2,085 results match your criteria Cervical Disc Injuries

Pediatric fibrocartilaginous spine embolism induced by trauma.

Radiol Case Rep 2021 Aug 8;16(8):1951-1955. Epub 2021 Jun 8.

Department of Radiology, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.

Fibrocartilaginous embolic infarction of the spinal cord is a rare cause of acute back pain and motor weakness. Most symptoms start after minor trauma that is often considered harmless and forgotten, however these minor injuries can result in lethal consequences. It is quite rare to diagnose fibrocartilaginous embolism in a timely manner and start treatment to prevent poor outcomes. Read More

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Return to Play Guidelines After Cervical Spine Injuries in American Football Athletes: A Literature-Based Review.

Spine (Phila Pa 1976) 2021 Jul;46(13):886-892

Department of Orthopaedic Surgery and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.

Study Design: Literature-based review.

Objective: We sought to evaluate clinical and case studies related to return to play (RTP) after cervical spine injuries in elite American football athletes and to formulate guidelines to help health care practitioners manage these conditions.

Summary Of Background Data: American football athletes are at unique risk of cervical spine injury and appropriate case-by-case management of cervical spine injuries is necessary for these athletes. Read More

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Return to Play for Cervical and Lumbar Spine Conditions.

Clin Sports Med 2021 Jul;40(3):555-569

Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA. Electronic address:

Although the safety of contact sports has improved over the years, participation in any sport always carries a risk of injury. When cervical or lumbar spine injuries do occur, prompt diagnosis is essential, and athletes must be held out of the sport if indicated to prevent further harm and allow for recovery. This article highlights some of the most common cervical spine pathologies (stinger/burners, strain, stenosis/cord neuropraxia, disc herniation, and fracture/instability) and lumbar spine pathologies (strain, disc degeneration, disc herniation, fracture, spondylolysis/spondylolisthesis, and scoliosis) encountered in sports and reviews the associated return to play guidelines and expectations for each condition. Read More

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Clinical Efficacy and Safety of "Three-Dimensional Balanced Manipulation" in the Treatment of Cervical Spondylotic Radiculopathy by Finite Element Analysis.

Biomed Res Int 2021 31;2021:5563296. Epub 2021 Mar 31.

School of Acupuncture-Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250014, China.

Cervical spondylotic radiculopathy (CSR) is the most commonly encountered cervical spine disorder. Cervical manipulation has been demonstrated as an effective therapy for patients. However, the mechanisms of manipulations have not been elucidated. Read More

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Pediatric Thoracolumbar Spinal Injuries in United States Trauma Centers.

Pediatr Emerg Care 2021 Apr 9. Epub 2021 Apr 9.

From the *Division of Pediatric Emergency Medicine, Rainbow Babies & Children's Hospital †Division of Pediatric Hospital Medicine, Rainbow Babies & Children's Hospital, University Hospitals Cleveland Medical Center ‡Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH.

Objectives: Injuries are the leading cause of morbidity and mortality in children ages 1 to 18 years. There are limited studies about pediatric thoracolumbar (TL) spinal injuries; the purpose of this study was to characterize TL spinal injuries among pediatric patients evaluated in US trauma centers.

Methods: This was a retrospective cohort study of the National Trauma Data Bank. Read More

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Occult Disco-Ligamentous Lesions of the Subaxial c-Spine-A Comparison of Preoperative Imaging Findings and Intraoperative Site Inspection.

Diagnostics (Basel) 2021 Mar 5;11(3). Epub 2021 Mar 5.

Department of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.

Despite the general acceptance of magnetic resonance imaging (MRI) as the gold standard for diagnostics of traumatic disco-ligamentous injuries in the subaxial cervical spine, clinical experience shows cases where no lesion is detected in MRI exams but obtained during surgery. The aim of this study was to compare intraoperative site inspection to preoperative imaging findings and to identify radiological features of patients having a risk for under- or over-estimating disco-ligamentous lesions. We performed a retrospective analysis of our clinical database, considering all patients who underwent surgical treatment of the cervical spine via an anterior approach after trauma between June 2008 and April 2018. Read More

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Clinico-Radiological Outcome of Single-Level and Hybrid Total Disc Replacement with Spineart Baguera®-C for Cervical Myeloradiculopathy: Minimum 2-Year Follow-Up Study in Indian Population.

Asian J Neurosurg 2020 Oct-Dec;15(4):856-862. Epub 2020 Dec 21.

Indian Spinal Injuries Center, New Delhi, India.

Context: Cervical radiculopathy and myelopathy is one of the most frequent ailments encountered by spine surgeon. Motion-preserving surgeries in cervical spine is a standard of care due to its certain advantages such as biomechanical anatomical conformity, reduced chances of adjacent segment degeneration, and revision surgeries. While there is abundant data from some centers, data from developing countries are still limited. Read More

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December 2020

Clinical study on the efficacy and safety of percutaneous endoscopic anterior cervical discectomy in the treatment of cervical disc herniation.

Int Orthop 2021 05 2;45(5):1247-1256. Epub 2021 Mar 2.

Department of Mini-invasive Spinal Surgery, Third Hospital of Henan Province, NO198 Funiu Road, Zhongyuan District, Zhengzhou, Henan, China.

Purpose: To compare the clinical efficacy of anterior percutaneous endoscopic cervical discectomy (APECD) and anterior cervical decompression and fusion (ACDF) in the treatment of cervical disc herniation.

Methods: A total of 115 cases of cervical disc herniation treated in our hospital from May 2016 to August 2018 were selected. The subjects were divided into APECD and ACDF groups. Read More

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Minimally displaced unilateral facet fracture of cervical spine can lead to spinal cord injury: a report of two cases.

BMC Musculoskelet Disord 2021 Feb 11;22(1):168. Epub 2021 Feb 11.

Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuou-Ku, Chiba, 260-8670, Japan.

Background: According to most of the commonly used classification systems for subaxial spine injuries, unilateral and minimally displaced facet fractures without any sign of a spinal cord injury would be directed to non-operative management. However, the failure rate of non-operative treatment varies from 20 to 80%, and no consensus exists with regard to predictors of failure after non-operative management.

Case Presentation: Case 1 is a patient with a unilateral facet fracture. Read More

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February 2021

Cervical Spondylotic Myelopathy Secondary to Ochronotic Vertebral Arthropathy.

Neurology 2021 03 10;96(13):627-628. Epub 2021 Feb 10.

From the Division of Neuromuscular Diseases, Department of Neurology and Neurosurgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.

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Vertebral Level-dependent Kinematics of Female and Male Necks Under G+x Loading.

Mil Med 2021 01;186(Suppl 1):619-624

Center for NeuroTrauma Research, Department of Neurosurgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA.

Introduction: Size-matched volunteer studies report gender-dependent variations in spine morphology, and head mass and inertia properties. The objective of this study was to determine the influence of these properties on upper and lower cervical spine temporal kinematics during G+x loading.

Methods: Parametrized three-dimensional head-neck finite element models were used, and impacts were applied at 1. Read More

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January 2021

Asymptomatic Spinal Cord Compression: Is Surgery Necessary to Return to Play.

Neurosurgery 2021 04;88(5):955-960

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Advising athletes with asymptomatic cervical canal stenosis on their return to active play is a topic of considerable debate, with no definitive guidelines in place. Once cervical canal stenosis is identified, often through imaging following other injuries, it is difficult to predict the risk of future injury upon return to play in both contact and collision sports. Consequently, the decision can be a complicated one for the athlete, family, and physician alike. Read More

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The Long-term Impact of Whiplash Injuries on Patient Symptoms and the Associated Degenerative Changes Detected Using MRI: A Prospective 20-year Follow-up Study Comparing Patients with Whiplash-associated Disorders with Asymptomatic Subjects.

Spine (Phila Pa 1976) 2021 Jun;46(11):710-716

Department of Orthopedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan.

Study Design: A longitudinal, 20-year comparative study of patients with whiplash-associated disorders (WAD).

Objective: The aim of this study was to clarify the long-term impact of WAD on patient symptoms and on magnetic resonance imaging (MRI) findings of the cervical spine, in comparison with asymptomatic volunteers.

Summary Of Background Data: The long-term impact of WAD has not been fully elucidated. Read More

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Penetrating angle grinder injury to the neck causing subclavian artery injury.

Trauma Case Rep 2021 Feb 10;31:100378. Epub 2020 Dec 10.

National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia.

Penetrating injuries to the neck present a unique challenge due to the confined space of the thoracic outlet for haemorrhage control and repair. This results in high mortality rates when the major vascular structures of the neck are transected, as well as potential neurological compromise. We present the case of a penetrating injury to the proximal subclavian artery from a broken angle grinder disc which is a unique mechanism of injury that can have fatal consequences. Read More

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February 2021

Safety and efficacy of riluzole in patients undergoing decompressive surgery for degenerative cervical myelopathy (CSM-Protect): a multicentre, double-blind, placebo-controlled, randomised, phase 3 trial.

Lancet Neurol 2021 02 22;20(2):98-106. Epub 2020 Dec 22.

Department of Health Services, University of Washington, Seattle, WA, USA.

Background: Degenerative cervical myelopathy represents the most common form of non-traumatic spinal cord injury. This trial investigated whether riluzole enhances outcomes in patients undergoing decompression surgery for degenerative cervical myelopathy.

Methods: This multicentre, double-blind, placebo-controlled, randomised, phase 3 trial was done at 16 university-affiliated centres in Canada and the USA. Read More

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February 2021

The Subaxial Cervical AO Spine Injury Score.

Global Spine J 2020 Dec 11:2192568220974339. Epub 2020 Dec 11.

Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Study Design: Global cross-sectional survey.

Objective: To develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System.

Methods: Respondents numerically graded each variable within the classification system for severity. Read More

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December 2020

"RA.DI.CA." Splint for the Management of the Mandibular Functional Limitation: A Retrospective Study on Patients with Anterior Disc Displacement without Reduction.

Int J Environ Res Public Health 2020 12 4;17(23). Epub 2020 Dec 4.

Gnathologic Division, Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00161 Rome, Italy.

The study aimed at assessing the effectiveness of the RA.DI.CA. Read More

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December 2020

Cerebellar infarction after sneezing.

Rev Assoc Med Bras (1992) 2020 Oct;66(10):1351-1354

Médico Emergencista e Diretor clínico da Rodovia 393, Juiz de Fora, MG, Brasil.

Vertebral Artery Dissection (VAD) is a rare condition that can be caused by a wide amplitude of neck movement, which injures the vessel wall and can cause ischemia in the cerebellum. We present a 37-year-old man with herniated lumbar disc and allergic rhinosinusitis, which caused sneezing spells. After one of these bouts with a ricochet of the head, he presented C3 misalignment with local pain. Read More

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October 2020

Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy.

Korean J Neurotrauma 2020 Oct 21;16(2):299-304. Epub 2020 Oct 21.

Department of Neurosurgery, Inje Paik University Busan Paik Hospital, Inje Paik University College of Medicine, Busan, Korea.

The incidence of quadriplegia following drainage of cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report a case of acute quadriplegia following LP for presumed normal pressure hydrocephalus (NPH) in a 66-year-old man. Acute cervical myelopathy with a herniated cervical disc was subsequently found on magnetic resonance imaging (MRI) at the C5-6 level. Read More

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October 2020

Design of a robot-assisted system for transforaminal percutaneous endoscopic lumbar surgeries: study protocol.

J Orthop Surg Res 2020 Oct 19;15(1):479. Epub 2020 Oct 19.

Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Background: Transforaminal percutaneous endoscopic lumbar surgeries (PELS) for lumbar disc herniation and spinal stenosis are growing in popularity. However, there are some problems in the establishment of the working channel and foraminoplasty such as nerve and blood vessel injuries, more radiation exposure, and steeper learning curve. Rapid technological advancements have allowed robotic technology to assist surgeons in improving the accuracy and safety of surgeries. Read More

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October 2020

Transpedicular Approach for Ventral Epidural Abscess Evacuation in the Cervical Spine.

World Neurosurg 2021 01 17;145:127-133. Epub 2020 Sep 17.

Department of Neurological Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Objective: Spinal epidural abscess may require prompt surgical intervention. Ventral cervical abscesses pose a particular challenge regarding the approach for surgical evacuation. The aim of this article was to describe the technical nuances of a posterior transpedicular cervical approach for evacuation of a ventral epidural abscess. Read More

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January 2021

[Analysis of clinical efficacy of C expanded half lamina excision combined with unilateral open-door laminoplasty for multiple segmental cervical spinal cord compression syndrome].

Zhongguo Gu Shang 2020 Aug;33(8):735-40

Department of Spinal Surgery, the Hospital Affiliated to Ningbo University Medical College, Ningbo 315000, Zhejiang, China.

Objective: To explore the clinical efficacy of C expanded half lamina excision combined with unilateral open door laminoplasty for multiple segmental cervical spinal cord compression syndrome.

Methods: The clinical data of 58 patients with multiple segmental cervical spinal cord compression syndrome underwent surgical treatment between September 2014 and May 2018 were retrospectively analyzed. There were 34 males and 24 females with a mean age of 64. Read More

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Muscle Weakness-Related Spinal Instability Is the Cause of Cervical Spinal Degeneration and Spinal Stabilization Is the Treatment: An Experience with 215 Cases Surgically Treated over 7 Years.

World Neurosurg 2020 08;140:614-621

Department of Neurosurgery, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai, India.

Background: The rationale of only fixation without any kind of bone, ligament, disc, or osteophyte decompression as a treatment for single- or multiple-level cervical spinal degeneration was analyzed. The concept was based on the understanding that muscle weakness-related spinal instability is the cause of spinal degeneration, and spinal stabilization is the treatment.

Materials And Methods: During the period June 2012 to June 2019, 215 patients with single- or multiple-level cervical spinal degeneration who presented with symptoms of radiculopathy and/or myelopathy were treated. Read More

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Cervical Spondylotic Myelopathy: When and Why the Cervical Corpectomy?

World Neurosurg 2020 08;140:548-555

Department of Neurosurgery, University of Bari Medical School, Bari, Italy.

Background: Cervical spondylotic myelopathy (CSM) is a degenerative disease that represents the most common spinal cord disorder in adults. The best treatment option has remained controversial. We performed a prospective study to evaluate the clinical, radiographic, and neurophysiologic outcomes for anterior cervical corpectomy in the treatment of CSM. Read More

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Does Hybrid Surgery Improve Quality of Life in Multilevel Cervical Degenerative Disk Disease? Five-Year Follow-up Study.

World Neurosurg 2020 08;140:527-533

Neurosurgical Unit, Department of Biomedicine, Neurosciences and Advanced Diagnostics, Palermo, Italy.

Background: Patient satisfaction is becoming an increasing factor worthy of consideration when evaluating the surgical quality. The correlation between patient satisfaction and surgical outcomes 5 years after cervical hybrid surgery (HS), which incorporates anterior cervical decompression and fusion and cervical disk arthroplasty techniques in multilevel cervical degenerative disk disease, has not been evaluated.

Methods: The aim of this study was firstly to analyze prospectively collected data from a sample of patients (n = 50) treated with cervical HS for selected cases of radiculopathy and myelopathy in order to evaluate pain levels of patients, using the Neck and Arm Pain scale as an expression of visual analog scale. Read More

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Cervical Disc Arthroplasty Migration Following Mechanical Intubation: A Case Presentation and Review of the Literature.

World Neurosurg 2020 12 10;144:244-249. Epub 2020 Aug 10.

Department of Neurosurgery, Saint Louis University, St. Louis, Missouri, USA.

Background: Cervical arthroplasty has established itself as a safe and efficacious alternative to fusion in management of symptomatic cervical degenerative disease. Recent literature has indicated a trend toward decreased risk of reoperation with cervical arthroplasty, and reoperation in this subset commonly occurs secondary to recurrent pain and device-related complications. The instance of cervical arthroplasty migration, particularly in the setting of trauma, is particularly rare. Read More

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December 2020

Ergonomics and musculoskeletal disorders in neurosurgery: a systematic review.

Acta Neurochir (Wien) 2020 09 23;162(9):2213-2220. Epub 2020 Jul 23.

Department of Clinical Neurosciences, Division of Neurosurgery, Geneva University Hospitals, Geneva, Switzerland.

Background: Work-related musculoskeletal disorders (WMSDs) are a growing and probably undervalued concern for neurosurgeons and spine surgeons, as they can impact their quality of life and career length. This systematic review aims to ascertain this association and to search for preventive measures.

Methods: We conducted a PRISMA-P-based review on ergonomics and WMSDs in neurosurgery over the last 15 years. Read More

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September 2020

Preliminary Findings After Nonoperative Management of Traumatic Cervical Spinal Cord Injury on a Background of Degenerative Disc Disease: Providing Optimum Patient Care and Costs Saving in a Nigerian Setting.

World Neurosurg 2020 10 12;142:246-254. Epub 2020 Jul 12.

Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria; Department of Neurological Surgery, University of Ibadan, Ibadan, Nigeria.

Objective: We assessed the hypothesis that nonoperative management would be a viable treatment option for patients with underlying degenerative disease who have traumatic cervical spinal cord injury (TCSI) without neurological deterioration and/or spinal instability during hospitalization.

Methods: Data were collected prospectively from 2011 to 2016. All the patients had been treated nonoperatively with hard cervical collar immobilization. Read More

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October 2020

Spinal cord injury during cervical percutaneous epidural neuroplasty.

Ann Palliat Med 2020 Jul 2;9(4):2424-2426. Epub 2020 Jul 2.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

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Simplified four-step retropharyngeal approach for the upper cervical spine: technical note.

Eur Spine J 2020 11 9;29(11):2752-2757. Epub 2020 Jul 9.

Department of Neurosurgery, Sant'Anna University Hospital, Viale Aldo Moro 8, 44124, Ferrara, Italy.

Purpose: In this paper, we propose a simplified four-step retropharyngeal approach, whose aim is getting straight to the upper cervical spine minimizing complications.

Methods: While the classical retropharyngeal approach includes about 11 steps, ours is a four-step approach: patient positioning, skin-platysma incision, hyoid bone superolateral dissection and retropharyngeal blunt exposure. We avoid several steps of the classical anterior retropharyngeal approach, particularly dissection of submandibular gland, facial veins, external carotid artery and thyroid artery, bellies of the digastric muscle, hypoglossal nerve, thyrohyoid membrane and the internal branch of superior laryngeal nerve. Read More

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November 2020