Vertebral Spine Instability

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“Don’t worry about failures, worry about the chances you miss when you don’t even try.”

Jack Canfield (born 1944), American author and motivational speaker.

Vertebral Spine Instability

This is a frequent occurrence in the cervical spine.

Result of a whiplash injury, often minor one, it reserves despair for treating physicians of all horizons.

As a matter of fact, this part of our anatomy is the weakest of all in modern human. 

Even regular trainees, with a gym abonnement seldom if ever dedicate time for exercise of this body part.

Hence, most of the time those patients end up on the surgical table.

Operations are of several types and coined different names after country and continent, but the aim remains the same.

Solidarizing two spine segments!

Bone-to-bone hard stability.

This is ok, but if you give it a second thought, it is not necessary at all.

As a matter of fact, injured element id not bone, but a ligament…

Posterior longitudinal ligament!

But for many doctors involved there is a misunderstanding even here.

First, you must substantiate proof to this fact.

Well, it is well visible on MRI.

If you know where and how to look.

Radiologists perform such a study with several series, which takes half an hour up to an hour.

Only one is useful: – The sagittal 3mm T1 study.

And here it is: – A hole or slight interruption in the middle of the ligament involved at discus level.

Now that you see with your eyes the body of evidence, things become simpler, and you can turn all attention to therapy.

Splinting with an adapted collar, worn all the time, also at night, will do the job.

In my 40years’ medical practice, I discovered that consumption of Essential Fatty Acids (EFA) is largely insufficient.

Tendons and ligaments are structures with very long cells, containing a huge amount of cell membrane.

This last one is composed of more than 90% fat.

Hence, the importance of EFAs.

Vitamins and oligo-elements, central being vitamin A are also crucial.

Metabolic rate abates in older individuals, and thus healing takes longer than the 6 weeks mandatory for youngsters.

Here the main problem is holding the bar in the same direction, without distracting attention!

If you block two segments together, this puts more stress on neighbor ones, and the result is ligament and discus injuries, with disc herniations.