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cervical degenerative disc disease

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https://www.readbyqxmd.com/read/27902945/artificial-cervical-disc-replacement-with-the-prestige-lp-prosthesis-for-the-treatment-of-non-contiguous-2-level-cervical-degenerative-disc-disease-a-minimum-24-month-follow-up
#1
Tingkui Wu, Beiyu Wang, Chen Ding, Yang Meng, Jigang Lou, Yi Yang, Hao Liu
OBJECTIVE: We describe the features of non-contiguous 2-level cervical degenerative disc disease (NCDDD), investigate the safety and feasibility of artificial cervical disc replacement (ACDR) for the treatment of NCDDD, and expect that our study will provide spine surgeons with an alternative procedure for NCDDD. METHODS: Twenty-five patients with NCDDD received ACDR with a Prestige-LP prosthesis. Clinical outcomes were evaluated using the 36-Short Form (SF-36, Mental Component Summary [MCS] and Physical Component Summary [PCS]), Visual Analog Scale (VAS), Japanese Orthopedic Association (JOA), and Neck Disability Index (NDI) scores...
November 17, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27893652/correlation-between-t2-t2-star-relaxation-time-and-cervical-intervertebral-disc-degeneration-an-observational-study
#2
Minghua Huang, Yong Guo, Qiong Ye, Lei Chen, Kai Zhou, Qingjun Wang, Lixin Shao, Qinglei Shi, Chun Chen
PURPOSE: To demonstrate the potential benefits of T2 relaxation time of intervertebral discs (IVDs) regarding the detection and grading of degenerative disc disease using 3.0-T magnetic resonance imaging (MRI) in a clinical setting. MATERIALS AND METHODS: Cervical sagittal T2-weighted, T2 relaxation MRI was performed at 3.0-T in 61 subjects, covering discs C2-3 to C6-7. All discs were morphologically assessed based on the Pfirrmann grade, and regions of interests (ROIs) were drawn over the T2 mapping...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27888676/revision-surgery-for-cervical-artificial-disc-surgical-technique-and-clinical-results
#3
J Onken, A Reinke, J Radke, T Finger, S Bayerl, P Vajkoczy, B Meyer
OBJECTIVE: Cervical artificial disc replacement (C-ADR) was developed with the goal of preserving mobility of the cervical segment in patients with degenerative disc disease. So far, little is known about experiences with revision surgery and explantation of C-ADRs. Here, we report our experience with revision the third generation, Galileo-type disc prosthesis from a retrospective study of two institutions. PATIENTS AND METHODS: Between November 2008 and July 2016, 16 patients with prior implantation of C-ADR underwent removal of the Galileo-type disc prosthesis (Signus, Medizintechnik, Germany) due to a call back by industry...
October 31, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27879563/a-pilot-study-of-sequence-of-segmental-contributions-in-the-lower-cervical-spine-during-active-extension-and-flexion-healthy-controls-vs-cervical-degenerative-disc-disease-patients
#4
Toon Fm Boselie, Henk van Santbrink, Rob A de Bie, Henk van Mameren
STUDY DESIGN: A retrospective study in which, first, a definition of normal movement in the cervical spine is formulated. Second, use of this definition in differentiating between normal and abnormal movement of the cervical spine is evaluated. OBJECTIVE: To formulate a clear definition of the normal sequence of segmental contributions in the cervical spine during flexion/extension, and to evaluate the sensitivity, specificity, and reliability of sequence of segmental contributions analysis in differentiating between normal and abnormal movement of the cervical spine in healthy controls and patients with cervical degenerative disc disease (CDDD)...
November 22, 2016: Spine
https://www.readbyqxmd.com/read/27831993/postoperative-symptomatic-anterior-spinal-epidural-hematoma-complete-drainage-using-corpectomy-and-a-bladder-catheter
#5
Rafael González-Diaz, Ismael Auñon-Martin, Francisco Javier Ortega-Garcia, Rui Miguel Reis da Rocha
STUDY DESIGN: A case report. OBJECTIVE: We describe a technique to drain a thoracic and cervical postoperative epidural hematoma causing paraplegia after anterior cervical discectomy and fusion. SUMMARY OF BACKGROUND DATA: Postoperative compressive spinal epidural hematoma (SEH) is a devastating complication and early diagnosis and treatment is essential. The most commonly accepted treatment is decompression and drainage of hematoma. METHODS: A 65-year-old male with a degenerative disc disease located at C4-C5, C5-C6, and C6-C7 levels with disc herniation underwent a standard anterior cervical decompression and fusion at C4-C5-C6-C7...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27799985/comparison-of-radiologic-outcomes-of-different-methods-in-single-level-anterior-cervical-discectomy-and-fusion
#6
O Ik Kwon, Dong Wuk Son, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) is a choice of surgical procedure for cervical degenerative diseases associated with radiculopathy or myelopathy. However, the patients undergoing ACDF still have problems. The purpose of the present study is to evaluate the radiologic results of 3 different methods in single-level ACDF. METHODS: We conducted a retrospective collection of radiological data from January 2011 to December 2014. A total of 67 patients were included in this study...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27734194/erratum-to-biomechanical-consideration-of-prosthesis-selection-in-hybrid-surgery-for-bi-level-cervical-disc-degenerative-diseases
#7
Zhongjun Mo, Qi Li, Zhiwei Jia, Jiemeng Yang, Duo Wai-Chi Wong, Yubo Fan
No abstract text is available yet for this article.
October 12, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27713104/quantitative-morphometric-study-of-the-subaxial-cervical-vertebrae-end-plate
#8
Hang Feng, Xiangyi Fang, Dageng Huang, Chengcheng Yu, Songchuan Zhao, Dingjun Hao
BACKGROUND CONTEXT: Cervical disc arthroplasty has been gradually adopted as an alternative for the treatment of cervical degenerative disease. However, there is a large discrepancy between footprints of currently available cervical disc prostheses and anatomic dimensions of cervical end plates. PURPOSE: This study aimed to accurately and comprehensively quantify the three-dimensional (3D) anatomic morphology of the cervical vertebral end plate and provide a theoretical basis for designing appropriate disc prostheses...
October 3, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27581312/overshunting-associated-myelopathy-report-of-2-cases
#9
Jason Man-Kit Ho, Hing-Yuen Law, Shing-Chau Yuen, Kwong-Yui Yam
The authors present 2 cases of cervical myelopathy produced by engorged vertebral veins due to overshunting. Overshunting-associated myelopathy is a rare complication of CSF shunting. Coexisting cervical degenerative disc disease may further increase the difficulty of diagnosing the condition. Neurosurgeons and others who routinely evaluate patients with intracranial shunts should be familiar with this rare but possible diagnosis.
September 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27568543/biochemical-validity-of-imaging-techniques-x-ray-mri-and-dgemric-in-degenerative-disc-disease-of-the-human-cervical-spine-an-in-vivo-study
#10
Richard Bostelmann, Tamara Bostelmann, Adrian Nasaca, Hans Jakob Steiger, Frank Zaucke, Christoph Schleich
BACKGROUND CONTEXT: On a molecular level, maturation or degeneration of human intervertebral disc is among others expressed by the content of glycosaminoglycans (GAGs). According to the degenerative status, the disc content can differ in nucleus pulposus (NP) and annulus fibrosus (AF), respectively. Research in this area was conducted mostly on postmortem samples. Although several radiological classification systems exist, none includes biochemical features. Therefore, we focused our in vivo study on a widely spread and less expensive imaging technique for the cervical spine and the correlation of radiological patterns to biochemical equivalents in the intervertebral discs...
August 25, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27554353/a-comparison-of-a-new-zero-profile-stand-alone-fidji-cervical-cage-and-anterior-cervical-plate-for-single-and-multilevel-acdf-a-minimum-2-year-follow-up-study
#11
Zhonghai Li, Yantao Zhao, Jiaguang Tang, Dongfeng Ren, Jidong Guo, Huadong Wang, Li Li, Shuxun Hou
PURPOSE: To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of the new zero-profile, stand-alone Fidji cervical cage with those of the stand-alone cages with a titanium plate for anterior cervical discectomy and fusion (ACDF) for the surgical treatment of single- and multilevel cervical degenerative disc disease (DDD). METHODS: Between October 2009 and December 2013, 152 consecutive patients [86 males and 52 females; mean age 51...
August 23, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27551964/the-qualification-of-outcome-after-cervical-spine-surgery-by-patients-compared-to-the-neck-disability-index
#12
Roland Donk, Andre Verbeek, Wim Verhagen, Hans Groenewoud, Allard Hosman, Ronald Bartels
OBJECTIVE: The Neck Disability Index (NDI) is a patient self-assessed outcome measurement tool to assess disability, and that is frequently used to evaluate the effects of the treatment of neck-related problems. In individualized medicine it is mandatory that patients can interpret data in order to choose a treatment. A change of NDI or an absolute NDI is generally meaningless to a patient. Therefore, a correlation between the qualification of the clinical situation rated by the patient and the NDI score was evaluated...
2016: PloS One
https://www.readbyqxmd.com/read/27516926/cervical-disc-arthroplasty-cda-versus-anterior-cervical-discectomy-and-fusion-acdf-in-symptomatic-cervical-degenerative-disc-diseases-cddds-an-updated-meta-analysis-of-prospective-randomized-controlled-trials-rcts
#13
REVIEW
Lin Xie, Ming Liu, Fan Ding, Peng Li, Dezhang Ma
PURPOSE: This meta-analysis of randomized controlled trials (RCTs) aims to evaluate the efficacy and safety in cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) for treating cervical degenerative disc diseases (CDDDs). METHODS: The authors searched RCTs in the electronic databases (Cochrane Central Register of Controlled Trials, PubMed, EMBASE, Medline, Embase, Springer Link, Web of Knowledge, OVID and Google Scholar) from their establishment to march 2016 without language restrictions...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27512221/anterior-cervical-discectomy-and-fusion-for-noncontiguous-cervical-spondylotic-myelopathy
#14
Sun Qizhi, Li Peijia, Sun Lei, Chen Junsheng, Li Jianmin
BACKGROUND: Noncontiguous cervical spondylotic myelopathy (CSM) is a special degenerative disease because of the intermediate normal level or levels between supra and infraabnormal levels. Some controversy exists over the optimal procedure for two noncontiguous levels of CSM. The study was to evaluate the outcomes of the anterior cervical discectomy and fusion (ACDF) with zero-profile devices for two noncontiguous levels of CSM. MATERIALS AND METHODS: 17 consecutive patients with two noncontiguous levels of CSM operated between December 2009 and August 2012 were included in the study...
July 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27474455/hybrid-corpectomy-and-disc-arthroplasty-for-cervical-spondylotic-myelopathy-caused-by-ossification-of-posterior-longitudinal-ligament-and-disc-herniation
#15
Huang-Chou Chang, Tsung-Hsi Tu, Hsuan-Kan Chang, Jau-Ching Wu, Li-Yu Fay, Peng-Yuan Chang, Ching-Lan Wu, Wen-Cheng Huang, Henrich Cheng
INTRODUCTION: Combination of ACDF and ACCF (Anterior cervical discectomy or corpectomy with fusion) has been demonstrated to be effective for multi-level CSM (cervical spondylotic myelopathy). However, the combination of ACCF and cervical disc arthroplasty (CDA) for three-level CSM has never been addressed. METHODS: Consecutive patients (>18 years old) with CSM caused by segmental ossification of posterior longitudinal ligament (OPLL) and degenerative disc disease (DDD) were reviewed...
July 26, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27443497/comparison-of-anterior-cervical-discectomy-and-fusion-with-the-zero-profile-device-versus-plate-and-cage-in-treating-cervical-degenerative-disc-disease-a-meta-analysis
#16
Yuchen Duan, Yunbei Yang, Yayi Wang, Hao Liu, Ying Hong, Quan Gong, Yueming Song
Zero-profile device was applied to diminish the irritation of the esophagus in the treatment of cervical degenerative disc disease. However, the clinical application of the zero-profile device has not been testified with clinical evidence. The aim of the meta-analysis was to systematically compare the safety and effectiveness of anterior cervical discectomy and fusion with zero-profile device with plate and cage for the treatment of cervical degenerative disc disease. Electronic searches of PubMed and Embase were conducted up to May 2015...
November 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27430455/myelopathy
#17
B Oyinkan Marquis, Patrick M Capone
Myelopathy is an inclusive term, referring to pathology leading to a neurologic deficit related to the spinal cord. The clinical diagnosis of myelopathy requires a detailed history and physical examination to define the clinical syndrome. Neuroimaging is indicated in most instances of new-onset myelopathy. It is indicated also when the worsening of a myelopathy is unexplained. Advances in neuroimaging have proved to play a vital role in diagnosis. Appropriate diagnosis and treatment are dependent upon an adequate imaging evaluation to establish the presence of mechanical stability, extrinsic spinal cord compression, or an intramedullary lesion...
2016: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27399509/311%C3%A2-smith-robinson-procedure-with-an-autologous-iliac-crest-bone-graft-with-and-without-caspar-plating-as-a-treatment-for-soft-cervical-disc-herniation-report-of-122-patients-with-an-average-follow-up-of-25-years
#18
Benedikt W Burkhardt, Moritz Brielmeier, Karsten Schwerdtfeger, Joachim M K Oertel
INTRODUCTION: The purpose was to evaluate the long-term clinical outcome for the surgical treatment of cervical disc herniation. Special focus was given to assess pain, functional outcome, and symptomatic adjacent segment disease (ASD) after anterior cervical discectomy and fusion (ACDF) and ACDF with Caspar plating (ACDF+PS). METHODS: Hospital records of 226 patients who were affected by soft cervical disc herniation and treated by ACDF or ACDF+PS were reviewed...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27399439/160%C3%A2-outpatient-surgery-for-herniated-cervical-disc-and-fusion-is-feasible-and-safe-a-consecutive-single-center-series-of-759-patients
#19
Bjarne Lied, Oystein Helseth, Kare Ekseth, Ben Heskestad, Eirik Helseth
INTRODUCTION: There is an increasing demand for surgery of degenerative spinal disease. Limited health care resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost-effective than inpatient surgery. The aim of this study is to study types and rates of complications following surgery for herniated cervical disc and fusion. METHODS: Complications were recorded prospectively in 759 outpatients undergoing outpatient cervical surgery at the private Oslofjord Clinic in the time period 2008 to 2015...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27399438/159%C3%A2-neurological-outcomes-of-two-level-total-disk-replacement-versus-anterior-discectomy-and-fusion-7-year-results-from-a-prospective-randomized-multicenter-trial
#20
Robert Jackson, Darin Eric Johnson
INTRODUCTION: Studies suggest significant biomechanical and clinical differences exist between total disk replacement (TDR) and anterior cervical discectomy and fusion (ACDF) patients treated at multiple cervical levels. However, long-term results for treatment of multilevel cervical degenerative disc disease are lacking. Here we evaluate 7-year neurological and clinical outcomes of patients treated at 2 contiguous levels with TDR or ACDF. METHODS: Prospective, randomized, multicenter, controlled clinical trial...
August 2016: Neurosurgery
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