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Cervical intervertebral disc

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https://www.readbyqxmd.com/read/27906944/the-safety-of-ct-guided-epidural-steroid-injections-in-an-older-patient-cohort
#1
Andrew J Fenster, Kevin Fernandes, Alan L Brook, Todd Miller
BACKGROUND: Epidural steroid injections (ESIs) are a common method for treating lower back pain, which is one of the most prevalent health-related complaints in the adult US population. Although the safety of CT-guided ESIs has been extensively studied in adults, there is limited data concerning the procedure's safety profile in an older patient population. OBJECTIVE: This retrospective study analyzed safety data among a single-center cohort of patients > 65 years-old who received one or more CT-guided interlaminar ESIs from 2012 to 2015...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27893652/correlation-between-t2-t2-star-relaxation-time-and-cervical-intervertebral-disc-degeneration-an-observational-study
#2
Minghua Huang, Yong Guo, Qiong Ye, Lei Chen, Kai Zhou, Qingjun Wang, Lixin Shao, Qinglei Shi, Chun Chen
PURPOSE: To demonstrate the potential benefits of T2 relaxation time of intervertebral discs (IVDs) regarding the detection and grading of degenerative disc disease using 3.0-T magnetic resonance imaging (MRI) in a clinical setting. MATERIALS AND METHODS: Cervical sagittal T2-weighted, T2 relaxation MRI was performed at 3.0-T in 61 subjects, covering discs C2-3 to C6-7. All discs were morphologically assessed based on the Pfirrmann grade, and regions of interests (ROIs) were drawn over the T2 mapping...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27865095/assessment-and-determinants-of-spinal-pain-in-the-course-of-disc-disorders-treated-surgically
#3
Renata Jabłońska, Robert Ślusarz, Agnieszka Królikowska, Beata Haor, Magdalena Zając
BACKGROUND Intervertebral disc disease is defined as a complex of structural changes in the aftermath of disorders of mutual elements, the structure of which form the discus intervertebralis and the spinal canal. The present work assessed pain in patients who were surgically treated due to spinal discopathy and analyzed factors that determine the condition. MATERIAL AND METHODS The research was carried on a group of 187 patients diagnosed with discopathy of the lumbosacral and cervical segment. The data are discussed in the context of medical records and the Visual Analogue Scale used for pain assessment...
November 19, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27757680/evaluation-of-a-new-approach-to-compute-intervertebral-disc-height-measurements-from-lateral-radiographic-views-of-the-spine
#4
Brett T Allaire, M Clara DePaolis Kaluza, Alexander G Bruno, Elizabeth J Samelson, Douglas P Kiel, Dennis E Anderson, Mary L Bouxsein
PURPOSE: Current standard methods to quantify disc height, namely distortion compensated Roentgen analysis (DCRA), have been mostly utilized in the lumbar and cervical spine and have strict exclusion criteria. Specifically, discs adjacent to a vertebral fracture are excluded from measurement, thus limiting the use of DCRA in studies that include older populations with a high prevalence of vertebral fractures. Thus, we developed and tested a modified DCRA algorithm that does not depend on vertebral shape...
October 18, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27746501/radiologic-and-histological-observations-in-experimental-t1-t12-dorsal-arthrodesis-a-qualitative-description-of-t1-t12-segment-and-other-body-parts-involved-between-prepubertal-age-and-skeletal-maturityxs
#5
Federico Canavese, Alain Dimeglio, Davide Barbetta, Marco Galeotti, Bartolomeo Canavese, Fabio Cavalli
BACKGROUND: This experimental study provides a qualitative description and the morpho-structural features of the fusions taking place in the thoracic spine between prepubertal age and skeletal maturity. There is a lack of informations regarding the influence of partial or total dorso-thoracic vertebral arthrodesis on the development of the thoracic cage as well as its potential effects on different intra and extra-thoracic organs. This study admits the hypothesis that vertebral arthrodesis may have influence on other body areas and so, it intends to verify the possible secondary involvement of other body parts, such as intervertebral discs, cervical and thoracic spinal ganglia, sternocostal cartilage, ovaries and lungs...
September 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27741118/higher-risk-for-cervical-herniated-intervertebral-disc-in-physicians-a-retrospective-nationwide-population-based-cohort-study-with-claims-analysis
#6
Cheng Liu, Chien-Cheng Huang, Chien-Chin Hsu, Hung-Jung Lin, How-Ran Guo, Shih-Bin Su, Jhi-Joung Wang, Shih-Feng Weng
There is no study about cervical herniated intervertebral disc (cervical HIVD) in physicians in the literature; therefore, we conceived a retrospective nationwide, population-based cohort study to elucidate the topic. We identified 26,038 physicians, 33,057 non-physician healthcare providers (HCPs), and identical numbers of non-HCP references (i.e., general population). All cohorts matched a 1:1 ratio with age and gender, and each were chosen from the Taiwan National Health Insurance Research Database (NHIRD)...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27716589/changes-of-proteoglycan-and-collagen-ii-of-the-adjacent-intervertebral-disc-in-the-cervical-instability-models
#7
Bin Wu, Chunyang Meng, Haibin Wang, Cunling Jia, Yifeng Zhao
OBJECTIVE: Post-operation of cervical decompression fusion and internal fixation (CDF) accelerated adjacent segment disc degeneration (ASD). It is not clear that whether instability of one single segmental accelerates the degeneration of adjacent segment disc. This study aims to explore the effect of cervical instability on the change of morphology and biochemistry in adjective segment (above) in the L5/6 cervical instability rabbit models. METHODS: Thirty-two mature New Zealand white rabbits (3000±250g) were randomly divided into two groups, control group (n=8) and model group (n=24)...
October 4, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27714468/disc-associating-axial-pain-were-indicated-by-pll-resection-in-acdf-surgery
#8
Wei Lin, Yuan Xue, Ying Zhao, Yaqi Zong, Chao Sun, Bo Pei, Pei Wang
PURPOSE: The generation and tissue origination of disc-associated axial pain is still under exploration. This study was performed to evaluate disc-associated axial pain and to explore whether it originates in the disc or its surrounding components. METHODS: A 6-year series of 88 single-level Smith-Robinson disc and posterior longitudinal ligament (PLL) resections performed to treat single-level cervical spondylotic myelopathy was retrospectively examined. All single-level anterior disc decompressions were performed under local infiltration anesthesia; the PLL was not anesthetized to avoid cervical cord block...
October 6, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27699832/value-of-delayed-gadolinium-enhanced-magnetic-resonance-imaging-of-cartilage-for-the-pre-operative-assessment-of-cervical-intervertebral-discs
#9
Christoph Schleich, Falk Miese, Anja Müller-Lutz, Johannes Boos, Joel Aissa, Adrian Nasca, Frank Zaucke, Tamara Bostelmann, Lars Schimmöller, Bernd Bittersohl, Hans-Jakob Steiger, Gerald Antoch, Richard Bostelmann
The study was performed to preoperatively assess the cartilage integrity of cervical intervertebral discs (IVDs) using Delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage (dGEMRIC). Therefore, 53 cervical intervertebral discs of nine preoperative patients with neck and shoulder/arm pain scheduled for discectomy (five females, four males; mean age: 47.1 ± 8.4 years; range: 36-58 years) were included for biochemical analysis in this retrospective study. The patients underwent 3T magnetic resonance imaging (MRI) including biochemical imaging with dGEMRIC and morphological, sagittal T2 weighted (T2w) imaging...
October 4, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27671883/use-of-a-zero-profile-device-for-contiguous-two-level-anterior-cervical-discectomy-and-fusion-comparison-to-cage-with-plate-construct
#10
Dong-Ju Yun, Sang-Jin Lee, Sang-Joon Park, Hyeong Seok Oh, Young Jae Lee, Hyun Min Oh, Sang-Ho Lee
BACKGROUND: A new zero-profile, standalone device (Zero P) was recently developed and has shown a lower incidence rate of complications and competitive clinical outcomes compared to CP in single and multi-level ACDF. However, there is still concern whether Zero P is appropriate for multi-level ACDF. In addition, there have been few reports of contiguous two-level ACDF used in conjunction with Zero P. METHODS: We reviewed contiguous two-level ACDF performed from December 2006 to February 2015...
September 23, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27669046/propionibacterium-acnes-coagulase-negative-staphylococcus-and-the-biofilm-like-intervertebral-disc
#11
Michael F Coscia, Gerald A Denys, Matthew F Wack
STUDY DESIGN: Patients scheduled for spinal surgery were screened prospectively for a microbial presence associated with intervertebral disc specimens. Inclusion was limited to patients requiring surgery for any of 5 conditions: study patients with cervical spine intervertebral herniation (IVH), lumbar spine IVH, lumbar spine discogenic pain, and control patients with idiopathic scoliosis/Scheurermann's kyphosis or trauma/neuromuscular deformity. Exclusion criteria included ongoing systemic infection, abnormal pre-operative white cell counts, documented or suspected spinal infection, or previous surgery to the involved disc...
September 23, 2016: Spine
https://www.readbyqxmd.com/read/27658985/routine-radiographs-one-day-after-anterior-cervical-discectomy-and-fusion-are-neither-necessary-nor-cost-effective
#12
Sean C Martin, Bassam O Dabbous, Elliott E Ridgeon, Shailendra A Magdum, Thomas A D Cadoux-Hudson, Erlick A C Pereira
OBJECTIVES: Anterior cervical discectomy and fusion (ACDF) is a common operative treatment of compressive pathology of the cervical spinal cord, when caused by one or more degenerated intervertebral discs or related osteophytes. In addition to intra-operative radiographs to confirm spinal level before discectomy and implant position after insertion, traditional practice is to obtain post-operative antero-posterior and lateral plain radiographs (XR) before hospital discharge, despite a paucity of evidence supporting their benefit to patient care...
September 22, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27633709/ectopic-implantation-of-an-avulsed-scalp-with-a-tissue-expander-on-a-forearm-for-combined-total-scalp-avulsion-and-spine-injuries-a-case-report
#13
Hua Xu, Yi Zhang, Jinguang He, Yuan Lin, Tao Wang, Jiasheng Dong
Total scalp avulsion with severe cervical spine injury is a contraindication for emergency replantation of the scalp to its anatomical site. We describe a case involving the ectopic implantation of an avulsed scalp on the forearm. A 41-year-old woman presented with severe total scalp avulsion and tears in the intervertebral discs at the C4/5 and C5/6 levels. The avulsed scalp was ectopically implanted on the left forearm with a tissue expander to provide support. Two-stage replantation of the scalp at its anatomical site was performed 19 and 40 days later...
September 16, 2016: Microsurgery
https://www.readbyqxmd.com/read/27613586/effects-of-cervical-extension-on-deformation-of-intervertebral-disk-and-migration-of-nucleus-pulposus
#14
Yoon-Ho Kim, Sung-In Kim, Seongjun Park, Sung Hwan Hong, Sun G Chung
BACKGROUND: We theorized that active cervical extension should influence the position of the nucleus pulposus (NP) within the intervertebral disk (IVD) in the sagittal plane. Although several studies on the lumbar IVD have been conducted, there are no quantitative data for in vivo positional changes of the NP in the cervical IVD. OBJECTIVE: To evaluate the influence and mechanism of cervical extension on the deformation and migration of IVD and NP in the sagittal plane and understand underlying mechanisms of the extension maneuver...
September 6, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27568543/biochemical-validity-of-imaging-techniques-x-ray-mri-and-dgemric-in-degenerative-disc-disease-of-the-human-cervical-spine-an-in-vivo-study
#15
Richard Bostelmann, Tamara Bostelmann, Adrian Nasaca, Hans Jakob Steiger, Frank Zaucke, Christoph Schleich
BACKGROUND CONTEXT: On a molecular level, maturation or degeneration of human intervertebral disc is among others expressed by the content of glycosaminoglycans (GAGs). According to the degenerative status, the disc content can differ in nucleus pulposus (NP) and annulus fibrosus (AF), respectively. Research in this area was conducted mostly on postmortem samples. Although several radiological classification systems exist, none includes biochemical features. Therefore, we focused our in vivo study on a widely spread and less expensive imaging technique for the cervical spine and the correlation of radiological patterns to biochemical equivalents in the intervertebral discs...
August 25, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27557480/bilateral-vocal-fold-paralysis-and-dysphagia-secondary-to-diffuse-idiopathic-skeletal-hyperostosis
#16
Jordan J Allensworth, Karla D O'Dell, Joshua S Schindler
BACKGROUND: Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic spinal disease common in the elderly and characterized by flowing ossification and osteophyte formation along the spinal column. Cervical hyperostosis is capable of producing dysphagia, stridor, and airway obstruction; however, there are no extant reports of true paralysis of bilateral vocal folds in patients fulfilling the criteria for DISH. METHODS AND RESULTS: We report a case of a 61-year-old man presenting with dysphagia and dyspnea...
August 24, 2016: Head & Neck
https://www.readbyqxmd.com/read/27549325/high-definition-video-telescope-assisted-ventral-slot-decompression-surgery-for-cervical-intervertebral-disc-herniation-in-30-dogs
#17
Diego Rossetti, Guillaume R Ragetly, Cyrill M Poncet
OBJECTIVE: To describe the use of a video telescope operating monitor (VITOM™) for ventral slot decompression and to report its clinical applications using preoperative and postoperative computed tomography (CT) myelography. STUDY DESIGN: Prospective case series. ANIMALS: Consecutive dogs presented with cervical intervertebral disc disease requiring surgical decompression (n = 30). METHODS: Demographic data, preoperative neurological status, localization and lateralization of the compression, total operative time, surgical complications, ventral slot size and orientation, hospitalization time, and postoperative outcome were recorded...
October 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27534085/-case-control-study-on-zero-profile-implant-for-anterior-cervical-discectomy-and-fusion-and-conventional-cage-plate-internal-fixation-for-the-treatment-of-single-segmental-cervical-intervertebral-disc-herniation
#18
Hai-yu Shao, Jun Zhang, Di Yang, Jin-ping Chen, Ya-zeng Huang
OBJECTIVE: To compare clinical efficacy of Zero-profile implant for anterior cervical discectomy and fusion and conventional titanium plate with cage internal fixation for the treatment of single segmental cervical intervertebral disc herniation. METHODS: From August 2011 to March 2014, clinical data of 139 patients with single cervical disc herniation treated with anterior cervical discectomy and interbody fusion with internal fixation were retrospectively analyzed...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27509189/prevalence-and-imaging-characteristics-of-non-myelopathic-and-myelopathic-spondylotic-cervical-cord-compression
#19
Ivana Kovalova, Milos Kerkovsky, Zdenek Kadanka, Zdenek Kadanka, Martin Nemec, Barbora Jurova, Ladislav Dusek, Jiri Jarkovsky, Josef Bednarik
STUDY DESIGN: Cross-sectional population-based observational study. OBJECTIVE: To estimate the prevalence of non-myelopathic spondylotic cervical cord compression (NMSCCC) and cervical spondylotic myelopathy (CSM) in a population above the age of forty and to evaluate the magnetic resonance imaging (MRI) characteristics of these conditions. SUMMARY OF BACKGROUND DATA: The prevalence of neither NMSCCC nor CSM is known and there exists no commonly accepted quantitative MRI definition of cervical cord compression...
August 9, 2016: Spine
https://www.readbyqxmd.com/read/27442637/can-repeat-injection-provide-clinical-benefit-in-patients-with-cervical-disc-herniation-and-stenosis-when-the-first-epidural-injection-results-only-in-partial-response
#20
Jung Hwan Lee, Sang-Ho Lee
Epidural steroid injection (ESI) is known to be an effective treatment for neck or radicular pain due to herniated intervertebral disc (HIVD) and spinal stenosis (SS). Although repeat ESI has generally been indicated to provide more pain relief in partial responders after single ESI, there has been little evidence supporting the usefulness of this procedure. The purpose of this study, therefore, was to determine whether repeat ESI at a prescribed interval of 2 to 3 weeks after the first injection would provide greater clinical benefit in patients with partial pain reduction than intermittent ESI performed only when pain was aggravated...
July 2016: Medicine (Baltimore)
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