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spondylotic myelopathy

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https://www.readbyqxmd.com/read/28937936/is-high-t-1-slope-a-significant-risk-factor-for-developing-interlaminar-bony-fusion-after-cervical-laminoplasty-a-retrospective-cohort-study
#1
Takeshi Oichi, Yasushi Oshima, Hiroyuki Oka, Yuki Taniguchi, Hirotaka Chikuda, Yoshitaka Matsubayashi, Katsushi Takeshita, Sakae Tanaka
OBJECTIVE Several investigators have reported the occurrence of interlaminar bony fusion after cervical laminoplasty, which is reportedly associated with reduced postoperative cervical range of motion (ROM). However, to the authors' knowledge, no previous study has investigated the characteristics of patients who were likely to develop interlaminar bony fusion after cervical laminoplasty. Therefore, the objective of this study was to investigate the risk factors for interlaminar bony fusion in patients with cervical spondylotic myelopathy (CSM) following cervical laminoplasty and to investigate the effect of interlaminar bony fusion on surgical outcomes...
September 15, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28919610/open-door-laminoplasty-for-multilevel-cervical-spondylotic-myelopathy-and-ossification-of-the-posterior-longitudinal-ligament-opll-using-titanium-reconstruction-miniplate-and-screws
#2
M K Ahsan, M A Awwal, S I Khan, N Zaman, M H Haque, Z Zahangiri
To review outcome of 25 patients who underwent open-door cervical laminoplasty for multilevel cervical spondylotic myelopathy (MCSM) and ossification of the posterior longitudinal ligament (OPLL) using titanium reconstruction miniplate and screws. Records of 18 men and 7 women aged 35 to 78 (mean, 62.6) years were reviewed retrospectively from October 2009 and October 2014 at Bangabandhu Sheikh Mujib Medical University (BSMMU) and in our private settings, Dhaka, Bangladesh. Four patients had 5 levels (C3-C7), 21 patients had 4 levels (C3-C6) decompression and 3 patients (12%) performed foraminotomies...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28894688/current-diagnosis-and-management-of-cervical-spondylotic-myelopathy
#3
REVIEW
Joshua Bakhsheshian, Vivek A Mehta, John C Liu
STUDY DESIGN: Review. OBJECTIVES: Cervical spondylotic myelopathy (CSM) is a major cause of disability, particular in elderly patients. Awareness and understanding of CSM is imperative to facilitate early diagnosis and management. This review article addresses CSM with regard to its epidemiology, anatomical considerations, pathophysiology, clinical manifestations, imaging characteristics, treatment approaches and outcomes, and the cost-effectiveness of surgical options...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28884563/expressions-and-significance-of-hif-1%C3%AE-and-aqp-3-in-intervertebral-disc-degeneration-tissues-of-cervical-spondylotic-myelopathy
#4
Xiangqi Tan, Yuqing Chen, Zhuyong Ji
No abstract text is available yet for this article.
September 7, 2017: Minerva Medica
https://www.readbyqxmd.com/read/28882525/multi-level-posterior-foraminotomy-with-laminoplasty-versus-laminoplasty-alone-for-cervical-spondylotic-myelopathy-with-radiculopathy-a-comparative-study
#5
Dong-Ho Lee, Jae Hwan Cho, Chang Ju Hwang, Choon Sung Lee, Chunghwan Kim, Jung-Ki Ha
BACKGROUND CONTEXT: Conventional laminoplasty is useful for expanding a stenotic spinal canal. However, it has limited use for the decompression of accompanying neural foraminal stenosis. As such, an additional posterior foraminotomy could be simultaneously applied, although this procedure carries a risk of segmental kyphosis and instability. PURPOSE: The aim was to elucidate the long-term surgical outcomes of additional posterior foraminotomy with a laminoplasty for cervical spondylotic myelopathy (CSM) with radiculopathy...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28881121/the-predictable-factors-of-the-postoperative-kyphotic-change-of-sagittal-alignment-of-the-cervical-spine-after-the-laminoplasty
#6
Jun Seok Lee, Dong Wuk Son, Su Hun Lee, Dong Ha Kim, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Laminoplasty is an effective surgical method for treating cervical degenerative disease. However, postoperative complications such as kyphosis, restriction of neck motion, and instability are often reported. Despite sufficient preoperative lordosis, this procedure often aggravates the lordotic curve of the cervical spine and straightens cervical alignment. Hence, it is important to examine preoperative risk factors associated with postoperative kyphotic alignment changes. Our study aimed to investigate preoperative radiologic parameters associated with kyphotic deformity post laminoplasty...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28879890/evaluation-of-hand-function-in-healthy-individuals-and-patients-undergoing-uninstrumented-central-corpectomy-for-cervical-spondylotic-myelopathy-using-nine-hole-peg-test
#7
Sanil John, Ranjith K Moorthy, Tunny Sebastian, Vedantam Rajshekhar
OBJECTIVES: To evaluate the hand function in healthy individuals and in patients with cervical spondylotic myelopathy (CSM) undergoing central corpectomy using the nine-hole peg test (NHPT). MATERIALS AND METHODS: The NHPT was performed in healthy adults and in patients with CSM; overall, five trials were performed in the right and left hand separately. The preoperative and follow up NHPT score was compared to the normal and correlated with Nurick and modified Japanese Orthopedic Association (mJOA) scales...
September 2017: Neurology India
https://www.readbyqxmd.com/read/28872149/correlation-between-diffusion-tensor-imaging-parameters-and-clinical-assessments-in-patients-with-cervical-spondylotic-myelopathy-with-and-without-high-signal-intensity
#8
Y Liu, C Kong, L Cui, X Yuan, P Zhao, Y Zhang, Y Guan, X Chen
STUDY DESIGN: A cross-sectional observational study. OBJECTIVES: The aim of this study is to compare the apparent diffusion coefficient (ADC) and fractional anisotropy (FA) between patients with cervical spondylotic myelopathy (CSM) with and without high T2-weighted signal intensity, and to correlate each parameter with clinical assessments. SETTING: CSM is a common cause of spinal cord dysfunction. The significance of T2 high signal intensity in the prognosis of CSM remains controversial...
September 5, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28862572/laminoplasty-versus-laminectomy-with-posterior-spinal-fusion-for-multilevel-cervical-spondylotic-myelopathy-influence-of-cervical-alignment-on-outcomes
#9
Darryl Lau, Ethan A Winkler, Khoi D Than, Dean Chou, Praveen V Mummaneni
OBJECTIVE Cervical curvature is an important factor when deciding between laminoplasty and laminectomy with posterior spinal fusion (LPSF) for cervical spondylotic myelopathy (CSM). This study compares outcomes following laminoplasty and LPSF in patients with matched postoperative cervical lordosis. METHODS Adults undergoing laminoplasty or LPSF for cervical CSM from 2011 to 2014 were identified. Matched cohorts were obtained by excluding LPSF patients with postoperative cervical Cobb angles outside the range of laminoplasty patients...
September 1, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28858186/commentary-poorer-fusion-outcomes-in-diabetic-cervical-spondylotic-myelopathy-patients
#10
Richard Saunders
No abstract text is available yet for this article.
August 29, 2017: Spine
https://www.readbyqxmd.com/read/28858183/poorer-fusion-outcomes-in-diabetic-cervical-spondylotic-myelopathy-patients-undergoing-single-level-anterior-cervical-discectomy-and-fusion-does-not-compromise-functional-outcomes-and-quality-of-life
#11
Ming Han Lincoln Liow, Merrill Lee, Graham Seow-Hng Goh, Li Tat John Chen, Wai-Mun Yue, Chang Ming Guo, Seang Beng Tan
STUDY DESIGN: Retrospective matched pair cohort study using prospectively collected registry data. OBJECTIVES: To determine if patients with DM have (1):poorer patient-reported outcomes and;(2):poorer fusion rates after undergoing a single-level ACDF for cervical myelopathy. SUMMARY OF BACKGROUND DATA: Anterior Cervical Discectomy and fusion (ACDF) remains the most common procedure in the treatment of cervical spondylotic myelopathy (CSM);however, there is a paucity of literature with regards to patient-reported outcome measures (PROMs), health-related quality-of-life (HRQOL) scores and fusion rates post-ACDF in diabetic patients with CSM...
August 29, 2017: Spine
https://www.readbyqxmd.com/read/28858129/microscope-assisted-anterior-cervical-discectomy-and-fusion-combined-with-posterior-minimally-invasive-surgery-through-tubular-retractors-for-multisegmental-cervical-spondylotic-myelopathy-a-retrospective-study
#12
Ran-Ze Cai, Yin-Qing Wang, Rui Wang, Chun-Hua Wang, Chun-Mei Chen
This study aimed to investigate the clinical efficacy and outcome of combined microscope-assisted anterior cervical discectomy and fusion (ACDF) with posterior minimally invasive surgery through tubular retractors for patients with multisegmental cervical spondylotic myelopathy (MCSM).This retrospective study included 28 patients (19 males and 9 females) with multisegmental cervical spondylotic myelopathy, who underwent combined microscope-assisted ACDF with posterior minimally invasive surgery through tubular retractors in our single center between January 2012 and December 2016...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28847117/in-reply-to-does-spinal-cord-line-influence-choice-of-surgical-approach-in-multilevel-cervical-spondylotic-myelopathy
#13
LETTER
Guang-Heng Xiang
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28847116/does-spinal-cord-line-influence-choice-of-surgical-approach-in-multilevel-cervical-spondylotic-myelopathy
#14
LETTER
Mohit Agrawal, Sachin Anil Borkar, Manoj Phalak, Raghav Singla, Ashok K Mahapatra
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28844366/syringomyelia-associated-with-cervical-spondylotic-myelopathy-causing-canal-stenosis-a-rare-association
#15
Dirk Pillich, Ehab El Refaee, Jan-Uwe Mueller, Amr Safwat, Henry W S Schroeder, Joerg Baldauf
BACKGROUND: Although cervical spondylosis is extremely common, only few cases with associated syrinx have been reported. Depending on review of two large data bases, we report this case series. In addition, we evaluated the posterior decompression as the management option in treatment of this rare condition. MATERIALS AND METHODS: Data of all cases with cervical spondylosis and canal stenosis that sought medical advice or needed decompressive laminectomy/laminoplasty between the years 2006 and 2015 were checked in manually...
August 14, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28841652/fresh-frozen-cortical-strut-allograft-in-two-level-anterior-cervical-corpectomy-and-fusion
#16
Kuang-Ting Yeh, Ru-Ping Lee, Ing-Ho Chen, Tzai-Chiu Yu, Kuan-Lin Liu, Cheng-Huan Peng, Jen-Hung Wang, Pau-Yuan Chang, Wen-Tien Wu
Anterior cervical corpectomy and fusion (ACCF) is one of the main surgical strategies for the management of multilevel cervical spondylotic myelopathy (MCSM). High complication rates of graft bone fracture, resorption, displacement, and fusion collapse or pseudarthrosis have been previously reported. The strategies to prevent the aforementioned complications include using fresh frozen cortical strut allograft (FFCSA) to keep most of the original bone quality and using additional anterior plate fixation to improve the fusion stability and union rate...
2017: PloS One
https://www.readbyqxmd.com/read/28834916/factors-predicting-dysphagia-after-anterior-cervical-surgery-a-multicenter-retrospective-study-for-2-years-of-follow-up
#17
MULTICENTER STUDY
Tao Wang, Lei Ma, Da-Long Yang, Hui Wang, Zhi-Long Bai, Li-Jun Zhang, Wen-Yuan Ding
A multicenter retrospective study.The purpose of this study was to explore risk factors of dysphagia after anterior cervical surgery and factors affecting rehabilitation of dysphagia 2 years after surgery.Patients who underwent anterior cervical surgery at 3 centers from January 2010 to January 2013 were included. The possible factors included 3 aspects: demographic variables-age, sex, body mass index (BMI): hypertension, diabetes, heart disease, smoking, alcohol use, diagnose (cervical spondylotic myelopathy or ossification of posterior longitudinal ligament), preoperative visual analogue scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), surgical-related variables-surgical option (ACDF, ACCF, ACCDF, or Zero profile), operation time, blood loss, operative level, superior fusion segment, incision length, angle of C2 to C7, height of C2 to C7, cervical circumference, cervical circumference/height of C2 to C7...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28830310/classification-of-diffusion-tensor-metrics-for-the-diagnosis-of-a-myelopathic-cord-using-machine-learning
#18
Shuqiang Wang, Yong Hu, Yanyan Shen, Hanxiong Li
In this study, we propose an automated framework that combines diffusion tensor imaging (DTI) metrics with machine learning algorithms to accurately classify control groups and groups with cervical spondylotic myelopathy (CSM) in the spinal cord. The comparison between selected voxel-based classification and mean value-based classification were performed. A support vector machine (SVM) classifier using a selected voxel-based dataset produced an accuracy of 95.73%, sensitivity of 93.41% and specificity of 98...
July 16, 2017: International Journal of Neural Systems
https://www.readbyqxmd.com/read/28826928/the-relationship-between-cervical-lordosis-and-nurick-scores-in-patients-undergoing-circumferential-vs-posterior-alone-cervical-decompression-instrumentation-and-fusion-for-treatment-of-cervical-spondylotic-myelopathy
#19
Shalin Patel, Phillip Glivar, Farbod Asgarzadie, David Juma Wayne Cheng, Olumide Danisa
The loss of regional cervical sagittal alignment and the progressive development of cervical kyphosis is a factor in the advancement of myelopathy. Adequate decompression of the spinal canal along with reestablishment of cervical lordosis are desired objective with regard to the surgical treatment of patients with cervical spondylotic myelopathy. A retrospective chart review was conducted in which patients who underwent either a combined anterior/posterior instrumentation and decompression or a posterior alone instrumentation and decompression for the treatment of CSM at our institution were identified...
August 18, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28809390/clinical-features-and-surgical-outcomes-of-cervical-spondylotic-myelopathy-in-patients-of-different-ages-a-retrospective-study
#20
R J Zhang, C L Shen, J X Zhang, X J Zhang, F L Dong, H Tao, P W Song, P Ge, P Xu, H Q Zhang
STUDY DESIGN: Retrospective chart audit. OBJECTIVES: This study aims to compare the clinical features and surgical outcomes in patients with cervical spondylotic myelopathy (CSM) among different age groups. SETTING: The first Affiliated Hospital of Anhui Medical University, China. METHODS: A total of 460 patients with CSM who were surgically treated over the period of 1995-2009 were investigated. Considering the peak age (40-60 years old) for the onset of symptoms, we divided the patients into three groups by age: young (<40), middle-aged (40-60), and old (>60)...
August 15, 2017: Spinal Cord
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