Tuesday, December 11, 2018

The Function of the Cervical Discs of the Neck


A respected spinal surgeon, Dr. Kristen Radcliff offers New Jersey patients minimally-invasive treatments for conditions such as disc herniations. Kristen Radcliff, MD, has extensive knowledge of the spine, and he previously served as the principal investigator in a study focused on cervical disc replacement. 

Running through the neck, the cervical spine comprises seven vertebrae, each of which is separated by cervical discs. These discs contain a gel-like substance that cushions the vertebrae and stabilizes the neck, such that it can bend forward and back and turn from side to side. Functioning as a shock absorber, the discs make the spine much less stiff than it otherwise would be. With age, the cervical discs may begin to degenerate, with the nerves getting pinched as space between vertebrae narrows. 

Relatively common, cervical degenerative disc disease affects approximately 60 percent of individuals past the age of 40 to some degree. The condition is characterized by decreasing neck flexibility, with stiffness and pain occurring from time to time. This can culminate in a slipped, or herniated, disc that places pressure on the nerve roots and spinal cord.

Tuesday, October 30, 2018

Minimally Invasive Microdiscectomy


Kristen “Kris” Radcliff, MD serves as a spinal surgeon at the Rothman Institute in Egg Harbor Township, New Jersey. To meet the specific needs of each patient, Dr. Kristen Radcliff draws on knowledge of multiple spinal procedures, including the minimally invasive microdiscectomy.

If a patient has a herniated disc or other degenerative disc condition that has not responded to conservative treatment, his or her surgeon may perform a microdiscectomy to alleviate certain symptoms. Surgeons experienced in minimally invasive techniques often can perform this procedure with only a 2-centimeter incision in the lower back.

Using specialized instrumentation, the physician spreads the muscle tissue and removes part of the bony structure that protects the disc to be treated. This also allows the surgeon to access the damaged disc. Then, after drawing the nerves to the side, the surgeon removes the disc material that is compressing the nerves and causing the patient's pain.

Because this procedure minimizes damage to nearby muscle, patients can enjoy a shorter recovery time and reduced risk of complications, as compared to a traditional open approach. Most patients can go home the same day and experience relief beginning immediately after surgery. However, some symptoms may take months or years to resolve.

For more information about Dr. Radcliff and his work, visit rothmaninstitute.com/physicians/kris-e-radcliff-md or orcahealth.com/dr-radcliff.

Friday, May 25, 2018

Dr. Kris Radcliff heads the AAOS Spine ICL Committee


After receiving his bachelor of arts degree in biology from Harvard University, Kristen (Kris) Radcliff, MD, pursued his doctor of medicine at Duke University School of Medicine. With more than 14 years of medical experience, Dr. Kristen Radcliff exclusively practices spinal surgery at Rothman Institute in Egg Harbor Township, New Jersey. 

Dr. Radcliff is a board certified orthopedic surgeon, a diplomate of the ABOS, a fellow of the AAOS, and a member of the prestigious American Orthopaedic Association. Dr. Radcliff has been on the faculty of numerous AAOS educational activities, including as the instructor of basic science for the AAOS Board Review Course.

The Instructional Course Lectures are the core didactic activity of the American Academy of Orthopedic Surgeons annual meeting. The ICLs enable practicing surgeons to learn about specific topics within spine care and to stay abreast of the latest research. 

Dr. Radcliff has been been an attendee and faculty at numerous AAOS ICL events. Dr. Radcliff was on the faculty at two ICLs at the 2018 AAOS Annual Meeting. Dr. Radcliff was recently selected to service as chairman of the Spine Instructional Course Lecture Committee for the AAOS. Dr. Radcliff will have oversight over which instructional course lectures are part of the next American Academy of Orthopedic Surgeons meeting. Thus, Dr. Radcliff will have a hand in directing the future education and training of the next generation of orthopedic spine surgeons.

Saturday, March 24, 2018

What Is Spinal Stenosis?


A graduate of Harvard and the Duke University School of Medicine, Kristen Radcliff, MD, has worked in medicine for over 14 years. Since 2010, he has served as a spinal surgeon at the Rothman Institute in Egg Harbor Township, New Jersey. In his work, Dr. Kristen “Kris” Radcliff provides surgical and non-surgical treatments for a range of conditions, including spinal stenosis. 

Characterized by a narrowing of the spinal canal, spinal stenosis is an often painful condition that typically occurs in older adults over the age of 50. Although many cases of stenosis stem from arthritis, the condition can also occur due to herniated disks, thickened ligaments, tumors, and even spinal injuries involving dislocations and fractures. 

Some patients with spinal stenosis have no symptoms of the condition, but those who do tend to see the symptoms worsen over time. The most common symptoms are back pain, as well as numbness, tingling, weakness, and pain in the extremities. Depending on where the stenosis is along the spinal canal, symptoms can affect various parts of the body, including the neck, hands, arms, legs, feet, and buttocks. 

While treatment varies depending on symptom severity, most cases of stenosis are first addressed using non-surgical interventions such as medication, physical therapy, and steroid injections. If these treatments prove ineffective, surgery to decompress the stenosis may be used. The most common surgery performed is a decompressive laminectomy. An example of a decompressive laminectomy performed by Dr. Radcliff may be viewed here: https://youtu.be/5Arv25rUo-w

To learn more about Dr. Kris Radcliff’s practice, visit www.rothmaninstitute.com/kris-e-radcliff-md. Additional information about spinal conditions and related treatments is available at www.orcahealth.com/dr-radcliff.

Thursday, March 1, 2018

Potential Causes and Symptoms of Acute Low Back Pain


Dr. Radcliff is a board-certified orthopedic surgeon who exclusively specializes in complex and minimally invasive spinal surgery. He practices with the Rothman Institute in Egg Harbor, New Jersey. Active within the professional community, Kristen Radcliff, MD, has served as representative to the North American Spine Society Low Back Pain Committee and is an expert on diagnosis and treatment of low back pain.

The organization defines acute low back pain as pain that is present for as long as six weeks, that may have varying degrees of intensity, and that potentially radiates into the buttocks and thigh/hip area. While acute low back pain often has origins in jarring trauma or strenuous activity, it may not correlate with any ongoing activity. Such pain can be gradual in onset or appear suddenly and with an intensity that makes a visit to a physician necessary.

Low back pain is a complex condition, and the source may be challenging to identify. It can be due to a combination of various pain producers, including ligaments, muscles, blood vessels, joint capsules, and soft connective tissue. Whatever the initial cause of pain, all such conditions involve a cascading series of events centered on the nerve fibers' response to tissue irritation, which in turn triggers inflammatory processes and swelling. In addition, spasms related to muscular tension.

Saturday, February 10, 2018

The 2018 Annual Scientific Meeting of ASIA


For the past eight years, Kristen Radcliff, MD, has served as a spinal surgeon at the Rothman Institute in Egg Harbor Township, New Jersey, where he treats conditions such as spinal stenosis and herniated discs. To remain connected to new developments in his field and network with his peers, Kristen Radcliff, MD, maintains membership in the American Spinal Injury Association (ASIA). 

On May 2-4, 2018, ASIA will hold its annual Scientific Conference in Rochester, Minnesota, at the Mayo Civic Center. Among presentations by other notable speakers, the event will feature keynote addresses from John Walsh Centre for Rehabilitation Research professor Lisa Harvey, Ph.D., and Dr. Wolfram Tetzlaff, who serves as the director of the International Collaboration on Repair Discoveries (ICORD) in Vancouver, British Columbia. 

Another feature of the event is the pre-course in Comprehensive Non-Traumatic Myelopathy that will be held one day prior to the event’s official opening. The course will host some of the foremost authorities in the areas of multiple sclerosis, metabolic myelopathy, and neuromyelitis optica, among other conditions. Registration for the conference is open at ASIA-SpinalInjury.org.

Saturday, January 27, 2018

An Introduction to Cervical Disc Replacement


Since 2010, Kristen Radcliff, MD, has served as a spinal surgeon at the Rothman Institute in Egg Harbor Township, New Jersey. Dr. Kristen Radcliff works on all sections of the spine, including the cervical spine, and has performed a number of cervical disc replacement surgeries.

One of two primary surgical approaches to correct a damaged disc in the vertebrae of the neck, cervical disc replacement has been an active option since 2007, when the U.S. Food and Drug Administration (FDA) approved the first artificial cervical disc. Studies have since shown the technique to be as effective as cervical fusion in improving arm and neck pain.

The procedure itself requires the surgeon to remove the damaged disc and replace it with a fabricated replacement. The replacement typically contains two metal surfaces, each of which connects to a vertebra either above or below the replaced disc. Some models have between the two metal surfaces a piece of medical plastic, while others allow the metal surfaces to glide directly against one another.

Attached to the bone by screws or an anchor, the cervical disc replacement allows for the preservation of movement between the two vertebrae. Research has shown that this supports a range of motion that can be as good as or better than cervical fusion surgery.