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Neck pain , cervical radiculopathy

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https://www.readbyqxmd.com/read/28207654/long-term-clinical-outcomes-of-cervical-disc-arthroplasty-a-prospective-randomized-controlled-trial
#1
Willa R Sasso, Joseph D Smucker, Maria P Sasso, Rick C Sasso
STUDY DESIGN: Prospective, randomized, single-center, clinical trial. OBJECTIVE: To prospectively examine the 7- and 10-year outcomes of cervical arthroplasty to anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA: Degeneration of the cervical discs causing radiculopathy is a frequent source of surgical intervention, commonly treated with ACDF. Positive clinical outcomes are associated with arthrodesis techniques, yet there remains a long-term concern for adjacent segment change...
February 15, 2017: Spine
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
#2
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/27932746/-distribution-of-pain-and-numbness-in-patients-with-cervical-spine-disorders
#3
Keita Kuraishi, Masaki Mizuno, Yasuyuki Umeda, Tomoki Ishigaki, Ryuta Yasuda, Takanori Sano, Masato Shiba, Fumihiro Kawakita, Yoshinari Nakatsuka, Kazuhiro Furukawa, Satoru Tanioka, Masanori Tsuji, Masayuki Kitagami, Seiji Hatazaki, Hidenori Suzuki
PURPOSE: To elucidate the distribution of improved pain and numbness after cervical decompression surgery in patients with cervical spine disorders. METHODS: This study included 4 men and 5 women aged 45 to 71 years(mean 58 years)presenting with radiculopathy and 50 men and 17 women aged 35 to 88 years(mean 66 years)presenting with myelopathy. RESULTS: All 9 patients with radiculopathy presented with neck pain, and 3 presented with cervical angina...
December 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27911127/immediate-and-lasting-effects-of-a-thoracic-spine-manipulation-in-a-patient-with-signs-of-cervical-radiculopathy-and-upper-extremity-hyperalgesia-a-case-report
#4
Beth K Deschenes, Jason Zafereo
Patients with cervical radiculopathy (CR) may present with accompanying symptoms of hyperalgesia, allodynia, heaviness in the arm, and non-segmental pain that do not appear to be related to a peripheral spinal nerve. These findings may suggest the presence of central or autonomic nervous system involvement, requiring a modified management approach. The purpose of this case report is to describe the treatment of a patient with signs of CR and upper extremity (UE) hyperalgesia who had a significant decrease in her UE pain and hypersensitivity after a single thoracic spine manipulation (TSM)...
January 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27904963/10-year-follow-up-after-implantation-of-the-bryan-cervical-disc-prosthesis
#5
Joost Dejaegher, Joris Walraevens, Johannes van Loon, Frank Van Calenbergh, Philippe Demaerel, Jan Goffin
PURPOSE: Cervical arthroplasty is being used as an alternative for cervical fusion, but long-term follow-up results have rarely been reported. In this paper, we present 10-year follow-up results after implantation of the Bryan Cervical Disc Prosthesis in a single center. METHODS: 89 patients underwent implantation of a single-level Bryan Cervical Disc Prosthesis to treat radiculopathy and/or myelopathy. Clinical (Neurological Success, Neck Disability Index (NDI), Neck- and Arm-Pain, and SF-36) and radiological follow-up was prospectively organized up to 10 years after surgery...
November 30, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27814270/clinical-outcomes-of-additional-surgery-for-adjacent-segment-disease-after-single-level-anterior-cervical-decompression-and-fusion
#6
Jia Li, Tao Lei, Yaming Liu, Jingchao Wei, Yong Shen
BACKGROUND: Adjacent segment disease (ASD) is one of the problematic complications following anterior cervical decompression and fusion (ACDF). The impact of additional surgery with instruments is still unknown. OBJECTIVE: The objective of this study was to investigate the surgical outcomes of additional ACDF with instruments for symptomatic ASD after an initial ACDF using autogenous iliac grafts without instruments. METHODS: A total of 56 patients who underwent an additional ACDF with instruments for symptomatic new radicular or myelopathic symptoms from ASD between 2006 and 2012...
October 28, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27799994/increased-prevalence-of-ossification-of-posterior-longitudinal-ligament-and-increased-bone-mineral-density-in-patients-with-ossification-of-nuchal-ligament
#7
Ki-Wan Kim, Young-Min Oh, Jong-Pil Eun
OBJECTIVE: There are also few studies demonstrating the relationship between ossification of nuchal ligament (ONL) and ossification of posterior longitudinal ligament (OPLL). We compared the prevalence, location, and type of OPLL between patients with ONL and matched patients without ONL.We also compared the bone mineral densities (BMDs) between the 2 groups. METHODS: total of 124 cervical ONL patients were enrolled in this study. The control group of 124 patients was matched with 124 patients with ONL by age and sex on a 1:1 basis to minimize confounding factors...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27796650/the-value-of-short-term-pain-relief-in-predicting-the-1-month-outcome-of-indirect-cervical-epidural-steroid-injections
#8
Holger Joswig, Armin Neff, Christina Ruppert, Gerhard Hildebrandt, Martin Nikolaus Stienen
BACKGROUND: Clinical management after epidural steroid injections (ESI) of patients with radiculopathy secondary to a cervical disc herniation (CDH) is uncertain. This study aims to determine whether short-term arm pain alleviation following computed tomography-guided 'indirect' cervical ESI can predict the 1-month outcome. METHODS: We conducted a prospective observation of 45 consecutive patients at a tertiary radiological department. Study components were visual analog scale arm and neck pain at baseline, 15, 30, and 45 min, 1, 2, and 4 h, on days 1-14, 1 month, and at 1 year...
February 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27787486/minimally-invasive-cervical-spine-surgery
#9
Branko Skovrlj, Sheeraz A Qureshi
AIM: Degenerative disorders of the cervical spine requiring surgical intervention have become increasingly more common over the past decade. Traditionally, open surgical approaches have been the mainstay of surgical treatment. More commonly, minimally invasive techniques are being developed with the intent to decrease surgical morbidity and iatrogenic spinal instability. This study will review four minimally invasive cervical techniques that have been increasingly utilized in the treatment of degenerative cervical spine disease...
October 27, 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27770801/balance-chiropractic-therapy-for-cervical-spondylotic-radiculopathy-study-protocol-for-a-randomized-controlled-trial
#10
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/27751923/return-to-sports-after-cervical-total-disc-replacement
#11
Andreas Reinke, Michael Behr, Alexander Preuss, Jimmy Villard, Bernhard Meyer, Florian Ringel
OBJECTIVE: Total disc replacement (TDR) is typically indicated in young patients with a cervical soft disc herniation. There are few data on the activity level of patients after cervical TDR, in particular from young patients who are expected to have a high activity level with frequent exercising. The expectation is that returning to active sports after cervical TDR is not restricted. METHODS: Fifty patients were treated with a monosegmental cervical TDR at our department between May 2006 and March 2012...
January 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27710812/neck-range-of-motion-following-cervical-spinal-fusion-a-comparison-of-patient-centered-and-objective-assessments
#12
Manish K Kasliwal, Christopher D Witiw, Vincent C Traynelis
OBJECTIVES: A common question posed by patients undergoing cervical fusion pertains to the likelihood of perceiving a postoperative limitation in neck mobility. The aim of this study was to assess the change in neck mobility after subaxial cervical fusion using an objective range of motion (ROM) measure and patient reported assessment. PATIENTS AND METHODS: Patients older than 18 years of age, undergoing first-time anterior or posterior subaxial cervical arthrodesis for a symptomatic spondylotic process (radiculopathy, cervical spondylotic myelopathy or primary neck pain) at a single center were eligible...
December 2016: Clinical Neurology and Neurosurgery
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
#13
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/27647034/neurofibromatosis-type-1-associated-extracranial-vertebral-artery-aneurysm-complicated-by-vertebral-arteriovenous-fistula-after-rupture-case-report-and-literature-review
#14
Atsuhito Uneda, Kenta Suzuki, Shuichi Okubo, Koji Hirashita, Masatoshi Yunoki, Kimihiro Yoshino
BACKGROUND: Extracranial vertebral artery aneurysm related to neurofibromatosis type 1 (NF1) is rare. Aneurysmal rupture typically induces such symptoms as cervical hematoma, hemothorax, and hypotension. Here we report a case of ruptured extracranial vertebral artery aneurysm in a patient with NF1 who, rather than cervical hematoma, hemothorax, or hypotension, developed a vertebral arteriovenous fistula (AVF) after aneurysm rupture. CASE DESCRIPTION: A 35-year-old woman with a family history of NF1 presented with sudden-onset right neck and shoulder pain...
September 16, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27593790/clinical-and-radiological-characteristics-of-ossification-of-the-posterior-longitudinal-ligament-of-the-cervical-spine-in-patients-without-myelopathy-results-of-a-1-year-pilot-study
#15
Choi Byung-Wan
AIM: We analyzed the demographics, clinical and radiological characteristics of non-myelopathic cervical OPLL patients, which could serve as a basis for further studies on natural history of OPLL. MATERIAL AND METHODS: This study included 115 patients with cervical OPLL without myelopathy. Clinically, visual analog scale (VAS) scores for the neck and arm, and Japanese Orthopaedic Association (JOA) scores were evaluated. Radiologically, the number of involved segments, type of OPLL, and the maximal compression ratio were analyzed using a CT scan...
December 7, 2015: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27576192/addition-of-a-sagittal-cervical-posture-corrective-orthotic-device-to-a-multimodal-rehabilitation-program-improves-short-and-long-term-outcomes-in-patients-with-discogenic-cervical-radiculopathy
#16
Ibrahim M Moustafa, Aliaa A Diab, Shimaa Taha, Deed E Harrison
OBJECTIVE: To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the intensity of pain, disability, and peripheral and central nervous system function in patients with discogenic cervical radiculopathy (CR). DESIGN: A randomized controlled trial with 1-year and 10-week follow-up. SETTING: University research laboratory. PARTICIPANTS: Patients (N=60; 27 men) with chronic discogenic CR, a defined hypolordotic cervical spine, and AHT posture were randomly assigned to a control group (n=30; mean age, 43...
December 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27564856/a-5-to-8-year-randomized-study-on-the-treatment-of-cervical-radiculopathy-anterior-cervical-decompression-and-fusion-plus-physiotherapy-versus-physiotherapy-alone
#17
RANDOMIZED CONTROLLED TRIAL
Markus Engquist, Håkan Löfgren, Birgitta Öberg, Anders Holtz, Anneli Peolsson, Anne Söderlund, Ludek Vavruch, Bengt Lind
OBJECTIVE The aim of this study was to evaluate the 5- to 8-year outcome of anterior cervical decompression and fusion (ACDF) combined with a structured physiotherapy program as compared with that following the same physiotherapy program alone in patients with cervical radiculopathy. No previous prospective randomized studies with a follow-up of more than 2 years have compared outcomes of surgical versus nonsurgical intervention for cervical radiculopathy. METHODS Fifty-nine patients were randomized to ACDF surgery with postoperative physiotherapy (30 patients) or to structured physiotherapy alone (29 patients)...
January 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27526852/complications-and-long-term-outcomes-after-open-surgery-for-traumatic-subaxial-cervical-spine-fractures-a-consecutive-series-of-303-patients
#18
Hege Linnerud Fredø, Syed Ali Mujtaba Rizvi, Mehran Rezai, Pål Rønning, Bjarne Lied, Eirik Helseth
BACKGROUND: Patient selection for surgical treatment of subaxial cervical spine fractures (S-CS-fx) may be challenging and is dependent on fracture morphology, the integrity of the discoligamentous complex, neurological status, comorbidity, risks of surgery and the expected long-term outcomes. The purpose of this study is to evaluate complications and long-term outcomes in a consecutive series of 303 patients with S-CS-fx treated with open surgical fixation. METHODS: Medical charts were retrospectively reviewed...
August 15, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27494094/short-and-long-term-effects-of-exercise-on-neck-muscle-function-in-cervical-radiculopathy-a-randomized-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
Marie Halvorsen, Deborah Falla, Leonardo Gizzi, Karin Harms-Ringdahl, Anneli Peolsson, Åsa Dedering
OBJECTIVE: To compare short- and long-term changes in neck muscle endurance, electromyography measures of neck muscle activation and fatigue and ratings of fatigue and pain after neck-specific training or physical activity in people with cervical radiculopathy. DESIGN: Randomized clinical trial. SUBJECTS/PATIENTS: Seventy-five patients with cervical radiculopathy. METHODS: Patients underwent neck-specific training in combination with a cognitive behavioural approach or prescribed physical activity over a period of 14 weeks...
October 5, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27446519/long-term-outcome-of-posterior-cervical-inclinatory-foraminotomy
#20
Juneyoung Heo, Jae Chil Chang, Hyung-Ki Park
OBJECTIVE: A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. METHODS: We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution...
July 2016: Journal of Korean Neurosurgical Society
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