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Cervical spondylosis

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https://www.readbyqxmd.com/read/28042720/resection-of-uncovertebral-joints-and-posterior-longitudinal-ligament-for-cervical-disc-arthroplasty
#1
Tsung-Hsi Tu, Chih-Chang Chang, Jau-Ching Wu, Li-Yu Fay, Wen-Cheng Huang, Henrich Cheng
The most commonly accepted indications for cervical disc arthroplasty (CDA) are 1- and 2-level cervical disc herniation or spondylosis causing radiculopathy or myelopathy that is refractory to medical management. Unlike anterior cervical discectomy and fusion (ACDF), which eliminates motion, CDA aims to restore the physiological range of motion of the indexed joint. Thus, the effect of indirect decompression gained by the insertion of a sufficiently large interbody graft and incorporation into arthrodesis after ACDF cannot be duplicated for CDA...
January 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28028952/mastalgia-due-to-degenerative-changes-of-the-spine
#2
Okay Pirti, Aziz M Barlas, Serdar Kuru, Selim Temel, Mustafa K Urhan, Kemal Kismet, Adnan Hasanoglu, Osman Guler
BACKGROUND: Mastalgia is a common and enigmatic condition; the cause and optimal treatment are still inadequately defined. Cervical radiculopathy, which is the result of cervical nerve root pathology often caused by spaceoccupying lesions such as cervical disc herniation, spondylosis, or osteophytosis, is frequently encountered in physical therapy. OBJECTIVES: The aim of the study was to evaluate the incidence of vertebral pathologies in patients with non-cyclic mastalgia and the efficacy of conservative treatment of these pathologies on relieving breast pain...
September 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27997508/cost-variation-of-anterior-cervical-fusions-in-elderly-medicare-beneficiaries
#3
Varun Puvanesarajah, David J Kirby, Amit Jain, Brian C Werner, Hamid Hassanzadeh
STUDY DESIGN: Retrospective database review OBJECTIVE.: To determine how demographics and comorbid diagnoses influence hospital costs during admission for anterior cervical fusions (ACFs) in the elderly Medicare population. SUMMARY OF BACKGROUND DATA: Elective ACFs to treat degenerative cervical pathology are extremely common within the elderly population. Though it is well known that every patient has a significantly different medical profile that guides treatment and post-operative care, little information is available regarding how hospital costs vary from patient to patient...
December 16, 2016: Spine
https://www.readbyqxmd.com/read/27992641/treatment-of-single-level-cervical-spondylosis-cervical-disk-arthroplasty-versus-anterior-cervical-decompression-and-fusion
#4
Wei Tan, Chusong Zhou, Dongying Guo, Jin Sun, Wei Cao, Liu-Zhu Yang, Mingxin Wu
A meta-analysis was performed to compare cervical arthroplasty with anterior cervical diskectomy and fusion for single-level cervical spondylosis. A comprehensive search was conducted with PubMed, Embase, and the Cochrane Central Register of Controlled Trials from January 1, 2000, to April 30, 2015. Random-effects models were used for heterogeneous data. Fixed-effects models were used for pooled nonheterogeneous data. Mean difference or standard mean difference was used for continuous outcomes, and odds ratio, risk ratio, or risk difference was used for dichotomous outcomes...
December 19, 2016: Orthopedics
https://www.readbyqxmd.com/read/27932751/-a-case-of-subacute-combined-degeneration-caused-by-vitamin-b-sub-12-sub-deficiency-in-a-cervical-spondylosis-surgery-referral
#5
Kunio Yokoyama, Masahiro Kawanishi, Akira Sugie, Makoto Yamada, Hidekazu Tanaka, Yutaka Ito, Toshihiko Kuroiwa
A 62-year-old man with a 1-year history of numbness of the extremities, clumsiness, and gait disorder was diagnosed with cervical spondylotic myelopathy at a neighboring clinic and referred to our institution for surgery. The patient had undergone a total gastrectomy 6 years previously. Flattening of the cervical cord, associated with diffuse cervical spondylosis and intramedullary intensity change, was observed on magnetic resonance imaging of the cervical spine. Neurological examination revealed decreased vibratory and position sense in all limbs, with posterior funiculus-based neurological symptoms...
December 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27891363/giant-cervical-osteophyte-an-unusual-cause-of-dysphagia
#6
Sudhir Kumar Srivastava, Sunil Krishna Bhosale, Tanvi Anoop Lohiya, Rishi Anil Aggarwal
Dysphagia due to skeletal causes is a rare entity. A large cervical osteophyte can cause mechanical compression of the pharyngo-oesophageal segment leading to dysphagia. Large cervical osteophytes can occur in cervical spondylosis, ankylosing spondylitis or Diffuse Idiopathic Skeletal Hyperostosis (DISH). A 60-year-old female came with progressive dysphagia due to a giant cervical osteophyte anterior to C4 and C5 vertebral bodies causing compression of the pharyngo-oesophageal segment. The patient was treated by surgical excision of the osteophyte by orthopaedic surgeons...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27890763/positional-occlusion-of-vertebral-artery-due-to-cervical-spondylosis-as-rare-cause-of-wake-up-stroke-report-of-two-cases
#7
Hirofumi Nishikawa, Fumitaka Miya, Yotaro Kitano, Genshin Mori, Shigetoshi Shimizu, Hidenori Suzuki
BACKGROUND: Positional compression of the vertebral artery (VA) owing to cervical spondylosis is an uncommon cause of stroke. We report two cases of cervical spondylosis causing wake-up stroke, which is extremely rare. CASE DESCRIPTION: The first patient was a 78-year-old woman with vertigo and vomiting lasting from waking up. Magnetic resonance imaging (MRI) and angiography documented right cerebellar infarction, and stenosis of the right cervical VA. Dynamic angiography revealed that the right VA was occluded when her neck was extended or rotated to the right...
November 25, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27871819/c7-sagittal-vertical-axis-is-the-determinant-of-the-c5-c7-angle-in-cervical-sagittal-alignment
#8
Yoshitaka Matsubayashi, Hirotaka Chikuda, Yasushi Oshima, Yuki Taniguchi, Yoh Fujimoto, Takachika Shimizu, Sakae Tanaka
BACKGROUND CONTEXT: Previous studies have indicated that the T1 slope correlates with cervical lordosis. In contrast, the specific impact of the C7 sagittal vertical axis (C7SVA) on cervical lordosis remains unknown. PURPOSE: This study aimed to investigate the specific role of C7SVA in cervical lordosis. STUDY DESIGN/SETTING: This was a retrospective radiographic study. PATIENT SAMPLE: Forty-eight consecutive patients who underwent lateral standing radiography of the entire spine were retrospectively reviewed...
November 15, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27861250/mri-analysis-of-the-combined-prospectively-collected-aospine-north-america-and-international-data-the-prevalence-and-spectrum-of-pathologies-in-a-global-cohort-of-patients-with-degenerative-cervical-myelopathy
#9
Aria Nouri, Allan Martin, Lindsay Tetreault, Anick Nater, So Kato, Hiroaki Nakashima, Narihito Nagoshi, Hamed Reihani-Kermani, Michael G Fehlings
STUDY DESIGN: Ambispective Analysis OBJECTIVE.: To report the global prevalence of specific degenerative cervical pathologies in patients with DCM through detailed review of MRIs SUMMARY OF BACKGROUND DATA.: Degenerative Cervical Myelopathy (DCM) encompasses a spectrum of age-related conditions that result in progressive spinal cord injury. METHODS: MRIs of 458 patients (age 56.4 +/-11.8, 285 Male, 173 Female) patients were reviewed for specific degenerative features, directionality of cord compression, levels of spinal cord compression, and signal changes on T2WI and T1WI...
November 16, 2016: Spine
https://www.readbyqxmd.com/read/27790313/age-related-incidence-of-cervical-spondylosis-in-residents-of-jeju-island
#10
Myung-Sang Moon, Min-Geun Yoon, Bong-Keun Park, Min-Suk Park
STUDY DESIGN: Cervical spine radiograms of 460 Jeju islanders. PURPOSE: To investigate the age-matched incidences and severity of the cervical disc degeneration and associated pathologic findings. OVERVIEW OF LITERATURE: Several related studies on the incidences of disc and Luschka's and facet joint degeneration have provided some basic data for clinicians. METHODS: Cervical radiographs of 460 (220 males and 240 females) patients in their fourth to ninth decade were analyzed...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27771787/anterior-cervical-discectomy-and-fusion-versus-cervical-arthroplasty-for-the-management-of-cervical-spondylosis-a-meta-analysis
#11
Zhuo Ma, Xun Ma, Huilin Yang, Xiaoming Guan, Xiang Li
PURPOSE: The aim of this study was to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical arthroplasty for patients with cervical spondylosis. METHODS: PubMed, Embase, and Cochrane Library were used to search for relevant articles published prior to April 2016 to identify studies comparing ACDF and cervical arthroplasty involving patients with cervical spondylosis. Relative risks (RR) and mean differences (MD) were used to measure the efficacy and safety of ACDF and cervical arthroplasty using the random effects model...
October 22, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27770801/balance-chiropractic-therapy-for-cervical-spondylotic-radiculopathy-study-protocol-for-a-randomized-controlled-trial
#12
Feng Yang, Wen-Xiong Li, Zhu Liu, Li Liu
BACKGROUND: Cervical spondylosis is a very common disorder and cervical spondylotic radiculopathy (CSR) is the most common form of spinal degenerative disease. Its clinical manifestations focus on pain and numbness of the neck and arm as well as restricted movement of the neck, which greatly affect the patient's life and work. The orthopedic of traditional Chinese medicine (TCM) theory holds that the basic pathologic change in spinal degenerative diseases is the imbalance between the dynamic system and the static system of the cervical spine...
October 22, 2016: Trials
https://www.readbyqxmd.com/read/27756345/the-new-zero-p-implant-can-effectively-reduce-the-risk-of-postoperative-dysphagia-and-complications-compared-with-the-traditional-anterior-cage-and-plate-a-systematic-review-and-meta-analysis
#13
Mengchen Yin, Junming Ma, Quan Huang, Ye Xia, Qixing Shen, Chenglong Zhao, Jun Tao, Ni Chen, Zhingxing Yu, Jie Ye, Wen Mo, Jianru Xiao
BACKGROUND: The low-profile angle-stable spacer Zero-P is a new kind of cervical fusion system that is claimed to limit the potential drawbacks and complications. The purpose of this meta-analysis was to compare the clinical and radiological results of the new Zero-P implant with those of the traditional anterior cage and plate in the treatment of symptomatic cervical spondylosis, and provides clinicians with evidence on which to base their clinical decision making. METHODS: The following electronic databases were searched: PMedline, PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, Evidence Based Medicine Reviews, VIP, and CNKI...
October 18, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27728680/difference-in-prevalence-of-cervical-spondylosis-in-muslim-population-who-perform-namaz-4-time-a-day-who-perform-namaz-infrequently
#14
Sanjay Singh
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27721553/eperisone-hydrochloride-induced-maculopapular-rash
#15
Namrata Balaraddiyavar, Aruna Bhushan, Basavaraj C Kotinatot, Gouramma Huggi
Here, we report a case of a 30-year-old male who was prescribed eperisone hydrochloride for body pain and loose stools after which he developed severe maculopapular rash. Eperisone hydrochloride is an analgesic and antispastic drug used for spastic diseases such as spastic paralysis in cerebrovascular diseases, cervical spondylosis, and periarthritis. The drug is marketed in most of the Asian countries including India, but it is not licensed. Studies show the history of hypersensitivity in other countries, but this is the first reported case in India...
September 2016: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/27707846/radiographic-changes-in-the-cervical-spine-following-anterior-arthrodesis-a-long-term-analysis-of-166-patients
#16
Raj D Rao, Donald R Gore, Shu-Jie Tang, Brandon J Rebholz, Narayan Yoganandan, Mei Wang
BACKGROUND: Adjacent segment degeneration frequently develops following anterior cervical discectomy and fusion. The objectives of the present study were to characterize the long-term evolution of degenerative radiographic changes at segments adjacent to anterior cervical fusion and to identify factors associated with the development of these changes, including the preoperative condition of the cervical spine and parameters related to arthrodeses. METHODS: One hundred and sixty-six patients who underwent anterior cervical discectomy and fusion for symptomatic cervical spondylosis or disc herniation were followed radiographically for a mean time of 12...
October 5, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27695567/anterior-cervical-discectomy-and-fusion-with-titanium-cages-for-simple-or-multilevel-herniated-discs-and-spur-of-the-cervical-spine-report-of-2-cases-and-experience-in-bali
#17
G B Mahadewa Tjokorda, Golden Nyoman, Maliawan Sri, Mizuno Junichi
This report presents two cases of cervicobrachialgia and radiculopathy due to multiple cervical herniated discs and spur formation that dealt with anterior cervical discectomy and fusion (ACDF) using different titanium interbody cages. The description of the clinical presentation, magnetic resonance imaging (MRI) appearances and management strategy are discussed. Both cases showed chronic neck pain and radiating pain from the shoulder to the arm. They had a history of blurry vision, cluster head ache, weakness, and numbness on the shoulder for 2 years...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27682629/update-osteoarthritis-and-spondylosis-active-component-u-s-armed-forces-2010-2015
#18
Valerie F Williams, Leslie L Clark, Gi-Taik Oh
During the 6-year surveillance period, a total of 56,935 incident diagnoses of osteoarthritis (OA) and 60,968 incident diagnoses of spondylosis were identified. Age-specific rates of OA and spondylosis increased markedly with age and were higher among Army members and those in armor/motor transport occupations, compared to their respective counterparts. Among service members aged 25 years or older, the rate of OA overall was higher among black, non-Hispanic than other race/ethnicity group members, and the rate of shoulder OA was higher among males than females...
September 2016: MSMR
https://www.readbyqxmd.com/read/27681536/dynamic-evaluation-of-the-cervical-spine-and-the-spinal-cord-of-symptomatic-patients-using-a-kinetic-magnetic-resonance-imaging-technique
#19
Chengjie Xiong, Michael D Daubs, Trevor P Scott, Kevin H Phan, Akinobu Suzuki, Monchai Ruangchainikom, Allison K Roe, Bayan Aghdasi, Yanlin Tan, Jeffrey C Wang
PURPOSE: The purpose of this study was to examine the movement of the spinal cord and its relationship to the spinal canal in patients with mild spondylosis using kinetic magnetic resonance imaging (kMRI). METHODS: Weight-bearing, multiposition kMRI was performed on symptomatic patients through a full range of flexion-extension. A total of 52 study patients were selected based on the C2-C7 Cobb angle of sagittal alignment: lordotic (from 30 to 45 degrees). We evaluated dynamic changes in different parameters from flexion-extension: spinal canal diameter (CD), spinal cord diameter (SCD), space available for the cord, anterior space available for the cord (ASAC), posterior space available for the cord (PSAC), average distance between the anterior canal and the cord (d-value), and global angle for the spinal canal and cord...
September 27, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27642820/adjacent-segment-disease-in-the-cervical-and-lumbar-spine
#20
Daniel G Tobert, Valentin Antoci, Shaun P Patel, Ehsan Saadat, Christopher M Bono
Adjacent segment disease (ASD) is disappointing long-term outcome for both the patient and clinician. In contrast to adjacent segment degeneration, which is a common radiographic finding, ASD is less common. The incidence of ASD in both the cervical and lumbar spine is between 2% and 4% per year, and ASD is a significant contributor to reoperation rates after spinal arthrodesis. The etiology of ASD is multifactorial, stemming from existing spondylosis at adjacent levels, predisposed risk to degenerative changes, and altered biomechanical forces near a previous fusion site...
September 16, 2016: Clinical Spine Surgery
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