8,452 results match your criteria Cervical Radiculopathy


Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us?

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

Department of Orthopaedic Surgery, Spine Care Institute, Hospital for Special Surgery, 541 East 71st St 4th Floor, New York, NY, 10021, USA.

Introduction: Intervertebral disc herniation (IDH) can cause back pain and/or radiculopathy and accounts for a significant portion of patients having spinal surgery in the USA. One of the most impactful and well-executed randomized trials to study diagnosis, treatments, and outcomes in patients with three commonly treated spinal conditions was the Spine Patient Outcomes Research Trial (SPORT). This study and the subsequent data analyses have resulted in numerous publications related to IDH. Read More

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http://dx.doi.org/10.1007/s00264-019-04309-xDOI Listing
February 2019

Determinants and Variations of Hospital Costs in Patients With Lumbar Radiculopathy Hospitalized for Spinal Surgery.

Spine (Phila Pa 1976) 2019 Mar;44(5):355-362

I-CHER, Interuniversity Center for Health Economics Research Group, Belgium.

Study Design: A retrospective study.

Objective: The aim of this study was to determine hospital costs related to surgery for lumbar radiculopathy and identify determinants of intramural costs based on minimal hospital and claims data.

Summary Of Background Data: Costs related to the initial hospitalization of patients undergoing surgery for lumbar radiculopathy make up the major part of direct health care expenditure in this population. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002801DOI Listing

Evaluation of Current Trends in Treatment of Single-level Cervical Radiculopathy.

Clin Spine Surg 2019 Feb 12. Epub 2019 Feb 12.

Weill Cornell Medicine.

Study Design: This was a retrospective cohort study.

Objectives: The main objectives of this study were to identify epidemiological trends, differences, and complications in patients undergoing surgical treatment for single-level cervical radiculopathy (SLCR).

Summary Of Background Data: SLCR that fails nonoperative management is effectively treated with either anterior cervical discectomy and fusion (ACDF), cervical disc replacement (CDR), or posterior cervical foraminotomy (PCF). Read More

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http://dx.doi.org/10.1097/BSD.0000000000000796DOI Listing
February 2019

Surgical Intervention for Osteoporotic Vertebral Burst Fractures in Middle-low Lumbar Spine with Special Reference to Postoperative Complications Affecting Surgical Outcomes.

Neurol Med Chir (Tokyo) 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, Yokohama City University Hospital.

The purpose of this study was to investigate the clinical and radiological features of osteoporotic burst fractures affecting levels below the second lumbar (middle-low lumbar) vertebrae, and to clarify the appropriate surgical procedure to avoid postoperative complications. Thirty-eight consecutive patients (nine male, 29 female; mean age: 74.8 years; range: 60-86 years) with burst fractures affecting the middle-low lumbar vertebrae who underwent posterior-instrumented fusion were included. Read More

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http://dx.doi.org/10.2176/nmc.oa.2018-0232DOI Listing
February 2019

Neuromuscular morphometric characteristics in low back pain with unilateral radiculopathy caused by disc herniation: An ultrasound imaging evaluation.

Musculoskelet Sci Pract 2019 Feb 1;40:80-86. Epub 2019 Feb 1.

Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway. Electronic address:

Background: Little is known about the neuromuscular morphometric characteristics in patients with sciatica.

Objective: To evaluate the possible changes of nerve and muscle structures in patients with low back pain with unilateral radiculopathy due to lumbar disc herniation by ultrasound imaging.

Design: A case-control observational study. Read More

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http://dx.doi.org/10.1016/j.msksp.2019.01.016DOI Listing
February 2019
2 Reads

Diffusion tensor imaging and fiber tractography reveal significant micro-structural changes of cervical nerve roots in cervical spondylotic radiculopathy patients.

World Neurosurg 2019 Feb 5. Epub 2019 Feb 5.

Department of Medical Imaging, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: We sought to delineate the fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values of cervical spondylotic radiculopathy patients by diffusion tensor imaging (DTI) and fiber bundle tracing.

Methods: Thirty patients with cervical spondylotic radiculopathy and 24 healthy volunteers were assessed using the ISNCSCI scale. All subjects underwent conventional sagittal T1WI and T2WI, and horizontal 3D T2 DRIVE and DTI scan. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.154DOI Listing
February 2019
1 Read

Motor Amplitudes May Predict Emg-Confirmed Radiculopathy in Patients Referred for Radiating Limb Pain.

Muscle Nerve 2019 Feb 7. Epub 2019 Feb 7.

University of Michigan, Physical Medicine and Rehabilitation.

Introduction: Radiculopathy is diagnosed by needle electromyography, with nerve conduction studies excluding alternative diagnoses.

Methods: In patients referred for electrodiagnostic evaluation of radiating limb pain, we compared ulnar motor amplitudes between those with and without electromyographically-confirmed C8 radiculopathy, as well as fibular motor amplitudes between those with and without electromyographically-confirmed L5 radiculopathy.

Results: Patients with electromyographically-confirmed C8 or L5 radiculopathy demonstrated decreased ulnar or fibular motor amplitudes, respectively, as compared to patients without. Read More

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http://dx.doi.org/10.1002/mus.26442DOI Listing
February 2019
1 Read

Treatment of only the fractional curve for radiculopathy in adult scoliosis: comparison to lower thoracic and upper thoracic fusions.

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

Departments of1Neurological Surgery and.

OBJECTIVEMany options exist for the surgical management of adult spinal deformity. Radiculopathy and lumbosacral pain from the fractional curve (FC), typically from L4 to S1, is frequently a reason for scoliosis patients to pursue surgical intervention. The purpose of this study was to evaluate the outcomes of limited fusion of the FC only versus treatment of the entire deformity with long fusions. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18505DOI Listing
February 2019
1 Read

An endoscopic surgical technique for treating radiculopathy secondary to S1 nerve compression from a pedicle screw: technical note.

J Spine Surg 2018 Dec;4(4):787-791

Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Pedicle screw instrumentation is a widely used technique for fixating the spine in fusion surgery. One of the complications associated with pedicle screw placement is when a screw breaches the pedicle medially and causes the patient radicular pain or numbness or weakness. Revising a breached pedicle screw in a patient who has undergone a multilevel fusion surgery often requires that the patient undergo a very invasive revision surgical procedure. Read More

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http://dx.doi.org/10.21037/jss.2018.11.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330589PMC
December 2018
1 Read

Is Cervical Epidural Steroid Injection Safe and Efficacious for the Treatment of Cervical Radiculopathy?

Clin Spine Surg 2019 Jan 30. Epub 2019 Jan 30.

Madigan Army Medical Center, Joint Base Lewis-McChord, WA.

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http://dx.doi.org/10.1097/BSD.0000000000000779DOI Listing
January 2019
1 Read

Entrapment Neuropathies of the Upper Extremity.

Med Clin North Am 2019 Mar;103(2):357-370

Department of Neurology, Massachusetts General Hospital, 55 Fruit Street, WACC 739B, Boston, MA 02114, USA. Electronic address:

Upper extremity entrapment neuropathies are common and can cause pain, sensory loss, and muscle weakness that lead to functional disability. In this article, the authors review common entrapment neuropathies of the upper extremities, including median neuropathy at the wrist (carpal tunnel syndrome), ulnar neuropathy at the elbow, and radial neuropathy. The authors discuss the pathophysiology of nerve compression and typical etiologies, as well as strategies for differentiating between common mimics such as cervical radiculopathy and for selecting between various treatment modalities. Read More

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http://dx.doi.org/10.1016/j.mcna.2018.10.012DOI Listing
March 2019
1 Read

Posterior Cervical Foraminotomy Via Full-Endoscopic Versus Microendoscopic Approach for Radiculopathy: A Systematic Review and Meta-analysis.

Pain Physician 2019 Jan;22(1):41-52

Department of Spine, The Second Xiangya Hospital of Central South University, Changsha, Hunan China.

Background: Recently posterior cervical foraminotomy (PCF) performed using a minimally-invasive surgery (MIS) approach for cervical radiculopathy due to lateral disc herniation or osseous foraminal stenosis has gained popularity. As 2 dominating MIS techniques, whether FE-PCF or MI-PCF provides superior clinical outcomes remains controversial.

Objectives: To compare clinical success rate, overall incidence of complications and reoperation rate between full-endoscopic posterior cervical foraminotomy (FE-PCF) and microendoscopic posterior cervical foraminotomy (MI-PCF) for cervical radiculopathy. Read More

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January 2019
1 Read

Management of symptomatic degenerative low-grade lumbar spondylolisthesis.

EFORT Open Rev 2018 Dec 19;3(12):620-631. Epub 2018 Dec 19.

University Hospital of Wales, Cardiff, UK.

Degenerative low-grade lumbar spondylolisthesis is the most common form of spondylolisthesis.The majority of patients are asymptomatic and do not require surgical intervention.Symptomatic patients present with a combination of lower back pain, radiculopathy and/or neurogenic claudication and may warrant surgery if non-operative measures fail. Read More

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http://dx.doi.org/10.1302/2058-5241.3.180020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335606PMC
December 2018
1 Read

Fusion rate following three- and four-level ACDF using allograft and segmental instrumentation: A radiographic study.

J Clin Neurosci 2019 Jan 25. Epub 2019 Jan 25.

Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.

Cervical spine degenerative pathologies remain one of the most common spinal conditions treated by spine surgeons worldwide. Surgery is recommended in all patients with symptomatic cervical spinal stenosis with either moderate to severe myelopathy, degeneration, or refractory radiculopathy. As the number of levels increases the potential for complications associated with anterior surgery can be significant, especially dysphagia and pseudarthrosis. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.040DOI Listing
January 2019
2 Reads

Clinical Course of Motor Deficits from Lumbosacral Radiculopathy Due to Disc Herniation.

PM R 2019 Jan 28. Epub 2019 Jan 28.

Moss Rehab.

Background: The clinical course of motor deficits from lumbosacral radiculopathy appears to improve with or without surgery. Strength measurements have been confined to manual muscle testing (MMT) and have not been extensively followed and quantified in prior studies.

Objective: To demonstrate that motor weakness and patient-reported outcomes related to lumbosacral radiculopathy will improve without surgical intervention over the course of 12 months. Read More

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http://dx.doi.org/10.1002/pmrj.12082DOI Listing
January 2019
1 Read

Sciatic Nerve Palsy due to a Superior Gluteal Artery Pseudoaneurysm PostBone Marrow Biopsy: A Case Report and Review of the Literature.

J Orthop Case Rep 2018 Jul-Aug;8(4):74-77

Department of Radiology, University Hospital of Heraklion, Faculty of Medicine, University of Crete, Greece.

Introduction: Sciatic nerve radiculopathy can present as a result of intraspinal or extraspinal causes. Intraspinal disorders can be disk hernia, spinal trauma, tumors, or infection, whereas extraspinal cause representsa disorder outside the lumbar spine. A gluteal artery (GA)false aneurysm can potentially compress the sciatic nerve and causes radiculopathy, with subsequent motor and sensory deficits. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343557PMC
January 2019
1 Read

Limbus Vertebral Fracture Presenting as Cauda Equina Syndrome Masquerading An Acute Disc Prolapse - A Rare Case Report and Review of Literature.

J Orthop Case Rep 2018 Jul-Aug;8(4):38-40

Department of Orthopaedics, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Introduction: Limbus vertebral fracture is an uncommon injury described in adolescents. It refers to the separation of a bony fragment from the unfused ring apophysis of lumbar vertebral end plate. It usually presents with back pain with/without radiculopathy masquerading an acute disc prolapse. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343561PMC
January 2019
1 Read

The Cervical Radiculopathy Impact Scale: development and evaluation of a new functional outcome measure for cervical radicular syndrome.

Disabil Rehabil 2019 Jan 27:1-12. Epub 2019 Jan 27.

a Department of Medical Decision Making , Department of Biomedical Data Sciences, Leiden University Medical Center , Leiden , The Netherlands.

Objective: To develop and validate an outcome scale for the cervical radicular syndrome and to build a mapping, predicting EQ-5D utility from the new scale.

Study Design And Setting: An item pool was developed based on literature and patient and clinician interviews. Item selection was based on symptomatology, factor analysis, and internal consistency. Read More

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https://www.tandfonline.com/doi/full/10.1080/09638288.2018.1
Publisher Site
http://dx.doi.org/10.1080/09638288.2018.1534996DOI Listing
January 2019
7 Reads

Inciting Events Associated with Cervical Radiculopathy.

PM R 2019 Jan 25. Epub 2019 Jan 25.

New England Baptist Hospital, Boston, MA.

Background: Cervical radiculopathy (CR) is a clinical diagnosis defined as a combination of neck, shoulder and arm pain, often accompanied by sensory and motor symptoms. CR is often caused by degenerative spine pathology associated with impingement of a cervical nerve root, and this pathology can be visualized using MRI or CT scan. Factors that are associated with the onset of CR have not been explored. Read More

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http://dx.doi.org/10.1002/pmrj.12089DOI Listing
January 2019
4 Reads

Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report.

Pediatr Neurosurg 2019 Jan 23:1-5. Epub 2019 Jan 23.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.

Osteoblastomas and aneurysmal bone cysts are uncommon benign tumors of the spine. Their presentation can vary between diffuse pain, restriction of neck movements, torticollis, radiculopathy, and myelopathy. Complete excision is the best treatment to achieve a cure, but recurrence is not uncommon. Read More

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https://www.karger.com/Article/FullText/495065
Publisher Site
http://dx.doi.org/10.1159/000495065DOI Listing
January 2019
5 Reads
0.497 Impact Factor

Diagnostic accuracy of upper limb neurodynamic tests for the assessment of peripheral neuropathic pain: A systematic review.

Musculoskelet Sci Pract 2019 Jan 12;40:21-33. Epub 2019 Jan 12.

Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise & Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. Electronic address:

Background: Upper limb neurodynamic tests (ULNTs) are used to identify a neuropathic pain component in patients' presenting with arm and/or neck pain. Clinical tests with established diagnostic accuracy are required to not only to inform clinical management but also minimise costs associated with expensive medical investigations.

Objective: To evaluate the role of ULNTs in assessment of peripheral neuropathic pain and to inform their value in clinical practice when assessing patients with arm and/or neck symptoms. Read More

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http://dx.doi.org/10.1016/j.msksp.2019.01.001DOI Listing
January 2019
2 Reads

Effects of active versus passive upper extremity neural mobilization combined with mechanical traction and mobilization in females with cervical radiculopathy: A randomized controlled trial.

J Back Musculoskelet Rehabil 2019 Jan 11. Epub 2019 Jan 11.

Riphah College of Rehabilitation Sciences, Islamabad, Pakistan.

Background: Neural mobilization is an effective technique in the management of cervical radiculopathy (CR). However, the difference between active versus passive upper extremity (UE) neural mobilization techniques in the management of cervical radiculopathy is not well established.

Objective: To determine the role of active versus passive UE neural mobilization in females with cervical radiculopathy. Read More

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http://dx.doi.org/10.3233/BMR-170887DOI Listing
January 2019
1 Read

The Relationship between Lumbar Lateral Listhesis and Radiculopathy in Adult Scoliosis.

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery.

MINI: Lumbar lateral listhesis is associated with the presence of lumbar radiculopathy in adult scoliosis. A classification of lumbar lateral listhesis was developed accordingly, demonstrating a considerable probability of having radicular leg pain in Type 2 or 3 lateral listhesis. This classification was then validated in a prospective cohort. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002986DOI Listing
January 2019
3 Reads

What Are the Costs of Cervical Radiculopathy Prior to Surgical Treatment?

Spine (Phila Pa 1976) 2019 Jan 14. Epub 2019 Jan 14.

Spine Surgery, Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

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http://dx.doi.org/10.1097/BRS.0000000000002983DOI Listing
January 2019
3 Reads
2.297 Impact Factor

Predictors for Development of Symptomatic Myelopathy in Patients with Radiculopathy Caused by Cervical Ossification of Posterior Longitudinal Ligament.

World Neurosurg 2019 Jan 17. Epub 2019 Jan 17.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. Electronic address:

Objective: To identify clinical factors predicting the development of myelopathy in cervical ossification of the posterior longitudinal ligament (OPLL) patients with radiculopathy.

Methods: We retrospectively reviewed 83 cervical OPLL patients who presented with radiculopathy. On the basis of the symptoms and physical findings, we divided patients into 2 groups: myelopathy group and nonmyelopathy group. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.199DOI Listing
January 2019
2 Reads
2.417 Impact Factor

T1-T2 Disk Herniation Presenting With Horner Syndrome: A Case Report With Literary Review.

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 2;2(11):e016. Epub 2018 Nov 2.

Department of Orthopaedic Spine Surgery (Dr. Possley), Department of Orthopaedic Surgery (Dr. Luczak), Department of General Surgery (Dr. Angus), and Department of Orthopaedic Spine Surgery (Dr. Montgomery), Beaumont Health, Royal Oak, MI.

Horner syndrome or oculosympathetic paresis is caused by interruption of the sympathetic nerve supply to the face and eye that manifests as facial anhidrosis, blepharoptosis, and miosis. This sympathetic pathway begins in the hypothalamus and synapses in the intermediolateral gray substance of the spinal cord at C8-T2 levels making it susceptible to disruption via a high thoracic intervertebral disk herniation. We present a rare case of a patient with T1-T2 intervertebral disk herniation and Horner syndrome who was treated surgically. Read More

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http://Insights.ovid.com/crossref?an=01979360-201811000-0001
Publisher Site
http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324895PMC
November 2018
13 Reads

Analgesic effects of calcitonin on radicular pain in male rats.

J Pain Res 2019 3;12:223-230. Epub 2019 Jan 3.

Department of Orthopaedic Surgery, School of Medicine, Sapporo Medical University, Sapporo 060-0061, Japan,

Purpose: Radicular pain is a frequently observed symptom of lumbar disk herniation or lumbar spinal canal stenosis. Achieving radicular pain relief is difficult. This type of pain may progress to chronic neuropathic pain. Read More

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http://dx.doi.org/10.2147/JPR.S185233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322709PMC
January 2019
1 Read

Disc and nerve root findings on lumbar MRI with straightened v s flexed hips and knees-pilot study.

Br J Radiol 2019 Jan 17:20180851. Epub 2019 Jan 17.

3 Western Norway University of Applied Sciences , Bergen , Norway.

Objective:: To compare disc and nerve root findings, image quality, and pain between supine lumbar MRI positions with straightened v s flexed hips and knees.

Methods:: In this prospective pilot study, 14 adults with sciatica or suspected lumbar radiculopathy underwent MRI supine with their hips and knees flexed and then straightened. For each position, two experienced radiologists assessed disc contour, location/size of disc herniation, nerve root affection, image quality, image evaluation difficulty, and sagittal angles between the vertebral bodies at each disc level L3-S1. Read More

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http://dx.doi.org/10.1259/bjr.20180851DOI Listing
January 2019
2 Reads

Surgical management of spinal metastases of thymic carcinoma: A case report and literature review.

Medicine (Baltimore) 2019 Jan;98(3):e14198

Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences.

Rationale: Metastatic thymic carcinoma in the spine is a rare disease with no standard curative managements yet. The objective of this study is to report a very rare case of spinal metastases of thymic carcinoma successfully operated by combination of instrumentation and cement augmentation together with adjuvant treatment. The management of these unique cases has yet to be well-documented. Read More

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http://dx.doi.org/10.1097/MD.0000000000014198DOI Listing
January 2019
2 Reads

Clinical Decision-Making in Chronic Spine Pain: Dilemma of Image-Based Diagnosis of Degenerative Spine and Generation Mechanisms for Nociceptive, Radicular, and Referred Pain.

Authors:
Haytham Eloqayli

Biomed Res Int 2018 17;2018:8793843. Epub 2018 Dec 17.

Department of Neurosurgery, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid 22110, Jordan.

Background: Spine-related pain is a complex heterogeneous condition. Excessive reliance on radiological imaging might lead to overdiagnosis of incidental asymptomatic spinal changes and unnecessary surgery. Approaches to the clinical management of spine pain should (1) identify pain generators, types, patterns, and mechanisms; (2) confirm clinical suspension with a diagnostic injection; and (3) ensure that treatment is aimed at controlling pain and improving patient function rather than image-based surgical success. Read More

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http://dx.doi.org/10.1155/2018/8793843DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311773PMC
December 2018
2 Reads

The effectiveness of ultrasound-guided cervical transforaminal epidural steroid injections in cervical radiculopathy: a prospective pilot study.

J Pain Res 2019 31;12:171-177. Epub 2018 Dec 31.

Department of Anesthesiology, Pain Management Center, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China,

Background: Cervical transforaminal epidural steroid injection (CTFESI) is used to provide pain relief and restore function in patients with cervical radiculopathy. Traditionally, it is performed under the guidance of fluoroscopy or computed tomography. Here, we introduce a novel technique - ultrasound-guided CTFESI - with which operators can easily distinguish the close soft tissue (nerve, vessels) around the cervical foramina to avoid intravascular injection during the procedure. Read More

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http://dx.doi.org/10.2147/JPR.S181915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318715PMC
December 2018
1 Read

Comparison of clinical outcomes following minimally invasive or lumbar endoscopic unilateral laminotomy for bilateral decompression.

J Neurosurg Spine 2019 Jan 11:1-9. Epub 2019 Jan 11.

OBJECTIVEMinimally invasive lumbar unilateral tubular laminotomy for bilateral decompression has gradually gained acceptance as a less destabilizing but efficacious and safe alternative to traditional open decompression techniques. The authors have further advanced the principles of minimally invasive surgery (MIS) by utilizing working-channel endoscope-based techniques. Full-endoscopic technique allows for high-resolution off-axis visualization of neural structures within the lateral recess, thereby minimizing the need for facet joint resection. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18689DOI Listing
January 2019
2 Reads

Artificial disc replacement versus fusion in patients with cervical degenerative disc disease and radiculopathy: a randomized controlled trial with 5-year outcomes.

J Neurosurg Spine 2019 Jan 11:1-9. Epub 2019 Jan 11.

1Department of Surgical Sciences, Uppsala University, Uppsala.

OBJECTIVEThe method of artificial disc replacement (ADR) has been developed as an alternative treatment to fusion surgery after decompression for cervical degenerative disc disease (DDD) with radiculopathy. Preserving the motion of ADR devices aims to prevent immobilization side effects such as adjacent-segment pathology (ASP). However, long-term follow-up evaluations using MRI are needed to investigate if this intent is achieved. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18659DOI Listing
January 2019
3 Reads

Successful visualization of dynamic change of lumbar nerve root compression with the patient in both upright and prone positions using dynamic digital tomosynthesis-radiculography in patients with lumbar foraminal stenosis: An initial report of three cases.

J Clin Neurosci 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan. Electronic address:

The symptoms of lumbar foraminal stenosis are often exacerbated when the patient is upright. Lumbar pathological conditions related to clinical symptoms such as disc herniation, foraminal stenosis, and instability of the lumbar spine are often exacerbated when the patient is upright and hidden when the patient is supine. Lumbar radiculopathy is usually diagnosed by MRI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183200
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http://dx.doi.org/10.1016/j.jocn.2018.12.016DOI Listing
January 2019
4 Reads

False-Positive Rates for Nerve Conduction Studies and Ultrasound in Patients Without Clinical Signs and Symptoms of Carpal Tunnel Syndrome.

J Hand Surg Am 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedics, University of Pittsburgh, Pittsburgh, PA.

Purpose: The purpose of the study was to determine the rate of false positives for nerve conduction studies (NCSs) and ultrasound (US) in a population without signs and symptoms of carpal tunnel syndrome (CTS) using a CTS-6 score of 0 as the reference standard.

Methods: Patients were included in this study if they were referred for NCSs for a reason other than CTS (cubital tunnel syndrome and/or cervical radiculopathy) and they had a CTS-6 score of 0. An US measurement of the cross-sectional area (CSA) of the median nerve at the level of the carpal tunnel inlet was performed by a certified ultrasound technician. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.010DOI Listing
January 2019
5 Reads

Spontaneous resolution and complete recovery of spontaneous cervical epidural hematoma: Report of two cases and literature review.

Neurochirurgie 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedics, Shanghai Changzheng Hospital, Second Military Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai 200003, China.

Objective: To present the natural course and treatment modalities of spontaneous cervical epidural hematoma (SCEH), by reporting two rare cases with spontaneous resolution in both clinical and radiologic findings without surgery.

Material And Methods: One patient presenting with acute right side hemiparesis and another showing pure cervical radiculopathy were diagnosed with SCEH on magnetic resonance imaging (MRI). Both were both treated non-operatively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283770183036
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http://dx.doi.org/10.1016/j.neuchi.2018.10.008DOI Listing
January 2019
6 Reads

Anterior Lumbar Interbody Fusion Using a Personalized Approach: Is Custom the Future of Implants for Anterior Lumbar Interbody Fusion Surgery?

World Neurosurg 2019 Jan 8. Epub 2019 Jan 8.

Faculty of Medicine, University of New South Wales (UNSW), Sydney, Australia; NeuroSpine Surgery Research Group (NSURG), Sydney, Australia; Department of Neurosurgery, Prince of Wales Hospital, Sydney, Australia; Faculty of Medicine, University of Sydney, Sydney, Australia.

Background: Spine surgery has the potential to benefit from the use of three-dimensional (3D) printing technology (additive manufacturing), particularly in cases of complex anatomic diseases. Custom devices have the potential to reduce operative times, reduce blood loss, provide immediate stability, and improve fusion rates.

Case Description: A 34-year-old man presented with 3-year history of bilateral L5 radiculopathy caused by bilateral L5 pars defect, L5/S1 degenerative disc disease, and severe foraminal stenosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193000
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.12.144DOI Listing
January 2019
6 Reads
2.417 Impact Factor

A rare cause of back pain and radiculopathy - spinal tophi: a case report.

J Med Case Rep 2019 Jan 8;13(1). Epub 2019 Jan 8.

Orthopaedics Department, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia.

Background: Gout is a monosodium urate deposition disease which is prevalent worldwide. The usual manifestations are crystal arthropathy and tophi deposition in the soft tissues. Spinal tophi may also occur and are rarely reported, resulting in various clinical manifestations such as back pain, spinal cord compression, radiculopathy, and even mimicking epidural abscess and spondylodiscitis. Read More

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http://dx.doi.org/10.1186/s13256-018-1940-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325858PMC
January 2019
1 Read

Reoperation Rates Following Open-Door Cervical Laminoplasty.

Int J Spine Surg 2018 Dec 21;12(6):751-756. Epub 2018 Dec 21.

OrthoCarolina Spine Center, Charlotte, North Carolina.

Background: Laminoplasty is a safe and effective procedure for multilevel degenerative cervical stenosis causing myelopathy, that allows for motion preservation. The purpose of this study was to determine the reoperation rate and associated risk factors after cervical laminoplasty.

Methods: We present a retrospective consecutive series of patients who underwent a laminoplasty procedure between January 1, 2005, and October 31, 2012, and had a minimum 2-year follow-up. Read More

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http://ijssurgery.com/lookup/doi/10.14444/5094
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http://dx.doi.org/10.14444/5094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314335PMC
December 2018
7 Reads

A Novel Application of an Adjustable Catheter in Acute Radicular Pain Management.

Pain Ther 2019 Jan 8. Epub 2019 Jan 8.

Pain Clinic and Palliative Care Unit, A.O.U. Città della Salute e della Scienza, Corso Bramante 88, 10131, Turin, Italy.

Introduction: Acute lumbosacral radicular syndrome is often a medical disorder of difficult management. Epidural steroid injection is a useful approach for the herniated disc and radiculitis. The transforaminal approach is usually considered more effective and target-specific, but it can be associated with permanent lower extremity paralysis. Read More

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http://dx.doi.org/10.1007/s40122-018-0110-0DOI Listing
January 2019
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Posterior epidural migration of herniated lumbar disc fragment: a literature review.

Neurosurg Rev 2019 Jan 6. Epub 2019 Jan 6.

Department of Neurosurgery, Bonifatius Hospital, Wilhelmstr. 13, 49808, Lingen, Germany.

Herniated disc fragments' migration to posterior epidural locations is a very rare pathological condition, and the mechanism is not well understood. Posterior epidural migration may lead to serious neurologic problems; however, its diagnosis and treatment are challenging. We searched PubMed and Google Scholar, using various keyword combinations, and found 111 cases of posterior epidural disc migration in the lumbar region reported between 1973 and 2018. Read More

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http://link.springer.com/10.1007/s10143-018-01065-1
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http://dx.doi.org/10.1007/s10143-018-01065-1DOI Listing
January 2019
6 Reads
1.861 Impact Factor

Tumoral calcinosis of the lumbar and cervical spine.

J Clin Neurosci 2019 Jan 3. Epub 2019 Jan 3.

Department of Neurosurgery, Mayo Clinic, Jacksonville, FL, USA.

Background: Tumoral calcinosis has been defined as a pathological condition which presents as calcified masses around juxta-articular structures. The etiology of this pathology is still not well understood but degenerative spine diseases seem to play a role. The diagnosis of tumoral calcinosis preoperatively can prevent intraoperative confusion from unexpected findings, especially in cases where removal of the calcified mass is essential to treating the patient's symptoms, i. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183190
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http://dx.doi.org/10.1016/j.jocn.2018.12.015DOI Listing
January 2019
5 Reads

Editorial Commentary: Superior Capsular Reconstruction-Improved Superior Stability and Functional Deltoid Reverse Pseudoparalysis in Patients With Irreparable Rotator Cuff Tears.

Authors:
Teruhisa Mihata

Arthroscopy 2019 Jan;35(1):29-31

Osaka Medical College.

Since I reported clinical and biomechanical improvement after superior capsular reconstruction (SCR) for irreparable rotator cuff tears in 2012 and 2013, many shoulder surgeons around the world have started to perform SCR. However, most of these surgeons are still on the learning curve, and their clinical results are not consistent because clinical outcomes after SCR are correlated with graft healing, which is affected by the surgeon's skill. In cases in which the graft does heal, active shoulder elevation increases after SCR even in patients with pseudoparalysis before surgery. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.08.026DOI Listing
January 2019
2 Reads

Smoking is Associated With 1-year Suboptimal Patient-reported Outcomes After 2-level Anterior Cervical Fusion.

Clin Spine Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH.

Study Design: Retrospective cohort study.

Objective: To study the impact of smoking on patient-reported outcomes after primary 2-level anterior cervical discectomy and fusion (ACDF).

Summary Of Background Data: Previous studies have found suboptimal outcomes after multilevel ACDF in smoking patients. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000765DOI Listing
January 2019
1 Read

Immediate Abdominal Pain after Placement of Thoracic Paddle Leads for Spinal Cord Stimulation: A Case Series.

Stereotact Funct Neurosurg 2018 3;96(6):400-405. Epub 2019 Jan 3.

Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA.

Background: Spinal cord stimulation (SCS) is a well-established treatment modality for chronic pain. Thoracic radiculopathy has been reported as a complication of SCS paddle lead implantation by several authors and commonly presents as abdominal pain.

Methods: We performed a search of all patients who underwent either placement of a new epidural paddle lead electrode or revision of an epidural paddle lead electrode for SCS in the thoracic region from January 2017 to January 2018. Read More

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http://dx.doi.org/10.1159/000495415DOI Listing
January 2019
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Serious Neurological Complication Resulting from Inadvertent Intradiscal Injection During Fluoroscopically Guided Interlaminar Epidural Steroid Injection.

Cardiovasc Intervent Radiol 2019 Jan 2. Epub 2019 Jan 2.

MGH Harvard Medical School, Boston, USA.

We describe the case of a 30-year-old patient who was referred for lumbar epidural corticosteroid injection due to right L5 radiculopathy. Two months earlier, MRI demonstrated a right large paracentral L4-L5 disk extrusion causing disabling L5 radiculopathy. The L4-L5 level was selected for interlaminar injection, using fluoroscopic guidance. Read More

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http://dx.doi.org/10.1007/s00270-018-2151-5DOI Listing
January 2019
2 Reads

Validation of foot pitch angle estimation using inertial measurement unit against marker-based optical 3D motion capture system.

Biomed Eng Lett 2018 Aug 17;8(3):283-290. Epub 2018 May 17.

3St John of God Subiaco Hospital, Perth, Australia.

Gait analysis is relevant to a broad range of clinical applications in areas of orthopedics, neurosurgery, rehabilitation and the sports medicine. There are various methods available for capturing and analyzing the gait cycle. Most of gait analysis methods are computationally expensive and difficult to implement outside the laboratory environment. Read More

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http://dx.doi.org/10.1007/s13534-018-0072-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208541PMC
August 2018
2 Reads