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https://www.readbyqxmd.com/read/28929274/minimally-invasive-posterior-cervical-foraminotomy-for-treatment-of-radiculopathy-an-effective-time-tested-and-cost-efficient-motion-preservation-technique
#1
REVIEW
L Papavero, R Kothe
OBJECTIVE: To relieve foraminal root impingement due to lateral soft disc fragments, bony spurs, or other rarer causes. INDICATIONS: Soft disc fragment whose bulk is >2/3 lateral to the lateral border of the thecal sac. Intraforaminal dorsal bony narrowing of the root canal. Intraforaminal synovial cyst, extra/intradural tumor. CONTRAINDICATIONS: Paramedian and median soft/hard disc protrusions. Kyphosis of the index level. SURGICAL TECHNIQUE: Patient prone in reverse Trendelenburg position with the head fixed in a Mayfield clamp...
September 19, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28929036/factors-affecting-length-of-stay-following-elective-anterior-and-posterior-cervical-spine-surgery
#2
Frank J Yuk, Akbar Y Maniya, Jonathan J Rasouli, Alexa M Dessy, Patrick J McCormick, Tanvir F Choudhri
Background Disease of the cervical spine is widely prevalent, most commonly secondary to degenerative disc changes and spondylosis. Objective The goal of the paper was to identify a possible discrepancy regarding the length of stay (LOS) between the anterior and posterior approaches to elective cervical spine surgery and identify contributing factors. Methods A retrospective study was performed on 587 patients (341 anterior, 246 posterior) that underwent elective cervical spinal surgery between October 2001 and March 2014...
July 10, 2017: Curēus
https://www.readbyqxmd.com/read/28927917/impact-of-active-leisure-non-competitive-contact-sports-activities-on-space-available-for-cord-sac-of-sub-axial-cervical-spine-of-asymptomatic-adults
#3
Chika Anele Ndubuisi, Samuel C Ohaegbulam, Wilfred C Mezue
BACKGROUND: Leisure sports activities are assumed to be safe. It is however possible that participation in contact sports as leisure activity may also affect the SAC. AIM: compare SAC of asymptomatic young adults involved in active leisure contact sports with matched controls that do not participate in contact sports. METHOD: MRI-based prospective, cross-sectional study involving 204 randomly selected asymptomatic adults, 21-50 years old. Group A participates in active leisure contact sports while group B do not participate in any form of contact sports...
September 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28926393/trends-in-the-treatment-of-single-and-multilevel-cervical-stenosis-a-review-of-the-american-board-of-orthopaedic-surgery-database
#4
Alfredo Arrojas, J Benjamin Jackson, Gregory Grabowski
BACKGROUND: In order to identify any changes in the utilization of new and old techniques, we investigated trends in the operative management of cervical stenosis by orthopaedic surgeons applying for board certification. METHODS: We queried the American Board of Orthopaedic Surgery database from 1998 to 2013 to identify all of the cervical spine procedures for stenosis that had been performed by candidates taking Part II of the licensing examination. Longitudinal trends were determined for the utilized approach, the individual procedures that had been performed, and whether a motion-preserving technique had been employed...
September 20, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28904564/the-role-of-pre-reduction-mri-in-the-management-of-complex-cervical-spine-fracture-dislocations-an-ongoing-controversy
#5
Sergiu Botolin, Todd F VanderHeiden, Ernest E Moore, Herbert Fried, Philip F Stahel
BACKGROUND: Cervical spine fracture-dislocations in neurologically intact patients represent a surgical challenge due to the risk of inflicting iatrogenic spinal cord compression by closed reduction maneuvers. The use of MRI for early advanced imaging in these injuries remains controversially debated. CASE PRESENTATION: A 54-year old man sustained a fall over the handlebars of his racing bicycle. The helmeted patient sustained a fall on his head which resulted in a hyperflexion injury of the neck...
2017: Patient Safety in Surgery
https://www.readbyqxmd.com/read/28894387/modic-changes-of-the-cervical-spine-t1-slope-and-its-impact-on-axial-neck-pain
#6
Jia Li, Shuhui Qin, Yongqian Li, Yong Shen
BACKGROUND: The purpose of the research was to evaluate cervical sagittal parameters on magnetic resonance imaging (MRI) in patients with Modic changes and its impact on axial neck pain. METHODS: This study consisted of 266 consecutive asymptomatic or symptomatic patients with Modic changes, whose average age was 50.9±12.6 years from January 2015 to December 2016. Cervical sagittal parameters included sagittal alignment of the cervical spine (SACS), T1 slope, thoracic inlet angle (TIA), and neck tilt (NT)...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28894375/impact-of-t1-slope-on-surgical-and-adjacent-segment-degeneration-after-bryan-cervical-disc-arthroplasty
#7
Peng Yang, Yongqian Li, Jia Li, Yong Shen
BACKGROUND: This retrospective study investigated an association between preoperative T1 slope and surgical and adjacent segment degeneration (SASD) after Bryan cervical disc arthroplasty (BCDA) in patients with cervical degenerative disc disease. METHODS: Based on preoperative standing lateral radiographs, 90 patients were classified according to T1 slope that was higher or lower than the 50th percentile (high T1 or low T1, 28 and 62 patients, respectively). Patients were also classified as SASD or non-SASD (38 and 52 patients, respectively) determined by radiographs at final follow-up...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28889044/cervical-disc-arthroplasty-for-the-treatment-of-adjacent-segment-disease-a-systematic-review-of-clinical-evidence
#8
REVIEW
Ting-Kui Wu, Hao Liu, Ning Ning, Ying Hong, Ming-Dan Deng, Bei-Yu Wang, Xin Rong, Yang Meng, Hua Chen
The safety and efficacy of cervical disc arthroplasty (CDA) performed adjacent to previous fusion for the treatment of adjacent segment disease (ASD) remains unknown. This systematic review summarizes clinical evidence on the outcomes of CDA performed adjacent to previous cervical fusion. A systematic search of PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Medline and Embase for literature published through March 2017 was conducted. All the studies on CDA for the treatment of ASD after cervical fusion surgery were included...
September 2, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28888674/geographical-variations-in-clinical-presentation-and-outcomes-of-decompressive-surgery-in-patients-with-symptomatic-degenerative-cervical-myelopathy-analysis-of-a-prospective-international-multicenter-cohort-study-of-757-patients
#9
Michael G Fehlings, Branko Kopjar, Ahmed Ibrahim, Lindsay A Tetreault, Paul M Arnold, Helton Defino, Shashank Sharad Kale, S Tim Yoon, Giuseppe M Barbagallo, Ronald H M Bartels, Qiang Zhou, Alexander R Vaccaro, Mehmet Zileli, Gamaliel Tan, Yasutsugu Yukawa, Darrel S Brodke, Christopher I Shaffrey, Osmar Santos de Moraes, Eric J Woodard, Massimo Scerrati, Masato Tanaka, Tomoaki Toyone, Rick C Sasso, Michael E Janssen, Ziya L Gokaslan, Manuel Alvarado, Ciaran Bolger, Christopher M Bono, Mark B Dekutoski
BACKGROUND CONTEXT: Degenerative cervical myelopathy (DCM) is a progressive degenerative spine disease and the most common cause of spinal cord impairment in adults worldwide. There is a paucity of studies reporting on regional variations in demographics, clinical presentation, disease causation and surgical effectiveness. PURPOSE: To evaluate differences in demographics, causative pathology, management strategies, surgical outcomes, length of hospital stay and complications across four geographic regions...
September 6, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28887690/cervical-sagittal-alignment-after-different-anterior-discectomy-procedures-for-single-level-cervical-degenerative-disc-disease-randomized-controlled-trial
#10
Roland D Donk, Hisse Arnts, Wim I M Verhagen, Hans Groenewoud, Andre Verbeek, Ronald H M A Bartels
BACKGROUND: The effect of anterior cervical discectomy without fusion (ACD), ACD with fusion by stand-alone cage (ACDF) or with arthroplasty (ACDA) on cervical sagittal alignment is not known and is the subject of this study. METHODS: A total of 142 adult patients with single-level cervical disease were at random allocated to different procedures: ACD (45), ACDF (47) and ACDA (50). Upright cervical spine radiographs were obtained. Angles of the involved angle and the angle between C2 and C7 were determined...
September 8, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28886118/in-vivo-experimental-study-of-anterior-cervical-fusion-using-bioactive-polyetheretherketone-in-a-canine-model
#11
Takayoshi Shimizu, Shunsuke Fujibayashi, Seiji Yamaguchi, Bungo Otsuki, Yaichiro Okuzu, Tomiharu Matsushita, Tadashi Kokubo, Shuichi Matsuda
BACKGROUND: Polyetheretherketone (PEEK) is a widely accepted biomaterial, especially in the field of spinal surgery. However, PEEK is not able to directly integrate with bone tissue, due to its bioinertness. To overcome this drawback, various studies have described surface coating approaches aimed at increasing the bioactivity of PEEK surfaces. Among those, it has been shown that the recently developed sol-gel TiO2 coating could provide PEEK with the ability to bond with bone tissue in vivo without the use of a bone graft...
2017: PloS One
https://www.readbyqxmd.com/read/28884563/expressions-and-significance-of-hif-1%C3%AE-and-aqp-3-in-intervertebral-disc-degeneration-tissues-of-cervical-spondylotic-myelopathy
#12
Xiangqi Tan, Yuqing Chen, Zhuyong Ji
No abstract text is available yet for this article.
September 7, 2017: Minerva Medica
https://www.readbyqxmd.com/read/28882520/dynamic-foraminal-dimensions-during-neck-extension-and-rotation-in-fusion-and-artificial-disc-replacement-an-observational-study
#13
Yener N Yeni, Timothy Baumer, Daniel Oravec, Azam Basheer, Colin P McDonald, Michael J Bey, Stephen W Bartol, Victor Chang
BACKGROUND: Changes in the dimensions of the cervical neural foramina (CNF) are considered to be a key factor in nerve root compression and development of cervical radiculopathy. However, to what extent foraminal geometry differs between patients who underwent anterior cervical discectomy and fusion (ACDF) and those who underwent total disc arthroplasty with an artificial disc (AD) during physiological motion is largely unknown. PURPOSE: The objective of this study is to compare compare CNF dimensions during physiological neck motion between ACDF and AD...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28881110/endoscopic-spine-surgery
#14
REVIEW
Gun Choi, Chetan S Pophale, Bhupesh Patel, Priyank Uniyal
Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit degenerated disc segment and again with the discography it is possible to diagnose the pain generator and pathological degenerated disc very precisely and its treatment with minimally invasive approach...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28876194/potential-orofacial-hazards-of-resistance-training-a-controlled-comparative-study
#15
Pessia Friedman Rubin, Ilana Eli, Tzvi Greenbaum, Keren Shapira, Alona Emodi-Perelman, Ephraim Winocur
Objective To evaluate the effect of resistance training (RT) regarding potential hazard for dental wear, tooth abfractions, temporomandibular joint disc displacement, limitation in mouth opening, and existence of cervical spine disorders. The initial study hypothesis was that extensive resistance trainees (ExRT) would suffer from the above-mentioned symptoms more often than recreational trainees (RcT). Methods A controlled comparative study among male gym members via questionnaires and a clinical examination...
September 6, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/28869374/application-of-esophageal-radiography-technique-in-the-treatment-of-herniation-of-cervical-disc-with-radiofrequency-thermocoagulation-and-target-ablation
#16
Ke Ji, Suchun Wang, Wei Miao, Jingcheng Yu, Zhirong Wang
No abstract text is available yet for this article.
September 4, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28865227/pathological-findings-in-low-field-magnetic-resonance-imaging-of-the-canine-spine-a-study-of-112-patients
#17
P Holak, J Głodek, M Mieszkowska, M Jałyński, Y Zhalniarovich, Z Adamiak
Magnetic resonance imaging (MRI) is a method of choice in diagnosing nervous system disorders. This paper presents the results of a study where selected segments of the canine spine were examined by low-field MRI in 112 patients. Images of pathological changes were obtained in spin echo (SE), fast spin echo (FSE) and hybrid contrast enhancement (3D HYCE) sequences. The cervical region of the spinal cord (C1-C5) was examined in 32 patients, the cervicothoracic region (C6-Th2)- in 14 patients, the thoracolumbar region (Th3-L3) - in 23 patients, and the lumbosacral region (L4-S3) - in 43 patients...
March 1, 2017: Polish Journal of Veterinary Sciences
https://www.readbyqxmd.com/read/28863109/surgical-landmark-of-mandible-angle-in-the-identification-of-cervical-spinal-level
#18
Wang-Mi Liu, Qian Chen, Yun Liang, Chong Bian, Jian-Ming Huang, Jian Dong
Mandible angle is considered to be a consistently palpable external landmark for the identification of cervical spinal level by a radiographic study. But this anatomical study aimed to determine the positional relationship between mandible angle and cervical spinal level in cadavers. In this study, the cervical spine of 10 adult cadavers with intact head and neck structure, including 6 males and 4 females, was dissected, and the position of mandible angle (MA) relative to the corresponding cervical spinal level was measured when the head was fixed in the flexion, anatomy position, and extension...
September 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28853127/winging-of-the-scapula-diagnosed-as-parsonage-turner-syndrome-a-case-report
#19
Christine Carroll, Bill Bass
A 24-year-old active duty female Soldier complained of right shoulder burning, stinging, electrical shock-like pain with radiation to the right hand after completing a ruck march. She also complained of swelling and feelings of her cold right hand. Examination showed a deficit in the deltoid, upper trapezius, supraspinatus, and also right winging of the scapula. She also exhibited weakness to right arm, weak right hand grip, and decreased sensation over the dorsal right hand. The right hand was also noticed to be colder to touch than the left one...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28842234/t1-t2-herniated-disc-presenting-with-horner-s-syndrome
#20
Joaquim C Teixeira, Maria M Santos, João L Melancia
BACKGROUND: The incidence of thoracic disc herniation (TDH) is estimated to be 1,000 to 1,000,000. Upper thoracic disc herniation is an exceedingly rare pathology with unique neurological features. We report a case of a young patient who presented with Horner's Syndrome causedd by a T1-T2 disc herniation CASE DESCRIPTION: A 34-year-old female patient was admitted to the emergency department presenting a sudden onset history of ptosis and miosis on the left eye (Horner's Syndrome). She reported a 2-month history of neck, scapular and medial left arm and forearm pain and numbness...
August 22, 2017: World Neurosurgery
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