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Herniated cervical disc

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https://www.readbyqxmd.com/read/28377542/myelopathy-associated-with-age-related-cervical-disc-herniation-a-retrospective-review-of-magnetic-resonance-images
#1
Nosaiba Tawfik Al-Ryalat, Saif Aldeen Saleh, Walid Sulaiman Mahafza, Osama Ahmad Samara, Abdee Tawfiq Ryalat, Azmy Mohammad Al-Hadidy
BACKGROUND: Cervical intervertebral disc herniation can lead to myelopathy. Aging is an established variable related to spondylotic myelopathy. Studying this association will help in controlling the increase in spondylotic myelopathy with age. OBJECTIVES: To study the association between cervical disc level, its direction, and the frequency of my-elopathy with age, and to assess the epidemiology of age-related cervical disc herniation and myelopathy. DESIGN: Retrospective review of magnetic resonance (MR) images...
March 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28368476/a-prospective-study-of-interbody-fat-graft-application-with-the-anterior-contralateral-cervical-microdiscectomy-to-preserve-segmental-mobility
#2
Yunus Aydin, Halit Çavusoglu, Ismail Yüce, Ahmet Özdilmaç, Okan Kahyaoglu
BACKGROUND: Any surgical procedure aims at protecting mobile segments at the operated level, and the sagittal balance of the columna vertebralis. Interbody fusion has become an often applied technique in anterior cervical discectomy. OBJECTIVE: To indicate that a minimally invasive technique in which we use interbody fat graft placement showed great results and effectiveness, especially in patients who were suffering from cervical paramedian disc herniation. METHODS: In this study, 432 patients were observed from 2000 to 2013...
March 28, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28365433/percutaneous-endoscopic-cervical-discectomy-pecd-an-analysis-of-outcome-causes-of-reoperation
#3
Hyeong Seok Oh, Byeong Wook Hwang, Sang Joon Park, Chang Sheng Hsieh, Sang Ho Lee
OBJECTIVE: Percutaneous endoscopic cervical discectomy (PECD) regarded as an effective treatment modality in cervical disc herniation, including radicular pain and lateral location of disc herniation. This study aimed to evaluate the clinical and radiological outcomes with PECD, along with the causes of reoperation and the technique itself. METHODS: Between January 2007 and November 2012, 101 patients underwent PECD at the Busan Wooridul hospital. Three patients underwent two-level PECD...
March 29, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28343742/automatic-matching-of-surgeries-to-predict-surgeons-next-actions
#4
Germain Forestier, François Petitjean, Laurent Riffaud, Pierre Jannin
OBJECTIVE: More than half a million surgeries are performed every day worldwide, which makes surgery one of the most important component of global health care. In this context, the objective of this paper is to introduce a new method for the prediction of the possible next task that a surgeon is going to perform during surgery. MATERIAL AND METHOD: We formulate the problem as finding the optimal registration of a partial sequence to a complete reference sequence of surgical activities...
March 23, 2017: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/28343313/spontaneous-cervical-intradural-disc-herniation-presenting-with-brown-s%C3%A3-quard-and-horner-s-syndrome-lesson-learned-from-a-very-unique-case
#5
Irene Baudracco, Gordan Grahovac, Vittorio M Russo
PURPOSE: Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner's syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner's and Brown-Séquard syndrome (BSS) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc. METHODS: Notes and images review, and analysis of the relevant literature...
March 25, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28297693/-a-case-of-central-type-disc-herniation-at-the-c7-t1-level-presenting-with-myelopathy
#6
Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino
In contrast to other levels of upper disc spaces, the Luschka joints are usually absent at the C7/T1 disc space. Therefore, it has been reported that the C7/T1 disc herniation is prone to herniate laterally rather than centrally. In this manuscript, we describe an extremely rare central-type disc herniation at the C7/T1 level presented with myelopathy. A 76-year-old man presented with a 20-day history of progressive gait disturbance. Physical examination revealed bilateral lower extremity hyperreflexia and mild foot numbness with no upper extremity motor weakness or sensory disturbance...
March 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/28289639/clinical-efficacy-of-selective-focal-ablation-by-navigable-percutaneous-disc-decompression-device-in-patients-with-cervical-herniated-nucleus-pulposus
#7
Sung Hoon Kim, Sang-Heon Lee, Nack Hwan Kim, Min Hyun Kim, Hyeun Jun Park, Yong Jin Jung, Hyun-Joon Yoo, Won Jun Meng, Victoria Kim
OBJECTIVE: To evaluate the clinical efficacy and safety following percutaneous disc decompression, using navigable disc decompression device for cervical herniated nucleus pulposus (HNP). METHODS: Twenty subjects diagnosed with cervical HNP and refractory to conservative management were enrolled for the study. The herniated discs were decompressed under fluoroscopic guidance, using radiofrequency ablation device with navigable wand. The sagittal and axial plain magnetic resonance images of the clinically significant herniated disc, decided the space between the herniated base and outline as the target area for ablation...
February 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28247075/cervical-facet-dislocations-in-the-adolescent-population-a-report-of-21-cases-at-a-level-1-trauma-center-from-2004-to-2014
#8
Alireza K Anissipour, Julie Agel, Carlo Bellabarba, Richard J Bransford
PURPOSE: The purpose of this study was to present a series of adolescent patients with cervical facet dislocations to identify the mechanism of injury, severity of neurological injury and rate of neurological recovery. METHODS: Between 2004 and 2014, a retrospective review at a level I trauma center identified patients with unilateral or bilateral dislocated facet(s). Demographic data, initial neurological exams, surgical data, radiographic findings, and follow-up records were reviewed...
February 28, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28182597/surgical-treatment-for-subaxial-cervical-facet-dislocations-with-incomplete-or-without-neurological-deficit-a-prospective-study-of-52-cases
#9
Xingjie Jiang, Yu Yao, Mingchen Yu, Yong Cao, Huilin Yang
BACKGROUND This study aimed to treat patients with subaxial cervical facet dislocations with incomplete or without neurological deficit by a prospectively designed surgical protocol and observe the short-term clinical outcomes. MATERIAL AND METHODS Fifty-two consecutive subaxial cervical dislocation patients with incomplete or without neurological deficit were enrolled. The surgical strategy was determined based on whether or not the initial anterior closed reduction was successful and whether or not the patients were simultaneously combined with traumatic disc herniation (TDH)...
February 9, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28176603/can-axial-pain-be-helpful-to-determine-surgical-level-in-the-multilevel-cervical-radiculopathy
#10
Bo-Kyung Suh, Ki Han You, Moon Soo Park
Spine surgeons are required to differentiate symptomatic cervical disc herniation with asymptomatic radiographic herniation. Although the dermatomal sensory dysfunction of upper extremity is the most important clue, axial pain including cervicogenic headache and parascapular pain may be helpful to find surgical target level. However, there is no review article about the axial pain originated from cervical spondylotic radiculopathy and relieved by surgical decompression. The purpose is to review the literatures about the axial pain, which can be utilized in determining target level to be decompressed in the patients with cervical radiculopathy at multiple levels...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28175475/311%C3%A2-smith-robinson-procedure-with-an-autologous-iliac-crest-bone-graft-with-and-without-caspar-plating-as-a-treatment-for-soft-cervical-disc-herniation-report-of-122-patients-with-an-average-follow-up-of-25-years
#11
Benedikt W Burkhardt, Moritz Brielmeier, Karsten Schwerdtfeger, Joachim M K Oertel
No abstract text is available yet for this article.
August 1, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28175436/160%C3%A2-outpatient-surgery-for-herniated-cervical-disc-and-fusion-is-feasible-and-safe-a-consecutive-single-center-series-of-759-patients
#12
Bjarne Lied, Oystein Helseth, Kare Ekseth, Ben Heskestad, Eirik Helseth
No abstract text is available yet for this article.
August 1, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28158155/comparison-of-cervical-sagittal-alignment-and-kinematics-after-posterior-full-endoscopic-cervical-foraminotomy-and-discectomy-according-to-preoperative-cervical-alignment
#13
Samuel Won, Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Sung Bae Park, Jung Hyeon Moon, Won Heo, Sung-Mi Kim
BACKGROUND: The progression of cervical kyphosis due to injury to the facet joints and musculature is a major concern for posterior foraminotomy especially for patients with cervical lordosis of less than 10°. However, cervical hypo-lordosis (cervical lordosis < 10°) may be improved with the alleviation of pain and muscle spasms, which corresponds with the disappearance of a positive Spurling's test. When surgery is necessary, the spontaneous recovery of cervical curvature may be minimally offset using minimally invasive surgical techniques, such as posterior percutaneous endoscopic cervical foraminotomy (P-PECF)...
February 2017: Pain Physician
https://www.readbyqxmd.com/read/28142263/current-practice-of-cervical-disc-arthroplasty-a-survey-among-383-aospine-international-members
#14
Timothy C Chin-See-Chong, Pravesh S Gadjradj, Robert J Boelen, Biswadjiet S Harhangi
OBJECTIVE The use of cervical disc arthroplasty (CDA) in spinal practice is controversial. This may be explained by the lack of studies with a large sample size and long-term outcomes. With this survey the authors aimed to evaluate the opinions of spine surgeons on the use of CDA in the current treatment of cervical disc herniation (CDH). METHODS A web-based survey was sent to all members of AOSpine International by email using SurveyMonkey on July 18, 2016. A single reminder was sent on August 18, 2016. Questions included geographic location; specialty; associated practice model; number of discectomies performed annually; the use of CDA, anterior cervical discectomy (ACD), and anterior cervical discectomy and fusion (ACDF); and the expectations for clinical outcomes of these procedures...
February 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28142261/thirty-day-readmission-and-reoperation-rates-after-single-level-anterior-cervical-discectomy-and-fusion-versus-those-after-cervical-disc-replacement
#15
Niketh Bhashyam, Rafael De la Garza Ramos, Jonathan Nakhla, Rani Nasser, Ajit Jada, Taylor E Purvis, Daniel M Sciubba, Merritt D Kinon, Reza Yassari
OBJECTIVE The goal of this study was to compare 30-day readmission and reoperation rates after single-level anterior cervical discectomy and fusion (ACDF) versus those after cervical disc replacement (CDR). METHODS The authors used the 2013-2014 American College of Surgeons National Surgical Quality Improvement Program database. Included were adult patients who underwent first-time single-level ACDF or CDR for cervical spondylosis or disc herniation. Primary outcome measures were readmission and/or reoperation within 30 days of the original surgery...
February 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28139306/acute-neck-pain-in-the-emergency-department-consider-longus-colli-calcific-tendinitis-vs-meningitis
#16
Tyag K Patel, James C Weis
Presented here is a rare cause of severe neck pain - acute longus colli calcific tendinitis - in a 54year old man who presented to the emergency department. The neck pain is due to inflammation caused by calcium hydroxyapatite crystal deposition in the tendons on the longus colli muscles. This is non-infectious. The gold standard for diagnosis is a CT neck which best shows the calcifications in the anterior vertebral column of C1-C4, where the tendons of these muscles insert bilaterally. Longus colli calcific tendinitis is not life-threatening and patients will make a full recovery after treatment with NSAIDs...
January 25, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28108424/clinical-and-radiologic-findings-after-multilevel-cervical-total-disk-replacement-defining-radiologic-changes-to-predict-surgical-outcomes
#17
Jung Hwan Lee, Jun Ho Lee, Sang-Ho Lee
OBJECTIVE: This study compared the radiologic parameters between preoperation and postoperation for patients who underwent multilevel cervical total disk replacement (MCTDR) and assessed which parameters were related to successful clinical outcomes after MCTDR. METHODS: The study included a consecutive series of 24 patients who were treated with MCTDR following the diagnosis of multilevel cervical disk herniation or stenosis. Numeric Rating Scale, C2-7 sagittal vertical axis, range of motion (ROM) of C2-7 segment, and total disk replacement (TDR) implanted levels were evaluated at pre- and post-TDR...
April 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28061490/comparative-analysis-between-total-disc-replacement-and-posterior-foraminotomy-for-posterolateral-soft-disc-herniation-with-unilateral-radiculopathy-clinical-and-biomechanical-results-of-a-minimum-5-years-follow-up
#18
Kyoung-Tae Kim, Dae-Chul Cho, Joo-Kyung Sung, Young-Baeg Kim, Du Hwan Kim
OBJECTIVE: To compare the clinical outcomes and biomechanical effects of total disc replacement (TDR) and posterior cervical foraminotomy (PCF) and to propose relative inclusion criteria. METHODS: Thirty-five patients who underwent surgery between 2006 and 2008 were included. All patients had single-level disease and only radiculopathy. The overall sagittal balance and angle and height of a functional segmental unit (FSU; upper and lower vertebral body of the operative lesion) were assessed by preoperative and follow-up radiographs...
January 1, 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28053621/clinical-and-magnetic-resonance-imaging-features-of-compressive-cervical-myelopathy-with-traumatic-intervertebral-disc-herniation-in-cynomolgus-macaque-macaca-fascicularis
#19
Yun-Jung Choi, Hye-Jin Park, Chul-Ho Sohn, Kyeong Cheon Jung, Seong Hoe Park, Jae-Il Lee
Intervertebral disc herniation (IVDH) with nucleus pulposus extrusion, traumatic or not, is a devastating clinical condition accompanied by neurological problems. Here we report a cynomolgus macaque suffering from acute and progressive neurological dysfunction by a blunt trauma due to neck collar, an animal handling device. Tetraplegia, urinary incontinence, decreased proprioception, and imperception of pain were shown on physical and neurological examinations. MRI sagittal T2 weighted sequences revealed an extensive protrusion of disc material between C2 and C3 cervical vertebra, and this protrusion resulted in central stenosis of the spinal cord...
December 2016: Laboratory Animal Research
https://www.readbyqxmd.com/read/28042726/hybrid-cervical-disc-arthroplasty
#20
Tsung-Hsi Tu, Jau-Ching Wu, Henrich Cheng, Praveen V Mummaneni
For patients with multilevel cervical stenosis at nonadjacent segments, one of the traditional approaches has included a multilevel fusion of the abnormal segments as well as the intervening normal segment. In this video we demonstrate an alternative treatment plan with tailored use of a combination of anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA) with an intervening skipped level. The authors present the case of a 72-year-old woman with myeloradiculopathy and a large disc herniation with facet joint degeneration at C3-4 and bulging disc at C5-6...
January 2017: Neurosurgical Focus
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