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cervical disc bulges

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https://www.readbyqxmd.com/read/28781913/nursing-review-section-of-surgical-neurology-international-evaluation-of-cervical-disc-disease-and-when-surgery-is-warranted
#1
REVIEW
Nancy E Epstein, Renee D Hollingsworth
BACKGROUND: Patients with cervical disc disease may present with radiculopathy (root compression), myelopathy (cord compression), or myeloradiculopathy. These complaints must be correlated with x-ray, magnetic resonance (MR) imaging, and computed tomographic (CT) scans. Although most patients can be managed nonsurgically, those with significant neurological deficits and larger disc herniations may require surgery. METHODS: The symptoms of cervical radiculopathy include pain radiating down one or both arms, while myelopathy may result in more diffuse numbness tingling or weakness in the upper and/or lower extremities...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28625905/the-influence-of-mri-features-on-surgical-decision-making-in-degenerative-cervical-myelopathy-results-from-a-global-survey-of-aospine-international-members
#2
Aria Nouri, Allan R Martin, Anick Nater, Christopher D Witiw, So Kato, Lindsay Tetreault, Hamed Reihani-Kermani, Carlo Santaguida, Michael G Fehlings
OBJECTIVE: We conducted a survey to understand how specific pathologic features on MRI influence surgeons toward an anterior or posterior surgical approach in Degenerative Cervical Myelopathy (DCM) . METHODS: A questionnaire was sent out to 6,179 AOSpine International members via email. This included 18 questions on a 7-point Likert scale regarding how MRI features influence the respondent's decision to perform an anterior or posterior surgical approach. Influence was classified based on the mean and mode...
June 15, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28042726/hybrid-cervical-disc-arthroplasty
#3
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
https://www.readbyqxmd.com/read/28028952/mastalgia-due-to-degenerative-changes-of-the-spine
#4
Okay Pirti, Aziz M Barlas, Serdar Kuru, Selim Temel, Mustafa K Urhan, Kemal Kismet, Adnan Hasanoglu, Osman Guler
BACKGROUND: Mastalgia is a common and enigmatic condition; the cause and optimal treatment are still inadequately defined. Cervical radiculopathy, which is the result of cervical nerve root pathology often caused by spaceoccupying lesions such as cervical disc herniation, spondylosis, or osteophytosis, is frequently encountered in physical therapy. OBJECTIVES: The aim of the study was to evaluate the incidence of vertebral pathologies in patients with non-cyclic mastalgia and the efficacy of conservative treatment of these pathologies on relieving breast pain...
September 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27424473/immediate-postoperative-reversal-of-disc-herniation-following-facetal-distraction-fixation-surgery-report-of-4-cases
#5
Atul Goel, Abhidha Shah, Neeraj Patni, Raghvendra Ramdasi
BACKGROUND: We report cases of 4 patients where Goel facet distraction surgery resulted in restoration of herniated disc back into the intervertebral disc space in the immediate postoperative period. Such a fate of herniated disc has not been recorded earlier. METHODS: During the period 2010 to 2011, 4 patients with single level 'contained' herniated disc that extended to the posterior surface of adjoining vertebral bodies and resulted in severe cord and root compression were surgically treated...
October 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27340520/c2-3-fusion-c3-4-cord-compression-and-c1-2-posterior-facetal-instability-an-evaluation-of-treatment-strategy-based-on-four-surgically-treated-cases
#6
Atul Goel
STUDY DESIGN: Four patients had C2-3 vertebral fusion and radiologically demonstrated cord compression at C3-4 level related to disc bulge with or without association of osteophytes and C1-2 posterior facetal dislocation. The outcome of treatment by atlantoaxial and subaxial facetal fixation is discussed. PURPOSE: The article evaluates the significance of atlantoaxial facetal instability in cases having C2-3 vertebral fusion and cord compression at the level of C3-4 disc...
June 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27326975/magnetic-resonance-classification-system-of-cervical-intervertebral-disc-degeneration-its-validity-and-meaning
#7
Akinobu Suzuki, Michael D Daubs, Tetsuo Hayashi, Monchai Ruangchainikom, Chenjie Xiong, Kevin Phan, Trevor P Scott, Jeffery C Wang
STUDY DESIGN: Retrospective analysis of kinetic magnetic resonance images (kMRIs). OBJECTIVE: (1) To analyze the changes seen on MRI related to disc degeneration and to develop a new grading system for cervical disc degeneration. (2) To evaluate the reliability and validity of the grading system. SUMMARY OF BACKGROUND DATA: Few have studied the relationship between changes seen on MRI with cervical disc degeneration and the chronological order of disc degeneration...
June 20, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27293119/venous-hypertensive-myelopathy-associated-with-cervical-spondylosis
#8
REVIEW
Seiji Okada, Charles Chang, Geraldine Chang, James J Yue
BACKGROUND CONTEXT: Venous hypertensive myelopathy (VHM) results from spinal vascular malformations of arteriovenous shunting that increases spinal venous pressure, leading to congestive edema and neurologic dysfunction. There has been no report of VHM associated with cervical spondylotic myelopathy (CSM). PURPOSE: The aim of this study was to report an extremely rare case of VHM likely due to CSM. STUDY DESIGN: This study is a case report and review of the literature...
November 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27005711/magnetic-resonance-imaging-findings-in-degenerative-disc-disease-of-cervical-spine-in-symptomatic-patients
#9
D B Karki, G Gurung, K P Adhikary, R K Ghimire
BACKGROUND: The pathophysiological findings demonstrated in cervical spine in Magnetic Resonance Imaging (MRI) can explain only partly the occurrence of neck and shoulder pain. This study aims to evaluate the occurrence of cervical degenerative disc pathologies in symptomatic patient with neck pain and radiculopathy. METHODS: The study was a retrospective and institutional record based descriptive study carried out for the duration of 3yrs in a well-equipped imaging center...
September 2015: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/26434093/do-we-need-hormonal-screening-in-patients-with-subcentimeter-pituitary-microadenomas
#10
José Hernán Martínez-Méndez, Madeleine Gutiérrez-Acevedo, Coromoto Palermo-Garofalo, María de Lourdes Miranda-Adorno, Michelle Mangual-García, Alfredo Sánchez-Cruz, Carmen Rivera-Anaya, Paola Mansilla-Letelier, Ivan Laboy-Ortiz
A 54-year-old woman came to our endocrinology clinics presenting with upper and lower extremity paresthesia, salt cravings, episodes of hypotension, fatigue and a long term history of depression. Physical exam was unremarkable. Cervical and brain MRI ordered by her neurologist three years ago revealed sella and pituitary normal in size, stable very small 3 mm pituitary incidentaloma and mild disc bulging. Basal pituitary hormonal screening showed low cortisol and ACTH levels. Insulin Tolerance Test and Glucagon Stimulation Test confirmed secondary ACTH deficiency with concomitant GH deficiency...
April 2015: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/26343389/exploring-interactions-between-force-repetition-and-posture-on-intervertebral-disc-height-loss-and-bulging-in-isolated-porcine-cervical-functional-spinal-units-from-sub-acute-failure-magnitudes-of-cyclic-compressive-loading
#11
Chad E Gooyers, Jack P Callaghan
Most in vitro studies are limited in the ability to partition intervertebral disc (IVD) height loss from total specimen height loss since the net changes in the actuator position of the materials testing system simply reflect net changes to functional spinal units (FSUs) used for testing. Three levels of peak compressive force, three cycle rates and two dynamic postural conditions were examined using a full-factorial design. Cyclic compressive force was applied using a time-varying waveform with synchronous flexion/extension for 5000 cycles...
October 15, 2015: Journal of Biomechanics
https://www.readbyqxmd.com/read/26096477/kinematic-relationship-between-missed-ligamentum-flavum-bulge-and-degenerative-factors-in-the-cervical-spine
#12
Guibin Zhong, Zorica Buser, Lifeng Lao, Ruofeng Yin, Jeffrey C Wang
BACKGROUND CONTEXT: Bulging of ligamentum flavum can happen with the aging process and can lead to compression of the spinal cord and nerves. However, the distribution and the risk factors associated with a missed ligamentum flavum bulge (LFB) are unknown. PURPOSE: The aim was to evaluate the distribution and risk factors associated with missed LFB in the cervical spine. STUDY DESIGN: This was a retrospective analysis of kinematic magnetic resonance images (kMRI)...
October 1, 2015: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26056628/role-of-posterior-elements-in-the-disc-bulging-of-a-degenerated-cervical-spine
#13
Farid Amirouche, Giovanni F Solitro, Kris Siemionow, David Drucker, Ashish Upadhyay, Priyesh Patel
BACKGROUND: Many studies have been developed to characterize the mechanical behavior of the intervertebral disc specifically for the lumbar spine and there have been limited studies done on the cervical spine with the goal to evaluate the strength of the cervical spine under compression without any information on the bulging of the intervertebral discs. The goal of the current study is to examine the deformation response of the cervical intervertebral disc classified with grade III or greater degeneration and analyze the relationship between axial deformation and anterior and posterior bulge under compression up to 550 N...
2015: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25972708/posterior-atlantoaxial-facetal-instability-associated-with-cervical-spondylotic-disease
#14
Atul Goel
AIM: The association of single or multiple level cervical spondylotic disease with atlantoaxial instability is assessed. The implications of identifying and treating atlantoaxial instability in such an association are highlighted. MATERIALS AND METHODS: The analysis is based on an experience with 11 patients treated during the period June 2013-June 2014. All patients had single or multilevel cervical spondylotic disease. The spinal canal compromise and evidence of cord compression was evident on imaging in the cervical subaxial spine and was related to disc bulges and osteophytic bars...
April 2015: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/25584950/abnormal-findings-on-magnetic-resonance-images-of-the-cervical-spines-in-1211-asymptomatic-subjects
#15
Hiroaki Nakashima, Yasutsugu Yukawa, Kota Suda, Masatsune Yamagata, Takayoshi Ueta, Fumihiko Kato
STUDY DESIGN: Cross-sectional study. OBJECTIVE: The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance image (MRI). SUMMARY OF BACKGROUND DATA: Neurological symptoms and abnormal findings on MR images are keys to diagnose the spinal diseases. To determine the significance of MRI abnormalities, we must take into account the (1) frequency and (2) spectrum of structural abnormalities, which may be asymptomatic...
March 15, 2015: Spine
https://www.readbyqxmd.com/read/25421182/adjacent-segment-disease-after-anterior-cervical-decompression-and-fusion-analysis-of-risk-factors-on-x-ray-and-magnetic-resonance-imaging
#16
Yanbin Zhao, Yu Sun, Feifei Zhou, Shaobo Wang, Fengshan Zhang, Shengfa Pan
BACKGROUND: Adjacent segment disease (ASD) is common after cervical fusion. The aim of this study was to evaluate the risk factors for ASD on X-ray and magnetic resonance imaging (MRI). METHODS: Patients included in this study had received revision surgeries after developing symptomatic ASD following anterior decompression and fusion. A control group that had not developed ASD was matched 1:1 by follow-up time and fusion segments. Plate-to-disc distances (PDDs), developmental cervical canal stenosis on X-ray, cervical disc degeneration grading, and cervical disc bulge impingements on preoperative MRI were measured and compared between the ASD group and the control group...
2014: Chinese Medical Journal
https://www.readbyqxmd.com/read/25203793/magnetic-resonance-classification-system-of-cervical-intervertebral-disc-degeneration-its-validity-and-meaning
#17
Akinobu Suzuki, Michael D Daubs, Tetsuo Hayashi, Monchai Ruangchainikom, Chenjie Xiong, Kevin Phan, Trevor P Scott, Jeffery C Wang
STUDY DESIGN: Retrospective analysis of kinetic magnetic resonance images (kMRIs). OBJECTIVE: (1) To analyze the changes seen on MRI related to disc degeneration and to develop a new grading system for cervical disc degeneration. (2) To evaluate the reliability and validity of the grading system. SUMMARY OF BACKGROUND DATA: Few have studied the relationship between changes seen on MRI with cervical disc degeneration and the chronological order of disc degeneration...
September 8, 2014: Journal of Spinal Disorders & Techniques
https://www.readbyqxmd.com/read/24937937/short-term-results-after-local-application-of-steroids-and-anesthetics-in-patients-with-painful-spine-conditions
#18
Narcisa Vavra Hadziahmetovic, Damir Aganovic, Aldijana Kadic, Mirza Biscevic
INTRODUCTION: Spinal pain is the most common of all chronic pain disorders. Imaging studies can be used to determine whether a pathological process is associated with the patient's symptoms. OBJECTIVE: To determine the short-term efficiency of local instillation of steroids in patients with painful spine conditions. MATERIALS AND METHODS: A prospective study included 35 patients with diagnosis of lumbar or cervical radiculopathy, or cervical and lumbar syndrome at the Department for the Physical Medicine and Rehabilitation, Department for the Orthopedics and Traumatology, and Department for the Neurosurgery, Clinical Canter University of Sarajevo (KCUS)...
2014: Medical Archives
https://www.readbyqxmd.com/read/24866257/missed-cervical-disc-bulges-diagnosed-with-kinematic-magnetic-resonance-imaging
#19
Lifeng Lao, Michael D Daubs, Trevor P Scott, Kevin H Phan, Jeffrey C Wang
PURPOSE: To determine if adding flexion and extension MRI studies to the traditional neutral views would be beneficial in the diagnosis of cervical disc bulges. METHODS: Five hundred patients underwent MRI in neutral, flexion and extension positions. The images were analyzed using computer software to objectively quantify the amount of disc bulge. RESULTS: Compared to the neutral position, cervical disc bulges were significantly increased in the extension position (P < 0...
August 2014: European Spine Journal
https://www.readbyqxmd.com/read/24801574/management-of-the-neglected-and-healed-bilateral-cervical-facet-dislocation
#20
Abhishek Srivastava, Reuben Chee Cheong Soh, Gerard Wen Wei Ee, Seang Beng Tan, Benjamin Phak Boon Tow
INTRODUCTION: There is limited literature on the management of neglected healed (fused) bilateral cervical facet dislocation. The authors report a case of a middle aged male who developed a bilateral facet dislocation but only sought treatment 14 months post injury when he experienced pain and deformity in the cervical spine. CASE REPORT: A 42-year-old male was pushed into a 1.2-m pool by accident and hit his head on the bottom. He immediately felt a sharp pain in his neck but was able to get out of the pool by himself and at the emergency department was found to have no neurological deficit...
August 2014: European Spine Journal
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