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Cervical facet pain

Meagan E Ita, Nathan D Crosby, Ben A Bulka, Beth A Winkelstein
STUDY DESIGN: Immunohistochemistry labeled pre- and post-synaptic structural markers to quantify excitatory and inhibitory synapses in the spinal superficial dorsal horn at 14 days after painful facet joint injury in the rat. OBJECTIVE: The objective of this study was to investigate the relationship between pain and synapse density in the spinal cord after facet injury. SUMMARY OF BACKGROUND DATA: Neck pain is a major contributor to disability and often becomes chronic...
October 17, 2016: Spine
Xenofon Baraliakos, Frank Heldmann, Johanna Callhoff, Ravi Suppiah, Fiona Marion McQueen, Dietmar Krause, Claudia Klink, Elmar Schmitz-Bortz, Manfred Igelmann, Ludwig Kalthoff, Uta Kiltz, Anna Schmuedderich, Juergen Braun
OBJECTIVE: Neck pain is common in rheumatoid arthritis (RA) and ankylosing spondylitis (AS). We investigated the correlation of bone marrow edema (BME) on magnetic resonance imaging (MRI) in RA and AS and its association with clinical complaints of neck pain. METHODS: Cervical spine short-tau inversion recovery-MRI and T1w-MRI of 34 patients with RA and 6 patients with AS complaining about neck pain were obtained. Clinical and laboratory data were available. BME was scored by 2 blinded readers using a modification of a published score, including various cervical sites...
October 15, 2016: Journal of Rheumatology
Maarten van Eerd, Arno Lataster, Micha Sommer, Jacob Patijn, Maarten van Kleef
The cervical facet joints, also called the zygapophyseal joints, are a potential source of neck pain (cervical facet joint pain). The cervical facet joints are innervated by the cervical medial branches (CMBs) of the cervical segmental nerves. Cervical facet joint pain has been shown to respond to multisegmental radiofrequency denervation of the cervical medial branches. This procedure is performed under fluoroscopic guidance. Currently, three approaches are described and used. Those three techniques of radiofrequency treatment of the CMBs, classified on the base of the needle trajectory toward the anatomical planes, are as follows: the posterolateral technique, the posterior technique, and the lateral technique...
October 13, 2016: Pain Practice: the Official Journal of World Institute of Pain
Catarina C Lins, Diego T Prado, Andrei F Joaquim
Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view...
September 2016: Arquivos de Neuro-psiquiatria
Emanuele Piraccini, Helen Byrne, Stefano Maitan
No abstract text is available yet for this article.
October 5, 2016: Minerva Anestesiologica
Tomohiro Hikata, Nobuyuki Fujita, Akio Iwanami, Kota Watanabe, Masaya Nakamura, Morio Matsumoto, Ken Ishii
STUDY DESIGN: Case report and systematic review of the literature. OBJECTIVE: To describe a rare case of remodeling of the cervical facet joint after the microendoscopic resection of an osteoid osteoma. SUMMARY OF BACKGROUND DATA: Osteoid osteoma, the third most common benign bone tumor, is often treated by image-guided percutaneous removal of the nidus. However, percutaneous resection poses technical difficulties when the tumor is located near the spinal cord or nerve roots...
October 1, 2016: Spine
Vijay M Ravindra, Marcus D Mazur, Erica F Bisson, Craig Barton, Lubdha M Shah, Andrew T Dailey
OBJECTIVE: Standard imaging techniques have low predictive value for identifying sources of neck pain. Single-photon emission computed tomography (SPECT) imaging in conjunction with CT provides the sensitivity of bone scanning for areas of high metabolic activity with the sensitivity of CT for anatomic localization. We evaluated the utility of SPECT-CT imaging in identifying pain generators in upper cervical facet arthropathy. METHODS: In a retrospective study, we reviewed seven patients (mean age 68...
September 16, 2016: World Neurosurgery
Laxmaiah Manchikanti, Joshua A Hirsch, Vidyasagar Pampati, Mark V Boswell
Increasing utilization of interventional techniques in managing chronic spinal pain, specifically facet joint interventions and sacroiliac joint injections, is a major concern of healthcare policy makers. We analyzed the patterns of utilization of facet and sacroiliac joint interventions in managing chronic spinal pain. The results showed significant increase of facet joint interventions and sacroiliac joint injections from 2000 to 2014 in Medicare FFS service beneficiaries. Overall, the Medicare population increased 35 %, whereas facet joint and sacroiliac joint interventions increased 313...
October 2016: Current Pain and Headache Reports
Timothy P Holsgrove, Nicolas V Jaumard, Nina Zhu, Nicholas S Stiansen, William C Welch, Beth A Winkelstein
Dynamic cervical spine loading can produce facet capsule injury. Despite a large proportion of neck pain being attributable to the C2/C3 facet capsule, potential mechanisms are not understood. This study replicated low-speed frontal and rear-end traffic collisions in Occiput-C3 human cadaveric cervical spine specimens, and used kinematic and full-field strain analyses to assess injury. Specimens were loaded quasistatically in flexion and extension before and after dynamic rotation of C3 at 100°/sec. Global kinematics in the sagittal plane were tracked at 1kHz and C2/C3 facet capsule full-field strains were measured...
September 16, 2016: Journal of Biomechanical Engineering
Ian David Kaye, Themistocles S Protopsaltis
Pyogenic cervical facet joint infections are rare and such infections from a dental origin are even less common. Of these few cases, none have described infection with Streptococcus intermedius as the pathogen. A 65-year-old orthopaedic surgeon complained of fevers, right-sided radiating neck pain, stiffness, swelling, erythema, and right upper extremity weakness one month after he had broken a crown over his right mandibular premolar, a continued source of pain. Imaging of the cervical spine showed a right C4-C5 facet inflammatory arthropathy and a small epidural abscess that was cultured and initially treated with intravenous antibiotics...
September 2016: Bulletin of the Hospital for Joint Diseases
Şükrü Oral, Abdulfettah Tümtürk, Ahmet Küçük, Ahmet Menkü
AIM The surgical approaches for spinal tumors, to a great extent, have been developed in accordance with the developments in technology. Today, many surgical techniques are implemented as anterior, anterolateral, posterior, posterolateral and combined approach. Due to its low morbidity, posterior approach is more preferred one. Laminectomy is a widely used technique especially in neoplastic lesions. However, following laminectomy, there are complications like instability, kyphotic deformity and scar formation...
October 22, 2015: Turkish Neurosurgery
Rob A B Oostendorp, Hans Elvers, Emilia Mikolajewska, Nathalie Roussel, Emiel van Trijffel, Han Samwel, Jo Nijs, William Duquet
OBJECTIVES: The term 'cephalalgiaphobia' was introduced in the mid-1980s and defined as fear of migraine (attacks). We hypothesized that a specific subtype of cephalalgiaphobia affects patients with cervicogenic headache (CEH). This study aimed to: (1) define the term 'cervico-cephalalgiaphobia'; (2) develop a set of indicators for phobia relevant to patients with CEH; and (3) apply this set to a practice test in order to estimate the frequency of cervico-cephalalgiaphobia in the Dutch primary care practice of manual physical therapy...
September 2016: Journal of Manual & Manipulative Therapy
Kuang-Ting Yeh, Ru-Ping Lee, Ing-Ho Chen, Tzai-Chiu Yu, Cheng-Huan Peng, Kuan-Lin Liu, Jen-Hung Wang, Wen-Tien Wu
Laminoplasty is a standard technique for treating patients with multilevel cervical spondylotic myelopathy. Modified expansive open-door laminoplasty (MEOLP) preserves the unilateral paraspinal musculature and nuchal ligament and prevents facet joint violation. The purpose of this study was to elucidate the midterm surgical outcomes of this less invasive technique. We retrospectively recruited 65 consecutive patients who underwent MEOLP at our institution in 2011 with at least 4 years of follow-up. Clinical conditions were evaluated by examining neck disability index, Japanese Orthopaedic Association (JOA), Nurick scale, and axial neck pain visual analog scale scores...
2016: BioMed Research International
Yann Le Clec'h, Cynthia K Peterson, Florian Brunner, Christian W A Pfirrmann
OBJECTIVES: The purpose of this study was to compare outcomes of patients referred for cervical facet joint injections by either a medical doctor (MD) primarily basing the selection of facet levels on structural changes found on imaging vs a doctor of chiropractic (DC) selecting the levels for injection based on palpation for pain. METHODS: This was a prospective cohort outcome study including 121 consecutive patients receiving cervical facet injections with completed outcomes questionnaires...
September 2016: Journal of Manipulative and Physiological Therapeutics
Mark-Friedrich B Hurdle
As the population ages, more patients are developing degenerative changes of the spine and associated pain. Although interventional procedures for axial and radicular spine pain have been available for decades, common imaging modalities have relied on ionizing radiation for guidance. Over the past decade, ultrasound has become increasingly popular to image both peripheral musculoskeletal and axial structures. This article reviews the use of ultrasound in the guidance of spine procedures, including cervical and lumbar facet injections and medial branch blocks, third occipital nerve blocks, thoracic facet and costotransverse joint injections, sacroiliac joint injections, and caudal and interlaminar epidural injections...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
Juneyoung Heo, Jae Chil Chang, Hyung-Ki Park
OBJECTIVE: A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. METHODS: We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution...
July 2016: Journal of Korean Neurosurgical Society
Sang-Hun Lee, Ki-Tack Kim, Jung-Hee Lee, Kyung Chung Kang, Soo-Jin Jang, Sang-Phil Hwang, Kyung Tack Yoon
STUDY DESIGN: A retrospective study OBJECTIVE.: To present a novel, two-stage (posterior and anterior-posterior [P-AP] 540°) procedure for extensive cervical ossification of the longitudinal ligament (OPLL) with kyphotic deformity SUMMARY OF BACKGROUND DATA.: The optimal surgical strategy for extensive cervical OPLL remains a controversial issue. Neurological injury and dural defect are complications of anterior surgery, while a posterior surgery can lead to poor clinical outcomes related to incomplete decompression...
July 18, 2016: Spine
Bon Sub Gu, Jin Hoon Park, Han Yu Seong, Sang Ku Jung, Sung Woo Roh
STUDY DESIGN: Retrospective Cohort Study OBJECTIVE.: To compare the feasibility of posterior cervical laminoforaminotomy (PCF) for V- or parallel-shaped foraminal stenosis (FS). SUMMARY OF BACKGROUND DATA: During PCF, the need for extensive facet resection would depend on the extent of any pathology. When resection is extensive, the possibilities of instability and incomplete decompression should be considered. METHODS: From March 2004 to March 2015, we enrolled 36 patients following single-level PCF procedures for FS...
July 7, 2016: Spine
Bon Sub Gu, Jin Hoon Park, Han Yu Seong, Sang Ku Jung, Sung Woo Roh
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: To compare the feasibility of posterior cervical laminoforaminotomy (PCF) for V- or parallel-shaped foraminal stenosis (FS). SUMMARY OF BACKGROUND DATA: During PCF, the need for extensive facet resection would depend on the extent of any pathology. When resection is extensive, the possibilities of instability and incomplete decompression should be considered. METHODS: From March 2004 to March 2015, we enrolled 36 patients following single-level PCF procedures for FS...
July 7, 2016: Spine
David Sime, Belinda Gabbe, Susan Liew
BACKGROUND: Spinal injury causes a significant burden on patients, families and health services. Cervical facet fractures are uncommon, and there is a paucity of functional and health-related quality-of-life data in patients who are managed non-operatively for this injury. METHODS: Victorian State Trauma Registry patients managed in a halothoracic brace for cervical facet injuries from August 2006 to June 2013 were included. Health status (12-item Short-Form health survey), function (Glasgow Outcome Scale-Extended), pain and return to work outcomes were assessed at 6, 12 and 24 months post-injury...
June 9, 2016: ANZ Journal of Surgery
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