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Neck pain , cervical radiculopathy

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
Andreas Reinke, Michael Behr, Alexander Preuss, Jimmy Villard, Bernhard Meyer, Florian Ringel
OBJECT: Total disc replacement (TDR) is typically indicated in young patients with a cervical soft disc herniation. To date, 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...
October 14, 2016: World Neurosurgery
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...
October 1, 2016: Clinical Neurology and Neurosurgery
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
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
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
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 severity of pain, disability, peripheral and central nervous system function in patients with discogenic cervical radiculopathy (DCR). DESIGN: A randomized controlled study with a 1-year and 10-week follow-up. SETTING: University research laboratory. PARTICIPANTS: 40 (27 males) patients with chronic DCR, a defined hypolordotic cervical spine and AHT posture were randomly assigned to the control (43...
August 26, 2016: Archives of Physical Medicine and Rehabilitation
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)...
August 26, 2016: Journal of Neurosurgery. Spine
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...
2016: BMC Surgery
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
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
Matthew F Gornet, J Kenneth Burkus, Mark E Shaffrey, Hui Nian, Frank E Harrell
BACKGROUND: Cervical disc arthroplasty (CDA) has emerged as an alternative to anterior cervical discectomy and fusion (ACDF) for the treatment of cervical pathologies. Studies are on-going to assess the long term outcomes of CDA. This study assessed the safety and efficacy of the Prestige(®) LP Disc at 84-months follow up. METHODS: Prospective data from 280 CDA patients with single-level cervical disc disease with radiculopathy or myelopathy were compared with 265 historical control ACDF patients...
2016: International Journal of Spine Surgery
Bon Sub Gu, Jin Hoon Park, Han Yu Seong, Sang Ku Jung, Sung Woo Roh
STUDY DESIGN: Retrospective Cohort Study OBJECTIVE.: To compare the feasibility of posterior cervical laminoforaminotomy (PCF) for V- or parallel-shaped foraminal stenosis (FS). SUMMARY OF BACKGROUND DATA: During PCF, the need for extensive facet resection would depend on the extent of any pathology. When resection is extensive, the possibilities of instability and incomplete decompression should be considered. METHODS: From March 2004 to March 2015, we enrolled 36 patients following single-level PCF procedures for FS...
July 7, 2016: Spine
Bon Sub Gu, Jin Hoon Park, Han Yu Seong, Sang Ku Jung, Sung Woo Roh
STUDY DESIGN: Retrospective Cohort Study. OBJECTIVE: To compare the feasibility of posterior cervical laminoforaminotomy (PCF) for V- or parallel-shaped foraminal stenosis (FS). SUMMARY OF BACKGROUND DATA: During PCF, the need for extensive facet resection would depend on the extent of any pathology. When resection is extensive, the possibilities of instability and incomplete decompression should be considered. METHODS: From March 2004 to March 2015, we enrolled 36 patients following single-level PCF procedures for FS...
July 7, 2016: Spine
Murat Şakir Ekşi, Zafer Orkun Toktaş, Baran Yılmaz, Mustafa Kemal Demir, Emel Ece Özcan-Ekşi, Ahmed B Bayoumi, Yasin Yener, Akın Akakın, Deniz Konya
PURPOSE: Vertebral artery loop is a congenital or acquired anomaly. Vertebral artery loops are incidentally diagnosed during evaluation of neck problems and trauma. We aimed to present the incidence of VA loops using magnetic resonance angiography in consecutive patients and discuss epidemiological data including the gender, age, location, signs and symptoms, treatment approaches and outcomes of VA loops via analyzing literature. METHODS: In the first leg of our two-legged study, consecutive patients were evaluated using magnetic resonance angiography to detect any medial loop of vertebral arteries...
July 7, 2016: European Spine Journal
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...
June 21, 2016: Spine
A R Gross, J P Paquin, G Dupont, S Blanchette, P Lalonde, T Cristie, N Graham, T M Kay, S J Burnie, G Gelley, C H Goldsmith, M Forget, P L Santaguida, A J Yee, G G Radisic, J L Hoving, G Bronfort
BACKGROUND: Neck pain (NP) is disabling and costly. OBJECTIVES: To assess the effectiveness of exercise on pain, disability, function, patient satisfaction, quality of life (QoL) and global perceived effect (GPE) in adults with NP. METHODS: We searched computerised databases up to May 2014 for randomized controlled trials (RCTs) comparing exercise to a control in adults with NP with/without cervicogenic headache (CGH) or radiculopathy. Two reviewers independently conducted selection, data abstraction and assessed risk of bias...
August 2016: Manual Therapy
Kevin R Choksey, Jayprakash V Modi
INTRODUCTION: Dystrophic neurofibromatosis type I, involving upper cervical spines, is rare, which can cause serious complications. Myelopathy develops due to compression of the cord posteriorly. Surgical correction has its inherent risks and difficulties because of poor bone quality, difficult anterior approach because of bizarre deformities, and the necessary manipulation, which might cause more cord damage and ischemia. Anterior decompression with alignment correction was an early popular choice...
July 2015: Journal of Orthopaedic Case Reports
Kris Siemionow, Piotr Janusz, Frank M Phillips, Jim A Youssef, Robert Isaacs, Marcin Tyrakowski, Bruce McCormack
Background Indirect posterior cervical nerve root decompression and fusion performed by placing bilateral posterior cervical cages in the facet joints from a posterior approach has been proposed as an option to treat select patients with cervical radiculopathy. The purpose of this study was to report 2-year clinical and radiologic results of this treatment method. Methods Patients who failed nonsurgical management for single-level cervical radiculopathy were recruited. Surgical treatment involved a posterior approach with decortication of the lateral mass and facet joint at the treated level followed by placement of the DTRAX Expandable Cage (Providence Medical Technology, Lafayette, California, United States) into both facet joints...
June 8, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Sravisht Iyer, Han Jo Kim
Cervical radiculopathy is a common clinical scenario. Patients with radiculopathy typically present with neck pain, arm pain, or both. We review the epidemiology of cervical radiculopathy and discuss the diagnosis of this condition. This includes an overview of the pertinent findings on the patient history and physical examination. We also discuss relevant clinical syndromes that must be considered in the differential diagnosis including peripheral nerve entrapment syndromes and shoulder pathology. The natural history of cervical radiculopathy is reviewed and options for management are discussed...
September 2016: Current Reviews in Musculoskeletal Medicine
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