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Cervical radiculopathy

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https://www.readbyqxmd.com/read/29772854/-observation-of-early-clinical-effect-of-percutaneous-transforaminal-endoscopic-technology-in-treating-cervical-spondylotic-radiculopathy
#1
Ying-Chun Zhang, Tai-Sheng Chen, Hua Zhu
OBJECTIVE: To explore the early clinical effect and safety of percutaneous transforaminal endoscopic technology for cervical spondylotic radiculopathy. METHODS: From August 2016 to September 2017, 14 patients with cervical spondylotic radiculopathy who responded poorly to non-surgical treatment for at least 6 weeks underwent percutaneous transforaminal endoscopic discectomy via posterior approach. There were 6 males and 8 females, aging from 32 to 68 years old with an average of (40...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29768371/complex-regional-pain-syndrome-type-ii-after-cervical-transforaminal-epidural-injection-a-case-report
#2
Gi-Young Park, Dong Rak Kwon, Dae Gil Kwon
RATIONALE: We report a case of a 61-year-old patient who developed complex regional pain syndrome (CRPS) type II after a cervical transforaminal epidural steroid injection (CTESI). PATIENT CONCERNS: The patient developed sudden-onset severe pain and swelling of his upper right limb after a cervical transforaminal epidural injection. DIAGNOSES: On physical examination, the patient's symptoms and signs corresponded to the Budapest criteria for CRPS...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29762925/association-between-myxomatous-mitral-valve-disease-and-skeletal-back-abnormalities
#3
Alireza Movahed, David Majdalany, Marc Gillinov, William Schiavone
BACKGROUND: Myxomatous mitral valve disease (MMVD) is one of the most prevalent valvular heart diseases, while back pain, neck pain and upper-extremity numbness are some of the most common complaints in outpatient settings. Decreased thoracic kyphosis (straight back) is a known cause of hastening back or neck problems, radiculopathy, or even myelopathy. The study aim was to examine the relationship between MMVD, straight back, and the need for cervical fusion. METHODS: In this single-center retrospective study, patients who underwent mitral valve repair or replacement due to MMVD (cases) based on age, gender and body mass index (BMI), were matched with patients who underwent coronary artery bypass grafting (CABG) surgery and had no history of mitral valve disease (controls)...
September 2017: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/29755622/serum-triamcinolone-levels-following-cervical-interlaminar-epidural-injection
#4
Tim J Lamer, Rozalin R Dickson, Halena M Gazelka, Wayne T Nicholson, Joel M Reid, Susan M Moeschler, W Michael Hooten
Background: Cervical interlaminar epidural steroid injections (ESIs) are commonly performed procedures to treat painful cervical radiculopathy, but little is known about the systemic absorption and serum levels of steroids following injection. The primary objective of this study was to investigate the pharmacokinetics of fluoroscopy-guided cervical epidural-administered triamcinolone acetonide in a cohort of patients with cervical radicular pain seeking treatment in a pain medicine clinic...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29751126/radiological-follow-up-after-implanting-cervical-disc-prosthesis-in-anterior-discectomy-a-systematic-review
#5
REVIEW
Xiaoyu Yang, Tessa Janssen, Mark P Arts, Wilco C Peul, Carmen L A Vleggeert-Lankamp
Objective The objective of this study was to review current literature on comparison of radiological outcome of cervical arthroplasty with fusion after anterior discectomy for radiculopathy. Methods A literature search was performed in PubMed, Embase, Web of Science, COCHRANE, CENTRAL and CINAHL using a sensitive search string combination. Studies were selected by predefined selection criteria (a.o. patients exclusively suffering from cervical radiculopathy) and risk of bias was assessed using a validated Cochrane Checklist adjusted for this purpose...
May 8, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29745256/salvage-of-cervical-motor-radiculopathy-using-peripheral-nerve-transfer-reconstruction
#6
Fardad T Afshari, Taushaba Hossain, Caroline Miller, Dominic M Power
PURPOSE: Motor nerve transfer surgery involves re-innervation of important distal muscles using either an expendable motor branch or a fascicle from an adjacent functioning nerve. This technique is established as part of the reconstructive algorithm for traumatic brachial plexus injuries. The reproducible outcomes of motor nerve transfer surgery have resulted in exploration of the application of this technique to other paralysing conditions. The objective of this study is to report feasibility and increase awareness about nerve transfer as a method of improving upper limb function in patients with cervical motor radiculopathy of different aetiology...
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29729593/altered-motor-axonal-excitability-in-patients-with-cervical-spondylotic-amyotrophy
#7
Chaojun Zheng, Yu Zhu, Cong Nie, Feizhou Lu, Dongqing Zhu, Robert Weber, Jianyuan Jiang
OBJECTIVE: To investigate the changes in motor axonal excitability properties in cervical spondylotic amyotrophy (CSA). METHODS: Threshold tracking was used to measure the median motor axons in 21 patients with CSA, 10 patients with cervical spondylotic radiculopathy (CSR) and 16 normal controls. RESULTS: Compared with normal controls, patients with distal-type CSA showed increased threshold electrotonus hyperpolarization (TEh [90-100]) and increased superexcitability on the symptomatic side (P < 0...
April 20, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29702310/endoscopic-anterior-approach-for-cervical-disc-disease-disc-preserving-surgery
#8
Vijay Singh Parihar, Nishtha Yadav, Shailendra Ratre, MCh Amitesh Dubey, Yad Ram Yadav
BACKGROUND: Anterior endoscopic techniques in cervical disc were found to be effective and safe. We report our experience of 210 patients of endoscopic disc removal by anterior approach which is largest series for management of cervical myelopathy. METHODS: Visual analogue scale (VAS) and Nurick grading system was used to assess severity of neck and arm pain and functional outcomes respectively. Myelopathy (with or without unilateral or bilateral radiculopathy), or the unilateral radiculopathy having either soft or hard disc prolapsed were included...
April 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29701339/surgical-treatment-options-of-subclavian-artery-pseudoaneurysms-a-case-report-and-litterature-review
#9
Rita Soares Ferreira, João Monteiro Castro, Frederico Bastos Gonçalves, Rodolfo Abreu, Ricardo Correia, Rui Rodrigues, Carolina Torres, Maria Emília Ferreira
INTRODUCTION: Subclavian artery pseudoaneurysms are rare and occur mostly as a consequence of an inadvertent arterial puncture during central venous catheterization, endovascular therapeutic procedures or after penetrating or blunt trauma. They usually have a late clinical presentation, with pain, swelling or other compressive symptoms. The optimal treatment in this situation is still a matter of debate. The authors describe a case of late presentation of subclavian artery pseudoaneurysm after transjugular hepatic biopsy and discuss the several options for treatment...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29689395/the-recovery-of-motor-strength-after-posterior-percutaneous-endoscopic-cervical-foraminotomy-and-discectomy
#10
Urim Lee, Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Seung Heon Yang, Sung Bae Park, Sung Hwan Hwang, Jong-Myung Jung, Kyoung-Tae Kim
OBJECTIVE: Cervical radiculopathy infrequently presents with motor weakness. Motor weakness was improved in >90% of patients after anterior cervical discectomy and fusion or posterior cervical foraminotomy. Posterior percutaneous endoscopic cervical foraminotomy and discectomy (PECF) is an alternative surgical technique, but the outcome of motor weakness has not been reported. The objective was to demonstrate the longitudinal outcomes of motor weakness following PECF. METHODS: A retrospective review of 106 consecutive patients was performed...
April 21, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29662749/adverse-events-following-cervical-disc-arthroplasty-a-systematic-review
#11
REVIEW
Jordan C Xu, Chandni Goel, Michael F Shriver, Joseph E Tanenbaum, Michael P Steinmetz, Edward C Benzel, Thomas E Mroz
Study Design: Systematic review. Objectives: Cervical arthroplasty is an increasingly popular treatment of cervical radiculopathy and myelopathy. An understanding of the potential adverse events (AEs) is important to help both clinicians and patients. We sought to provide a comprehensive systematic review of the AEs reported in all randomized controlled trials (RCTs) of cervical disc arthroplasty in an attempt to characterize the quality of reporting. Methods: We conducted a systematic review of MEDLINE and Web of Science for RCTs of cervical disc arthroplasty reporting AEs...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29620071/a-case-of-cervical-radiculopathy-due-to-tuberculosis-cervical-lymphadenitis
#12
Jacob Pellinen, Alexandra Lloyd-Smith, Samantha Su, Perrin Pleninger
No abstract text is available yet for this article.
October 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29619535/-operative-treatment-of-the-degenerative-cervical-spine
#13
REVIEW
A Tschugg, B Meyer, M Stoffel, P Vajkoczy, F Ringel, S-O Eicker, V Rhode, C Thomé
BACKGROUND: Degenerative alterations of the cervical spine often entail disc herniations and stenoses of the spinal canal and/or neural foramen. Mediolateral or lateral compression of nerve roots causes cervical radiculopathy, which is an indication for surgery in cases of significant motor deficits or refractory pain. Median canal encroachment may result in compression of the spinal cord and cervical myelopathy. Its natural history is typically characterized by episodic deterioration, so that surgical decompression is indicated in cases of clear myelopathic signs...
April 4, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29619122/cervicothoracic-lordosis-can-influence-outcome-after-posterior-cervical-spine-surgery
#14
Albert Vincent Berthier Brasil, Pablo Ramon Fruett da Costa, Antonio Delacy Martini Vial, Gabriel da Costa Barcellos, Eduardo Balverdu Zauk, Paulo Valdeci Worm, Marcelo Paglioli Ferreira, Nelson Pires Ferreira
Background: Previous studies on the correlation between cervical sagittal balance with improvement in quality of life showed significant results only for parameters of the anterior translation of the cervical spine (such as C2-C7 SVA). Objective: We test whether a new parameter, cervicothoracic lordosis , can predict clinical success in this type of surgery. Methods: The focused group involved patients who underwent surgical treatment of cervical degenerative disk disease by the posterior approach, due to myelopathy, radiculopathy or a combination of both...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29617852/anterior-cervical-foraminotomy-2-dimensional-operative-video
#15
Lee A Tan, K Daniel Riew
We provide a step-by-step technique guide for performing anterior cervical foraminotomy in this video. An illustrative case was presented with detailed narration and a discussion of surgical nuances. Anterior cervical foraminotomy can be an effective treatment strategy for patients with unilateral cervical radiculopathy without the need for cervical spine fusion. Spine surgeons should be familiar with technique and use it as a motion-preserving surgical option in treating isolated cervical radiculopathy. There is no identifying information in this video...
March 29, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29602008/complications-of-full-endoscopic-versus-microendoscopic-foraminotomy-for-cervical-radiculopathy-a-systematic-review-and-meta-analysis
#16
REVIEW
Peng-Fei Wu, Bo-Hao Liu, Ya-Wei Li, Bing Wang, Yu-Liang Dai, Ya-Long Qing, Guo-Hua Lv
INTRODUCTION: Minimally invasive surgery of posterior cervical foraminotomy (PCF) for symptomatic radiculopathy has gained popularity in the last decade. As two dominant techniques, whether full-endoscopic (FE) or microendoscopic (MI) operations are associated with fewer complications remains to be determined. METHODS: An electronic retrieval from PubMed, Embase and Web of Science was performed to identify comparative or single-arm studies concerning FE-PCF and MI-PCF...
March 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29579013/the-impact-of-comorbid-mental-health-disorders-on-complications-following-cervical-spine-surgery-with-minimum-2-year-surveillance
#17
Bassel G Diebo, Joshua D Lavian, Shian Liu, Neil V Shah, Daniel P Murray, George A Beyer, Frank A Segreto, Fenizia Maffucci, Gregory W Poorman, Denis Cherkalin, Barrett Torre, Dennis Vasquez-Montes, Hiroyuki Yoshihara, Daniel Cukor, Qais Naziri, Peter G Passias, Carl B Paulino
STUDY DESIGN: Retrospective Analysis OBJECTIVE.: To improve understanding of the impact of comorbid mental health disorders on long-term outcomes following cervical spinal fusion in cervical radiculopathy (CR) or cervical myelopathy (CM) patients. SUMMARY OF BACKGROUND DATA: Subsets of patients with CR and CM have mental health disorders, and their impact on surgical complications is poorly understood. METHODS: Patients admitted from 2009-2013 with CR or CM diagnoses who underwent cervical surgery with minimum 2-year surveillance were retrospectively reviewed using New York State's Statewide Planning and Research Cooperative System (SPARCS)...
March 23, 2018: Spine
https://www.readbyqxmd.com/read/29570047/painless-motor-radiculopathy-of-the-cervical-spine-clinical-and-radiological-characteristics-and-long-term-outcomes-after-operative-decompression
#18
Sebastian Siller, Rami Kasem, Thomas-Nikolaus Witt, Joerg-Christian Tonn, Stefan Zausinger
OBJECTIVE Various neurological diseases are known to cause progressive painless paresis of the upper limbs. In this study the authors describe the previously unspecified syndrome of compression-induced painless cervical radiculopathy with predominant motor deficit and muscular atrophy, and highlight the clinical and radiological characteristics and outcomes after surgery for this rare syndrome, along with its neurological differential diagnoses. METHODS Medical records of 788 patients undergoing surgical decompression due to degenerative cervical spine diseases between 2005 and 2014 were assessed...
March 23, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29565961/detection-of-intravascular-injection-during-cervical-transforaminal-epidural-injection-a-comparison-of-digital-subtraction-angiography-and-real-time-fluoroscopy
#19
Younghoon Jeon, Saeyoung Kim
BACKGROUND: Transforaminal epidural injection (TFEI) with local anesthetics and steroids are effective in treating spinal radicular pain. However, inadvertent intravascular injection can lead to severe neurologic complications. To reduce complications of intravascular injection, use of imaging modality, such as real-time fluoroscopy (RTF) or digital subtraction angiography (DSA), has been recommended. DSA is an imaging technique that can clearly visualize the blood vessels from surrounding bones or dense soft tissues by subtracting the pre-contrast image from the image after injecting contrast medium...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29557679/rates-of-complications-and-secondary-surgeries-of-mini-open-carpal-tunnel-release
#20
Dafang Zhang, Philip Blazar, Brandon E Earp
BACKGROUND: The purpose of this study was to determine the rates and types of complications and secondary surgeries after mini-open carpal tunnel release. METHODS: A retrospective cohort study was performed for 1,328 patients who underwent mini-open carpal tunnel release from August 2008 to July 2013. Patients were excluded for acute trauma, the index procedure being revision surgery, neoplasm, age less than 18 years, incomplete records, and postoperative follow-up less than 1 month, which yielded 904 patients who underwent 1,144 surgeries...
March 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
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