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Cervical spondylosis

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https://www.readbyqxmd.com/read/29417779/-correlation-analysis-between-position-of-head-cervical-curvature-classification-and-balance-of-cervical-spine-through-lateral-plain-radiograph-measurement
#1
Kuan Wang, Zhen Deng, Hui-Hao Wang, Zheng-Yan Li, Wen-Xin Niu, Bo Chen, Ming-Cai Zhang, Wei-An Yuan, Hong-Sheng Zhan
OBJECTIVE: To analyze the relationship between position of head, cervical curvature type and associated cervical balance parameters in a neutral looking-forward posture. METHODS: Cervical lateral X-rays of 60 patients with cervical spondylosis were selected from January to December 2015. There were 22 males and 38 females with an average age of (35.5±10.9) years old. The measured parameters included cervical curvature type, McGregor slope, C2 lower end plate slope, T1 slope, center of gravity to C7 sagittal vertical offset (CG-C7 SVA), and C2 to C7 sagittal vertical offset (C2-C7 SVA)...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29417771/-comparison-of-clinical-effects-between-anterior-cervical-zero-incision-fusion-system-and-traditional-nail-plate-system-in-the-treatment-of-cervical-spondylotic-myelopathy
#2
Bu-Qing Chang, Hu Feng, Chao-Jiang Yu, Kai Huang, Xiao Gao, Hao Tang, Yun-Chang Jiang
OBJECTIVE: To compare the short-term efficacy of anterior cervical discectomy and fusion(ACDF) with traditional nail plate system and Zero-profile device in the treatment of cervical spondylotic myelopathy(CSM). METHODS: The clinical data of 45 patients with CSM treated from July 2014 to August 2015 was retrospectively analyzed. There were 23 males and 22 females with an average age of 53.7 years old(range, 32 to 71 years old). The course of disease was 5 months to 2 years...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29410577/non-surgical-improvement-of-cervical-lordosis-is-possible-in-advanced-spinal-osteoarthritis-a-cbp%C3%A2-case-report
#3
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present a case of the non-surgical improvement in cervical kyphosis in a patient with history of cervical spine trauma and advanced osteoarthritis. [Subject and Methods] A 38 year old male presented with a chief complaint of chronic neck pain that was not substantially relieved by recent previous traditional physiotherapy and chiropractic manipulation. The cervical radiograph demonstrated a cervical hypolordosis of 5° as measured by the Harrison posterior tangent method from C2-C7. There was a 15° kyphosis at C4-C6 with advanced degenerative changes consistent with previous spine trauma...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29403242/multilevel-cervical-laminectomy-and-fusion-with-posterior-cervical-cages
#4
Jad N Bou Monsef, Krzysztof B Siemionow
Context: Cervical spondylotic myelopathy (CSM) is a progressive disease that can result in significant disability. Single-level stenosis can be effectively decompressed through either anterior or posterior techniques. However, multilevel pathology can be challenging, especially in the presence of significant spinal stenosis. Three-level anterior decompression and fusion are associated with higher nonunion rates and prolonged dysphagia. Posterior multilevel laminectomies with foraminotomies jeopardize the bone stock required for stable fixation with lateral mass screws (LMSs)...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29394936/risk-factors-for-non-fusion-segment-disease-after-anterior-cervical-spondylosis-surgery-a-retrospective-study-with-long-term-follow-up-of-171-patients
#5
Ziqiang Wang, Liangliang Zhou, Bin Lin, Keran Song, Qinghe Niu, Dongfeng Ren, Jiaguang Tang
BACKGROUND: The purpose of this study was to investigate the incidence and causes of non-fusion segment disease (NFSD), both adjacent and non-adjacent to a fused segment, after anterior cervical arthrodesis. METHODS: This is a single-center study. Between January 1998 and January 2011, two surgeons' 171 patients who had an anterior cervical decompression and fusion were followed clinically for more than 5 years. The correlation between the incidence of symptomatic non-fusion segment disease and the following clinical parameters (age at operation, fusion levels,) and radiological parameters (number of patients who had a plate, anterior cervical decompression and fusion (ACDF) or corpectomies, preoperative and postoperative cervical spine alignment, Pavlov's ratio at the C5 level, and preoperative existence of a non-fusion segment degeneration on magnetic resonance imaging) was evaluated...
February 2, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29393833/myelopathy-after-cervical-disc-arthroplasty-due-to-progression-of-spondylosis-at-the-index-level-case-report
#6
Anita Bhansali, Michael Musacchio, Noam Stadlan
Cervical disc arthroplasty (CDA) has emerged as a popular alternative to anterior cervical discectomy and fusion (ACDF) for the surgical treatment of cervical degenerative disc disease. CDA has been well studied, with efficacy reported to be equivalent to or better than that seen with ACDF, and it is associated with a consistently low incidence of adverse events. The development or progression of myelopathy after CDA is a particularly rare occurrence. In this report, the authors describe the first known case of recurrence of myelopathy at the index level of surgery after CDA implantation due the continuation of the spondylitic process after placement of the artificial disc...
February 2, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29391028/improvement-of-severe-myalgic-encephalomyelitis-chronic-fatigue-syndrome-symptoms-following-surgical-treatment-of-cervical-spinal-stenosis
#7
Peter C Rowe, Colleen L Marden, Scott Heinlein, Charles C Edwards
BACKGROUND: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a potentially disabling disorder. Little is known about the contributors to severe forms of the illness. We describe three consecutive patients with severe ME/CFS whose symptoms improved after recognition and surgical management of their cervical spinal stenosis. METHODS: All patients satisfied clinical criteria for ME/CFS and orthostatic intolerance, and were later found to have cervical spinal stenosis...
February 2, 2018: Journal of Translational Medicine
https://www.readbyqxmd.com/read/29388207/radiologic-indicators-for-prediction-of-difficult-laryngoscopy-in-patients-with-cervical-spondylosis
#8
Y Z Han, Y Tian, H Zhang, Y Q Zhao, M Xu, X Y Guo
BACKGROUND: We identified the most useful variables for prediction of difficult laryngoscopy in patients with cervical spondylosis according to physical indicators and preoperative skeletal X-ray and soft tissue MRI measurements. We hypothesized that there was a closer association between difficult laryngoscopy and radiologic indicators. METHODS: We randomly enroled 315 patients undergoing elective cervical spine surgery and analysed the radiological and physical data in predicting difficult laryngoscopy...
January 31, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29387194/changes-and-significance-of-inflammatory-cytokines-in-a-rat-model-of-cervical-spondylosis
#9
Jianjian Yin, Yongjing Huang, Gongming Gao, Luming Nong, Nanwei Xu, Dong Zhou
The aim of the present study was to dynamically observe and discuss the significance of inflammatory cytokines in cervical degenerative disease induced by unbalanced dynamic and static forces in rats. A total of 60 Sprague Dawley rats were randomized into test (n=45) and control (n=15) groups, which were randomly subdivided into three groups corresponding to assessment at one, three and six months post-operation. The test group included 10, 15 and 20 rats at the corresponding post-operative stage and the control group had five rats at each time-point...
January 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29383502/influences-of-different-lower-cervical-bone-graft-heights-on-the-size-of-the-intervertebral-foramen-multiple-planar-dynamic-measurements-with-laser-scanning
#10
Rui Yang, Mengjun Ma, Lin Huang, Jichao Ye, Yong Tang, Peng Wang, Dezhen Yin, Keng Chen, Weiping Li, Huiyong Shen
The aim of this study is to evaluate the influences of different bone graft heights on the size of the intervertebral foramen, which will help determine the optimal graft height in clinical practice. Six fresh adult cadavers were used, with the C5-C6 vertebral column segment defined as the functional spinal unit (FSU). After discectomy, the C5/6 intervertebral height was set as the baseline height (normal disc height). We initially used spiral computed tomography (CT) to scan and measure the middle area of the intervertebral foramen when at the baseline height...
January 30, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29382028/intraoperative-conversion-of-artificial-cervical-disc-replacement-to-anterior-cervical-discectomy-and-fusion-for-iatrogenic-fracture-a-rare-case-report
#11
Bei-Yu Wang, Ting-Kui Wu, Hao Liu, Yu-Xiao Deng, Chen Ding
RATIONALE: Artificial cervical disc replacement (ACDR) has been reported to be an effective and safe surgical treatment for cervical spondylosis. However, iatrogenic fracture during ACDR surgery has rarely been reported. Considering its infrequency, we report a rare clinical case, with the aim of sharing our experience and exploring when to convert ACDR to fusion intraoperatively. PATIENTS CONCERNS: A 47-year-old woman felt neck pain with weakness and numbness in both upper limbs for 5 months...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29374546/cortical-reorganizations-for-the-recovery-from-depressive-state-after-spinal-decompression-surgery
#12
Masahiro Sawada, Takuro Nakae, Toshihiro Munemitsu, Masato Hojo
BACKGROUND: Depressed mood following neuronal damage not only impedes functional recovery, but negatively affects quality of life for many patients. Depressed patients with cervical myelopathy often show improvement in both mood and motor function following spinal decompression surgery; however, the neural mechanism underlying this psychological benefit from the surgery remains unclear. The aim of this study is clarifying the brain sites that relates to the alleviation of depression following the spinal decompression surgery...
January 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29354916/-clinical-observation-of-fast-acupuncture-for-cervical-type-of-cervical-spondylosis
#13
Wenyuan Li, Weihong Cong, Chuanzhu Yan, Runrun Zhang, Yue Gao, Yuxia Ma
OBJECTIVE: To compare the effects between fast acupuncture and retaining acupuncture for the cervical type of cervical spondylosis. METHODS: Sixty patients were randomized into a fast acupuncture group and a retaining needle group, 30 cases in each one. The acupoints in the two groups were Fengchi (GB 20), Jiaji (EX-B 2, C2, C4, C6) and Jianjing (GB 21), Jianjing 1 (Extra) and Jianjing 2 (Extra). The needles in the fast acupuncture group were out after qi arrival, while those in the retaining needle group were retained for 30 min, three times a week, once the other day...
September 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29354337/delayed-postoperative-spinal-epidural-hematoma-after-cervical-laminoplasty
#14
Masato Tomii, Junichi Mizuno, Ken Kazama, Tadao Matsushima, Kazuo Watanabe
A 56-year-old man underwent cervical laminoplasty for cervical spondylosis. On the 7th postoperative day, he suddenly felt severe neck pain, and tetraplegia developed rapidly over 1.5 hrs. Computed tomography demonstrated a huge hematoma compressing the cervical spinal cord. Clot was evacuated 3 hrs after the onset of symptoms. The patient's postoperative course was uneventful. His blood pressure could not be properly controlled in the perioperative period. Surgeons should keep in mind that delayed postoperative spinal epidural hematoma (DPSEH) can occur more than a week after surgery, and meticulous blood pressure control is important for more than a week after a spinal operation...
January 2018: NMC Case Report Journal
https://www.readbyqxmd.com/read/29340888/wet-cupping-therapy-improves-local-blood-perfusion-and-analgesic-effects-in-patients-with-nerve-root-type-cervical-spondylosis
#15
Xiang-Wen Meng, Ying Wang, Sheng-Ai Piao, Wen-Tao Lv, Cheng-Hui Zhu, Ming-Yuan Mu, Dan-Dan Li, Hua-Peng Liu, Yi Guo
OBJECTIVE: To observe wet cupping therapy (WCT) on local blood perfusion and analgesic effects in patients with nerve-root type cervical spondylosis (NT-CS). METHODS: Fifty-seven NT-CS patients were randomly divided into WCT group and Jiaji acupoint-acupuncture (JA) group according a random number table. WCT group (30 cases) was treated with WCT for 10 min, and JA group (27 cases) was treated with acupuncture for 10 min. The treatment effificacies were evaluated with a Visual Analogue Scale (VAS)...
January 15, 2018: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29318858/-effects-of-acupotomy-therapy-on-mrna-expressions-of-bcl-2-bax-caspase-3-in-posterior-cervical-extensor-muscles-in-cervical-spondylosis-rabbits
#16
Fu-Shui Liu, Fan-Yuan Zhou, Yi Zhang, Chang-Qing Guo
OBJECTIVE: To observe the effect of acupotomy therapy on mRNA expressions of Bcl-2, Bax , Caspase-3 in posterior cervical extensor muscles in cervical spondylosis rabbits, and explore its mechanisms for apoptosis of cervical muscles. METHODS: New Zealand rabbits were randomly divided into normal, model, electroacupuncture (EA) and acupotomy groups, 6 in each group. The cervical spondylosis model was established by forced head-bowing for a long term. After model establishment, acupotomy was used at the trapezius muscle starting point and attachment site of sternocleidomastoid muscle, etc...
December 25, 2017: Zhen Ci Yan Jiu, Acupuncture Research
https://www.readbyqxmd.com/read/29305455/the-effectiveness-of-anterior-cervical-decompression-and-fusion-for-the-relief-of-dizziness-in-patients-with-cervical-spondylosis-a-multicentre-prospective-cohort-study
#17
MULTICENTER STUDY
B Peng, L Yang, C Yang, X Pang, X Chen, Y Wu
AIMS: Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. PATIENTS AND METHODS: Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29303467/prospective-randomized-multicenter-study-of-cervical-arthroplasty-versus-anterior-cervical-discectomy-and-fusion-5-year-results-with-a-metal-on-metal-artificial-disc
#18
Domagoj Coric, Richard D Guyer, Pierce D Nunley, David Musante, Cameron Carmody, Charles Gordon, Carl Lauryssen, Margaret O Boltes, Donna D Ohnmeiss
OBJECTIVE Seven cervical total disc replacement (TDR) devices have received FDA approval since 2006. These devices represent a heterogeneous assortment of implants made from various biomaterials with different biomechanical properties. The majority of these devices are composed of metallic endplates with a polymer core. In this prospective, randomized multicenter study, the authors evaluate the safety and efficacy of a metal-on-metal (MoM) TDR (Kineflex|C) versus anterior cervical discectomy and fusion (ACDF) in the treatment of single-level spondylosis with radiculopathy through a long-term (5-year) follow-up...
January 5, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29285065/reliability-and-validity-of-coda-motion-analysis-system-for-measuring-cervical-range-of-motion-in-patients-with-cervical-spondylosis-and-anterior-cervical-fusion
#19
Zhongyang Gao, Hui Song, Fenggang Ren, Yuhuan Li, Dong Wang, Xijing He
The aim of the present study was to evaluate the reliability of the Cartesian Optoelectronic Dynamic Anthropometer (CODA) motion system in measuring the cervical range of motion (ROM) and verify the construct validity of the CODA motion system. A total of 26 patients with cervical spondylosis and 22 patients with anterior cervical fusion were enrolled and the CODA motion analysis system was used to measure the three-dimensional cervical ROM. Intra- and inter-rater reliability was assessed by interclass correlation coefficients (ICCs), standard error of measurement (SEm), Limits of Agreements (LOA) and minimal detectable change (MDC)...
December 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29283093/anterior-cervical-disc-fusion-does-not-affect-the-presence-of-cervical-vestibular-evoked-myogenic-potential
#20
Ioannis Kastanioudakis, Panagiotis Saravakos, Andreas Zigouris, Vasileios Ragos, Oliver Reichel, Nafsika Ziavra
OBJECTIVE: Cervical spondylosis and cervical disk herniation are the most frequent forms of degenerative disease in the cervical spine. Surgical treatment mainly includes anterior cervical disk fusion. However, information concerning vestibular-evoked myogenic potential (VEMP) recording in patients undergoing cervical spine surgery is limited. The present prospective study aimed to investigate the effect of anterior disk fusion surgery on cervical VEMP (cVEMP) parameters. MATERIALS AND METHODS: Twenty-five patients were enrolled in this study, and 20 patients (10 men and 10 women) completed cVEMP testing...
December 14, 2017: Journal of International Advanced Otology
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