keyword
https://read.qxmd.com/read/38322071/navigating-complexity-a-case-report-of-concurrent-central-cord-syndrome-and-stroke-in-an-elderly-gentleman
#21
Hoe Teong Kee, Mohd Hezery Bin Harun, Fadzrul Abbas Mohamed Ramlee, Teck Siang Lim, Fahrudin Che-Hamzah
Central cord syndrome (CCS) predominantly manifests in elderly individuals with pre-existing cervical spondylosis resulting from hyperextension mechanisms. However, it is not exclusive to the older population and can occur in younger individuals following traumatic cervical spine injuries or, less frequently, due to nontraumatic causes. The impact of this syndrome is more pronounced in the upper extremities, where motor function experiences greater impairment compared to sensory function. CCS presents itself along a spectrum of severity...
January 2024: Curēus
https://read.qxmd.com/read/38316838/increased-risk-of-sudden-sensorineural-hearing-loss-in-patients-with-cervical-spondylosis
#22
JOURNAL ARTICLE
Chia-Chun Liu, I-Te Chen, Shih-Feng Weng
Whether cervical spondylosis (CS) is a risk factor for sudden sensorineural hearing loss (SSNHL) remains unclear. This study used national population-based data to investigate the risk of SSNHL in patients with CS in Taiwan of different ages and sexes. This study used data covering 2 million people in Taiwan, which were obtained from the National Health Insurance Research Database. The data that support the findings of this study are available from National Health Insurance Research Database but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available...
February 5, 2024: Scientific Reports
https://read.qxmd.com/read/38305479/changes-in-cervical-sagittal-balance-following-anterior-cervical-discectomy-with-fusion
#23
JOURNAL ARTICLE
Bartosz Limanówka, Leszek Sagan, Karina Limanówka, Wojciech Poncyljusz
INTRODUCTION: Change in the sagittal balance after anterior cervical discectomy with fusion (ACDF) is a phenomenon that has not yet been sufficiently studied. The aim of this study was to assess such changes. MATERIAL AND METHODS: 28 patients who underwent ACDF for cervical spondylosis were examined. The study was divided into three stages: preoperative, early postoperative, and late postoperative. Sagittal alignments were analysed based on X-ray AP and lateral images: angles C1-C7, C2-C7, C1-C2, C1-C4, C4-C7 and cervical sagittal vertical axis (cSVA)...
February 2, 2024: Neurologia i Neurochirurgia Polska
https://read.qxmd.com/read/38288595/standardizing-continuous-physical-activity-monitoring-in-patients-with-cervical-spondylosis
#24
JOURNAL ARTICLE
Nicolai Maldaner, Aneysis D Gonzalez-Suarez, Megan Tang, Parastou Fatemi, Chris Leung, Atman Desai, Christy Tomkins-Lane, Corinna Zygourakis
STUDY DESIGN/SETTING: Prospective cohort study. OBJECTIVE: To use a commercial wearable device to measure real-life, continuous physical activity in patients with CS and to establish age- and sex-adjusted standardized scores. SUMMARY OF BACKGROUND DATA: Patients with cervical spondylosis (CS) often present with pain or neurologic deficits that results in functional limitations and inactivity. However, little is known regarding the influence of CS on patient's real-life physical activity...
January 30, 2024: Spine
https://read.qxmd.com/read/38287224/anterior-full-endoscopic-single-port-double-transcorporeal-spinal-cord-decompression-for-noncontinuous-two-segment-cervical-spondylotic-myelopathy-a-technical-note
#25
JOURNAL ARTICLE
Gang Chen, Zhijun Xin, Weijun Kong, Fujun Wu, Xuyan Li, Yanyu Qiao, Xiang Yan, Wenbo Liao
OBJECTIVE: In clinical practice, noncontinuous two-segment spinal cord cervical spondylosis is a particular form of cervical degenerative disease. Traditional anterior open surgery frequently comes with severe trauma, risks, and debatable treatment options. This study aimed to describe for the first time a novel minimally invasive technique, namely, anterior full-endoscopic single-port double transcorporeal spinal cord decompression for the treatment of patients with noncontinuous two-segment cervical spondylotic myelopathy...
January 29, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38264153/exploring-the-incidence-and-risk-factors-of-reoperation-for-symptomatic-adjacent-segment-disease-following-cervical-decompression-and-fusion
#26
JOURNAL ARTICLE
Hania Shahzad, Paul M Alvarez, Mustaqueem Pallumeera, Nazihah Bhatti, Elizabeth Yu, Frank M Phillips, Safdar N Khan, Varun K Singh
BACKGROUND: Patients with long-term follow-up after cervical decompression and fusion have often been noted to have development of adjacent segment degeneration with a smaller subset of these patients progressing to adjacent segment disease (ASD), which results in the development of new symptomatic radiculopathy or myelopathy referable to a site either directly above or below a prior fused segment. The cause of ASD is multifactorial often involving natural age-related progression of spondylosis, accelerated progression following cervical decompression and fusion, operative technique, and patient-related factors...
March 2024: N Am Spine Soc J
https://read.qxmd.com/read/38237493/respiratory-dysfunction-in-degenerative-cervical-myelopathy-a-systematic-review
#27
REVIEW
Lorcan Elliott, Michael Li, Aref-Ali Gharooni, Benjamin M Davies, Oliver D Mowforth
INTRODUCTION: Degenerative cervical myelopathy is a condition of symptomatic cervical spinal cord compression secondary to a range of degenerative spinal pathology. Respiratory symptoms such as shortness of breath are not uncommonly reported by people with DCM and respiratory dysfunction has been described in several DCM studies. The objective of this review was therefore to systematically synthesise the current evidence on the relationship between DCM and respiratory function. METHODS: The review was registered on PROSPERO and adhered to PRISMA guidelines...
January 17, 2024: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/38226616/diagnostic-utility-of-gold-coast-criteria-for-amyotrophic-lateral-sclerosis-in-asia
#28
JOURNAL ARTICLE
Ryo Otani, Kazumoto Shibuya, Toshio Shimizu, Takamasa Kitaoji, Yu-Ichi Noto, Kota Bokuda, Hideki Kimura, Tomoki Suichi, Keigo Nakamura, Hiroki Kano, Marie Morooka, Yuya Aotsuka, Moeko Ogushi, Sonoko Misawa, Satoshi Kuwabara
Objective : This study aimed to reveal the diagnostic utility of Gold Coast (GC) criteria in Japanese patients with amyotrophic lateral sclerosis (ALS) by comparing the sensitivity/specificity with revised El Escorial (R-EE) and Awaji criteria, because its utility has not been studied in Asian ALS. Methods : Consecutive 639 patients (529 with ALS and 110 with ALS mimics), who were suspected of ALS and referred to three Japanese ALS centers, were enrolled. Diagnostic accuracy and characteristics of false positive and negative in GC criteria were compared with those of the Awaji and R-EE criteria...
January 16, 2024: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://read.qxmd.com/read/38224907/does-anterior-cervical-spine-surgery-increase-the-likelihood-of-developing-obstructive-sleep-apnea-a-pearldiver-study
#29
JOURNAL ARTICLE
Saral Patel, Amrit Khalsa, David S Casper
OBJECTIVES: Literature is sparse on the development of obstructive sleep apnea (OSA) after anterior cervical spine surgery and includes few case reports. Our objective is to evaluate the role of anterior cervical spine surgery as a risk factor for developing OSA. METHODS: A retrospective cohort study was performed utilizing the M157 subset of the PearlDiver national database. Two matched cohorts of patients were identified based on anterior cervical spine surgery using CPT codes...
January 13, 2024: World Neurosurgery
https://read.qxmd.com/read/38213868/a-case-report-of-bow-hunter-s-syndrome-with-intravascular-ultrasound-showing-changing-significant-severe-stenosis-of-the-left-vertebral-artery-associated-with-turning-left
#30
Sasaki Takafumi, Rintaro Hojo, Takaaki Tsuchiyama, Seiji Fukamizu
BACKGROUND: Bow Hunter's syndrome is vertebral basilar artery insufficiency caused by mechanical occlusion of the vertebral artery during head rotation. This is often due to the formation of osteophytes, herniated discs, cervical spondylosis, or tumours. However, whether the contralateral vessel is organically stenotic is not well known. CASE SUMMARY: A 79-year-old man was referred to our department for a close examination of syncope because the transient loss of consciousness occurring when he was made to turn his head to the left was reproducibly induced and recovered when his face was returned to the normal position...
January 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38213106/novel-calcium-phosphate-promotes-interbody-bony-fusion-in-a-porcine-anterior-cervical-discectomy-and-fusion-model
#31
JOURNAL ARTICLE
Maria Östman, Peter Försth, Patricia Hedenqvist, Håkan Engqvist, Leticia Marcelino, Bjørnar Ytrehus, Gry Hulsart-Billström, Michael Pujari-Palmer, Caroline Öhman-Mägi, Odd Höglund, Franck Forterre
STUDY DESIGN: Experimental porcine anterior cervical discectomy and fusion (ACDF) model: a proof-of-concept study. OBJECTIVE: The effect of monetite synthetic bone graft containing calcium pyrophosphate (Ca-PP) and β-tricalcium phosphate (β-TCP) on cervical spinal fusion in a non-instrumented two-level large animal model. SUMMARY OF BACKGROUND DATA: ACDF is the gold standard surgical technique for the treatment of degenerative cervical spinal diseases...
January 12, 2024: Spine
https://read.qxmd.com/read/38212759/anterior-cervical-discectomy-and-fusion-with-a-zero-profile-va-spacer-device-a-clinical-and-radiological-study-with-two-year-follow-up
#32
JOURNAL ARTICLE
Hai-Hong Zhao, Hao-Wei Xu, Shan-Jin Wang, Tao Hu, De-Sheng Wu
STUDY DESIGN: A retrospective study. OBJECTIVE: The aim of this study was to compare clinical and radiological outcomes of the anterior cervical discectomy and fusion (ACDF) with a novel zero-profile variable-angle (Zero-P VA) spacer and a traditional poly-ether-ether-ketone (PEEK) cage and plate system in cases pertaining to cervical radiculopathy/myelopathy. There are two conventional types of ACDF procedures aimed at treating symptomatic cervical spondylosis...
January 11, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38186492/tailor-made-surgical-strategy-for-coexistent-cervical-myelopathy-and-bilateral-radiculopathy-combined-laminoplasty-laminectomy-and-foraminotomy-report-of-two-cases
#33
Yoshinori Maki, Toshinari Kawasaki, Motohiro Takayama
Cervical spondylosis  is a common and degenerative disease consisting of myelopathy and radiculopathy. Surgical treatment can be considered for patients with cervical spondylosis resulting in severe pain, motor weakness, ambulation difficulty, and urination disorder. As myelopathy and radiculopathy often coexist, two-staged anterior and posterior fixation/decompression surgery can be selected to resolve those two pathologies. However, due to the invasiveness of that management, posterior surgery in a single session seems favorable...
December 2023: Curēus
https://read.qxmd.com/read/38177983/identification-of-difficult-laryngoscopy-using-an-optimized-hybrid-architecture
#34
JOURNAL ARTICLE
XiaoXiao Liu, Colin Flanagan, Gang Li, Yiming Lei, Liaoyuan Zeng, Jingchao Fang, Xiangyang Guo, Sean McGrath, Yongzheng Han
BACKGROUND: Identification of difficult laryngoscopy is a frequent demand in cervical spondylosis clinical surgery. This work aims to develop a hybrid architecture for identifying difficult laryngoscopy based on new indexes. METHODS: Initially, two new indexes for identifying difficult laryngoscopy are proposed, and their efficacy for predicting difficult laryngoscopy is compared to that of two conventional indexes. Second, a hybrid adaptive architecture with convolutional layers, spatial extraction, and a vision transformer is proposed for predicting difficult laryngoscopy...
January 4, 2024: BMC Medical Research Methodology
https://read.qxmd.com/read/38153494/correlation-between-cervical-spine-sagittal-alignment-and-clinical-outcome-after-standalone-intersomatic-titanium-cage-cespace-for-cervical-anterior-discectomy-and-fusion-in-cervical-degenerative-disk-diseases
#35
JOURNAL ARTICLE
R Zaccaria, F Cacciola, G Caruso, S Ferri, M Caffo, A Curcio, I Ghetti, A Germanò
The aim of this study was to determine the relationship between cervical spine sagittal alignment and clinical outcomes after using a standalone intersomatic titanium cage CeSPACE for anterior cervical discectomy and arthrodesis. We present our clinical experience in a group of 180 patients with a mean follow-up for at least 2 years. Patients were evaluated by clinical and radiological assessment preoperatively, immediately after surgery and at regular follow-up. There were 97 male and 83 female patients (average age: 56...
2023: Acta Neurochirurgica. Supplement
https://read.qxmd.com/read/38153492/minimally-invasive-posterior-cervical-fusion-a-handsome-option
#36
JOURNAL ARTICLE
V Pinto, L Pereira, R Reinas, D Kitumba, O L Alves
Cervical spondylosis is the leading cause of cervical myelopathy. When surgery is indicated, it is commonly addressed through an anterior or posterior cervical approach, such as cervical discectomy and fusion (ACDF) or laminectomy and fusion (LMF). Besides their own merits, each one has specific approach- or device-related complications, such as dysphagia, significant postoperative pain, wound infection, adjacent segment degeneration (ASD), and pseudoarthrosis. Through a tissue-sparing minimally invasive technique, posterior cervical fusion (PCF) has shown unfolding compelling evidence of biomechanical stability, good clinical outcomes, and high fusion rates, with fewer complications and better econometrics...
2023: Acta Neurochirurgica. Supplement
https://read.qxmd.com/read/38146739/degenerative-thoracic-myelopathy-a-scoping-review-of-epidemiology-genetics-and-pathogenesis
#37
REVIEW
Tanzil Rujeedawa, Oliver D Mowforth, Benjamin M Davies, Cylene Yang, Aria Nouri, Jibin J Francis, Bizhan Aarabi, Brian K Kwon, James Harrop, Jefferson R Wilson, Allan R Martin, Vafa Rahimi-Movaghar, James D Guest, Michael G Fehlings, Mark R Kotter
STUDY DESIGN: Literature Review. OBJECTIVE: Myelopathy affecting the thoracic spinal cord can arise secondary to several aetiologies which have similar presentation and management. Consequently, there are many uncertainties in this area, including optimal terminology and definitions. Recent collaborative cervical spinal research has led to the proposal and subsequent community adoption of the name degenerative cervical myelopathy(DCM) , which has facilitated the establishment of internationally-agreed research priorities for DCM...
December 26, 2023: Global Spine Journal
https://read.qxmd.com/read/38130228/-diagnosis-and-treatment-of-11-patients-with-cevical-spondylotic-amyotrophy
#38
JOURNAL ARTICLE
Han-Rong Xu, Yin-Jiang Lu, Yi-Biao Jing, Chun-Hua Yu, Qi-Ming Chen
OBJECTIVE: To explore clinical features, treatment methods and clinical effects of cervical spondylosis with proximal muscular atrophy. METHODS: Eleven patients with proximal-type cervical spondylotic amyotrophy were retrospectively studied from September 2016 to November 2020, including 7 males and 4 females, aged 38 to 68 years old. Clinical symptoms, MRI and neuroelectrophysiological manifestations were analyzed, and patients were treated with conservative treatment or anterior cervical decompression fusion surgery, respectively...
December 25, 2023: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38124185/topical-chinese-patent-medicines-for-chronic-musculoskeletal-pain-systematic-review-and-trial-sequential-analysis
#39
JOURNAL ARTICLE
Kaiqiang Tang, Jigao Sun, Yawei Dong, Zelu Zheng, Rongtian Wang, Na Lin, Weiheng Chen
PURPOSE: Chronic musculoskeletal pain (CMP) is defined as persistent or recurrent pain that occurs in the joints, musculo-soft tissue, spine or bones for more than three months and is not completely curable. Although topical Chinese patent medicine (CPM) is the most extensively utilized medication in Asia and is widely used for pain management, its efficacy remains controversial. This article presents a systematic review of clinical studies on the therapeutic properties of topical CPM for CMP patients to better inform clinical decision-making and provide additional and safer treatment options for patients with CMP...
December 20, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38123366/development-and-validation-of-the-17-point-brazilian-portuguese-translated-version-of-the-modified-japanese-orthopedic-association-score-mjoa-br17
#40
JOURNAL ARTICLE
Pedro Pohl, Helena Bruna Bettoni Volpato, Lucas Seabra Fernandes, Marcel Lobato Sauma, Takashi Yurube, Gilbert Bang, Rodrigo Góes Medéa de Mendonça, Luciano Miller Reis Rodrigues, Mario Lenza
BACKGROUND: Cervical spondylotic myelopathy (CSM) is the most common degenerative dysfunction of the spinal cord in the cervical spine in patients older than 55 years. The Japanese Orthopedic Association developed a scoring system to quantify clinical impairment of CSM patients, allocate them according to the degree of impairment, and suggest best timing for surgery. The original version evaluates the upper limb motor function through the ability of feeding with chopsticks, which are not intrinsic in western populations...
December 20, 2023: International Journal of Spine Surgery
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