Cervical Disc Replacement for Treatment of Degenerative Disease: A Prospective Randomized Trial of the Prestige™ ST Cervical Disc
Perry Argires , M.D., F.A. C.S.
Traditional surgical fusion for degenerative cervical disc disease can accelerate degeneration in adjacent segments. A randomized trial assessed a prosthetic disc that may prevent late problems.

Management of Patients with Carotid Artery Disease is a Team Effort
Venkatachalam Mangeshkumar, M.D., M.R.C.P.I.
Management of carotid disease is evolving rapidly and the algorithm is growing ever more complex. An experienced and objective specialist is needed to navigate a practical course.

Surgical Treatment of Breast Cancer
Daleela G. Dodge, M.D.
New understanding of the biology of breast cancer has made Halstead's radical mastectomy obsolete. This article reviews the state-of-the-art for breast cancer surgery. (Second in a series.)

7 Years of Gamma Knife Radiosurgery
The Lancaster General Hospital Experience
Eddy Garrido, M.D., Kenneth Berkenstock, M.D., Charles Fuller, Ph.D., D.A.B.R., Christine Burfete, R.N., B.S.N.
Gamma Knife stereotactic radiotherapy offers the only practical approach for some brain lesions; for others it is a tremendous improvement over current modalities. The 7-year LGH experience is reviewed.

From the Editor's Desk
Listen Up!
Lawrence I. Bonchek, M.D., F.A.C.S., F.A.C.C.

Opinion
Where Have All the Dollars Gone?
Lawrence I. Bonchek, M.D., F.A.C.S., F.A.C.C.

Perspective from the Medical Director, Oncology Program
A New Era in Cancer Care
Randall A. Oyer, M.D.

Imaging Insights
Corotid Artery Stenting
John Briguglio, M.D. & Leigh Shuman, M.D.

Medico-Legal and Ethical Matters
Health Care Decisions in Minors: Ethical Dilemmas
Robert P. Macina, Esq.

Top Tips from Family Practice
Immunization Updates
Alan S. Peterson, M.D.