ala and L5 transverse process impinge on the L5 spinal nerve.
View Media gallery, trefoil appearance characteristic of central canal stenosis due to a combination of zygapophysial joint and ligamentum flavum hypertrophy. Lumbar computed tomography (CT) myelogram scan demonstrates a normal central canal diameter. Lateral recess stenosis (ie, lateral gutter stenosis, subarticular stenosis, subpedicular stenosis, foraminal canal stenosis, intervertebral foramen stenosis) is defined as narrowing (less than 3-4 mm) between the business facet superior articulating process (SAP) and the posterior vertebral margin. Such narrowing may impinge the nerve root and subsequently elicit radicular pain. This lateral region is compartmentalized into entrance zone, mid zone, exit zone, and far-out stenosis. Amundsen and colleagues found concomitant lateral recess stenosis in all cases of central canal stenosis. 9 (see the image below.
Spondylolisthesis overview Grades, causes, and Treatments
Central canal stenosis, commonly occurring at an intervertebral disk strange level, defines midline sagittal spinal canal diameter narrowing that may elicit neurogenic claudication (NC) or pain in the buttock, thigh, or leg. Such stenosis results from ligamentum flavum hypertrophy, inferior articulating process (iap facet hypertrophy of the cephalad vertebra, vertebral body osteophytosis, vertebral body compression fractures, and herniated nucleus pulposus (HNP). Abnormalities of the disk usually do not cause symptoms of central stenosis in a normal-sized canal. In developmentally small canals, however, a prominent bulge or small herniation can cause symptomatic central stenosis. Large disk herniations can compress the dural sac and compromise its nerves, particularly at the more cephalad lumbar levels where the dural sac contains more nerves. (see the images below.). Lateral T2-weighted magnetic resonance imaging (MRI) scan demonstrating narrowing of the central spinal fluid signal (L4-L5 suggesting central canal stenosis. View Media gallery, axial T2 magnetic resonance imaging (MRI) scan (L4-L5) in the same patient as in the above image, confirming central canal stenosis.