8,550 results match your criteria Cervical Radiculopathy


Comparison of anterior cervical foraminotomy and posterior cervical foraminotomy for treating single level unilateral cervical radiculopathy.

Spine (Phila Pa 1976) 2019 Apr 20. Epub 2019 Apr 20.

Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, Korea.

Study Design: Retrospective study OBJECTIVE.: To compare clinical and radiological outcomes after two surgical procedures.

Summary Of Background Data: Anterior cervical discectomy and fusion is the gold standard treatment for cervical radiculopathy. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003081DOI Listing

Immediate and Short Term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial.

J Orthop Sports Phys Ther 2019 Apr 25:1-36. Epub 2019 Apr 25.

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA.

Study Design: Multicenter randomized controlled trial.

Background: Thoracic spine thrust manipulation has been shown to improve patient-rated outcomes for individuals with neck pain. However, there is limited evidence for effectiveness in patients with cervical radiculopathy (CRAD). Read More

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http://dx.doi.org/10.2519/jospt.2019.8150DOI Listing
April 2019
1 Read

Multiple Sacral Perineurial Cysts Presented Symptoms Triggered by Nonaneurysmal Perimesencephalic Subarachnoid Hemorrhage.

NMC Case Rep J 2019 Apr 21;6(2):57-60. Epub 2019 Mar 21.

Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Fukuoka, Japan.

The origin and pathogenesis of perineurial cysts remain unclear. Here, we report a rare case of multiple sacral perineurial cysts presented symptoms triggered by nonaneurysmal perimesencephalic subarachnoid hemorrhage (SAH). A 48-year-old male presented with a severe headache of sudden onset. Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2018-0242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476817PMC

Surgical management of patients with coexistent multiple sclerosis and cervical stenosis: A systematic review and meta-analysis.

J Clin Neurosci 2019 Apr 20. Epub 2019 Apr 20.

Department of Neurological Surgery, UCSF Medical Center, San Francisco, CA, United States. Electronic address:

Multiple sclerosis (MS) and cervical stenosis (CS) are two unique pathologies that can present with overlapping symptoms. In patients with concurrent MS and CS, the exact cause for worsening of symptoms is often difficult to decipher. In this study, we aimed to review the medical literature on the benefits of surgical decompression surgery in patients with coexisting CS and MS. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.04.001DOI Listing

T1 Vertebra Pedicular Osteoid Osteoma: Minimally Invasive Surgical Resection Aided by New Integrated Navigation to 3D Imaging Device.

Case Rep Orthop 2019 18;2019:7626454. Epub 2019 Mar 18.

University Hospital of Grenoble-Alps (CHUGA), La Tronche, France.

We hereby describe a minimally invasive resection of a T1 pedicular osteoid osteoma next to the vertebral canal. The patient had an 18-month report of painful radiculopathy. We performed the surgery under 3D imaging guidance using navigation with an all-in-one device. Read More

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https://www.hindawi.com/journals/crior/2019/7626454/
Publisher Site
http://dx.doi.org/10.1155/2019/7626454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442330PMC
March 2019
1 Read

The Utility of MRI Results in Physician Decision Making Prior to Initial Lumbar Spinal Injection.

Spine J 2019 Apr 19. Epub 2019 Apr 19.

University of Colorado Department of Physical Medicine and Rehabilitation, 12631 E. 17th Avenue, Mail Stop F493, Academic Office 1 (AO1), Room 2510, Aurora, Colorado 80045, US.

Background Context: The need for advanced imaging prior to spinal intervention is an area of ongoing debate. Many studies have demonstrated the accuracy of MRI results in evaluating structural pathology in the lumbar spine, but few have addressed how frequently MRI findings change clinical management. A randomized controlled trial showed that viewing MRI results did not impact outcomes in patients with radiculopathy undergoing epidural steroid injection (ESI). Read More

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http://dx.doi.org/10.1016/j.spinee.2019.04.016DOI Listing

Diagnostic challenges of spinal gout: A case series.

Medicine (Baltimore) 2019 Apr;98(16):e15265

Department of orthopedics, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.

Introduction: Spinal gout is rarely encountered in clinical practice, is easily misdiagnosed, and often remains undiagnosed. This paper aims to provide some clues that are the salient diagnostic features of spinal gout, particularly axial pain, radiculopathy, and myelopathy, as determined on the basis of our experience with a few cases as well as a literature review.

Methods: We retrospectively reviewed the clinical data of 5 patients that were treated for axial pain and neurological symptoms associated with spinal gout between 2014 and 2017 in our hospital. Read More

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http://dx.doi.org/10.1097/MD.0000000000015265DOI Listing

The utility of diagnostic selective nerve root blocks in the management of patients with lumbar radiculopathy: a systematic review.

BMJ Open 2019 Apr 20;9(4):e025790. Epub 2019 Apr 20.

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Objective: Lumbar radiculopathy (LR) often manifests as pain in the lower back radiating into one leg (sciatica). Unsuccessful back surgery is associated with significant healthcare costs and risks to patients. This review aims to examine the diagnostic accuracy of selective nerve root blocks (SNRBs) to identify patients most likely to benefit from lumbar decompression surgery. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025790DOI Listing

Understanding quality of life and treatment history of patients with Bertolotti syndrome compared with lumbosacral radiculopathy.

J Neurosurg Spine 2019 Apr 19:1-7. Epub 2019 Apr 19.

4Center for Spine Health, Department of Neurosurgery, Neurologic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

OBJECTIVEBertolotti syndrome is a rare spinal condition that causes low-back pain due to a lumbosacral transitional vertebra (LSTV), which is a pseudoarticulation between the fifth lumbar transverse process and the sacral ala. Bertolotti syndrome patients are rarely studied, particularly with regard to their quality of life. This study aimed to examine the quality of life and prior treatments in patients with Bertolotti syndrome at first presentation to the authors' center in comparison with those with lumbosacral radiculopathy. Read More

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http://dx.doi.org/10.3171/2019.2.SPINE1953DOI Listing

Symptomatic extradural spinal arachnoid cyst: More than a simple herniated sac.

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):64-71

Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Introduction And Study Design: Spinal arachnoid cyst is an uncommon entity, presenting with radiculopathy or paraparesis. These cysts are usually found in intradural extramedullary region; and the extradural region is a rare location. The exact pathogenesis in the existence of these cysts in the extradural region is still debated. Read More

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http://www.jcvjs.com/text.asp?2019/10/1/64/255724
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http://dx.doi.org/10.4103/jcvjs.JCVJS_12_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469322PMC
April 2019
1 Read

Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy.

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):39-41

Department of Neurosurgery, International Neuroscience Institute, Hannover, Germany.

Introduction: In endoscopic lumbar discectomy for posterolateral disc herniation, we determined some anatomical landmarks for improved disc space access. These landmarks are based on the beginning of the insertion of the ligamentum flavum (LF) to vertebral lamina.

Materials And Methods: In 978 patients operated by posterolateral disc herniation, we measured prospectively the distance between the beginning of the insertion of the LF and space disc rostrally. Read More

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http://www.jcvjs.com/text.asp?2019/10/1/39/255719
Publisher Site
http://dx.doi.org/10.4103/jcvjs.JCVJS_103_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469320PMC
April 2019
1 Read

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease.

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):28-32

Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.

Background: Anterior cervical discectomy and fusion (ACDF) is a well-described surgical approach for symptomatic degenerative cervical disc disease which does not respond to conservative management. In the present study, we assessed clinical presentation and outcomes of ACDF.

Materials And Methods: The present study was conducted from October 1, 2015, to October 31, 2017, in the Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, among 100 consecutive adult patients who underwent single- or two-level ACDF for degenerative cervical disc disease. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_87_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469327PMC

Pain Provocation and the Energy Cost of Walking: A Matched Comparison Study of Older Adults With and Without Chronic Low Back Pain With Radiculopathy.

J Geriatr Phys Ther 2019 Apr 15. Epub 2019 Apr 15.

Department of Physical Therapy, University of Delaware, Newark.

Background And Purpose: Chronic low back pain with radiculopathy (CLBPR) is common among older adults and can lead to walking difficulty. Energy cost of walking strongly predicts changes in walking speed, which is predictive of mortality in older adults. The purposes of this study were to examine (1) the impact of pain provocation on the energy cost of walking and (2) the relationship between pain intensity and change in energy cost of walking. Read More

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http://dx.doi.org/10.1519/JPT.0000000000000212DOI Listing
April 2019
2 Reads

Transforaminal epidural steroid injection and infraneural approach.

Agri 2019 Apr;31(2):104-106

Department of Anesthesiology and Reanimation, Pain Clinic, Ege University, Izmir, Turkey.

Transforaminal epidural steroid injections are a common intervention in the treatment of radicular pain. Complications are rare, but can be catastrophic. One of the potentially devastating complications is occlusion of the artery of Adamkiewicz (AKA). Read More

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http://www.agridergisi.com/jvi.aspx?pdir=agri&plng=eng&a
Publisher Site
http://dx.doi.org/10.5505/agri.2017.26097DOI Listing
April 2019
1 Read

Safety and efficacy of cervical disc arthroplasty in preventing the adjacent segment disease: a meta-analysis of mid- to long-term outcomes in prospective, randomized, controlled multicenter studies.

Ther Clin Risk Manag 2019 28;15:531-539. Epub 2019 Mar 28.

Department of Bioengineering, Institute of Biomedical Engineering, Technical University of Wroclaw, Wroclaw, Poland.

Objectives: Cervical disc arthroplasty (CDA) has become an alternative treatment for cervical radiculopathy and myelopathy. This technique preserves appropriate motion at both the index and adjacent disc levels and consequently may prevent adjacent segment degeneration (ASD). The authors performed a meta-analysis to compare the safety and efficacy of CDA to those of the gold standard, anterior cervical discectomy and fusion (ACDF). Read More

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http://dx.doi.org/10.2147/TCRM.S196349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445235PMC
March 2019
2 Reads

Cost-Effectiveness of Cervical Epidural Steroid Injections: A 3-Month Pilot Study.

Global Spine J 2019 Apr 31;9(2):143-149. Epub 2018 Jul 31.

Cleveland Clinic, Cleveland, Ohio, USA.

Study Design: Retrospective cohort.

Objectives: There are conflicting reports on the short- and long-term quality of life (QOL) outcomes and cost-effectiveness of cervical epidural steroid injections (ESIs). The present study analyzes the cost-effectiveness analysis of ESIs versus conservative management for patients with radiculopathy or neck pain in the short term. Read More

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http://dx.doi.org/10.1177/2192568218764913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448201PMC

[Effectiveness evaluation of Prodisc-C prosthesis for more than 10 years follow-up after total cervical disc replacement].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):393-402

Department of Spinal Surgery, Peking University People's Hospital, Beijing, 100044,

Objective: To evaluate long-term radiographic and clinical effectiveness of total cervical disc replacement (TDR) with Prodisc-C prosthesis at a minimum of 10 years follow-up.

Methods: The clinical data of 118 patients with cervical disc degeneration disease (CDDD) treated with TDR by using Prodisc-C prosthesis between December 2005 and April 2008 were retrospectively analyzed. There were 66 males and 52 females, with the age of 25-62 years (mean, 46. Read More

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http://dx.doi.org/10.7507/1002-1892.201810109DOI Listing
April 2019
1 Read

Dynamic digital tomosynthesis-radiculography is useful for diagnosis of lumbar foraminal stenosis at an adjacent level after lumbar fusion surgery: A case report.

J Clin Neurosci 2019 Apr 8. Epub 2019 Apr 8.

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

After spine fusion surgery, it is difficult to evaluate the spinal canal and nerve roots using magnetic resonance imaging (MRI) because of metallic implant-related artifacts. Digital tomosynthesis is a new radiographic technique that can acquire tomographic images with reduced metallic artifact effects compared with MRI. We report a case demonstrating the visualization of nerve roots nearby metallic implants using dynamic tomosynthesis-radiculography (DTRG) after spinal fusion surgery. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.03.065DOI Listing
April 2019
2 Reads

An unusual complication of sacral nerve root injury following bone marrow harvesting: a case report.

BMC Cancer 2019 Apr 11;19(1):347. Epub 2019 Apr 11.

Department of Rehabilitation Medicine, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.

Background: Hematopoietic stem cell transplantation (HSCT) remains an important therapeutic option for many hematologic malignancies. Bone marrow harvesting from an appropriate donor must be conducted for hematopoietic stem cell transplantation (HSCT). Many previous studies show complications of the recipient after hematopoietic stem cell transplantation (HSCT). Read More

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http://dx.doi.org/10.1186/s12885-019-5567-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458794PMC
April 2019
1 Read

What Should an Ideal Adult Spinal Deformity Classification System Consist of?: Review of the Factors Affecting Outcomes of Adult Spinal Deformity Management.

Asian Spine J 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopaedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

This literature review aims to determine potential clinical factors or comorbidities besides radiological parameters that affect the outcome of adult spinal deformity (ASD) management and review existing classifications associated with ASD. ASD is a multifactorial disease that comprises pathologies like radiological spine deformity, coexistence of spinal canal stenosis, radiculopathy, and multiple comorbidities. The available classification systems of ASD are predominantly based on radiological parameters and do not consider related clinical conditions. Read More

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http://dx.doi.org/10.31616/asj.2018.0309DOI Listing
April 2019
3 Reads

Interlaminar stabilization and decompression for the treatment of bilateral juxtafacet cysts: Case report and literature review.

Int J Surg Case Rep 2019 Mar 30;57:155-159. Epub 2019 Mar 30.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Introduction: Lumbar juxtafacet cysts (JFCs) are a common cause of lumbar radiculopathy which tend to occur in areas of increased facet mobility. While resection alone is a possible treatment, recent publications suggest that laminectomy alone for JFCs may not yield as favorable an outcome as laminotomies reinforced with posterior dynamic hardware. The Coflex is a novel interlaminar stabilization device that has been shown to achieve comparable results to rigid fusion in the management of lumbar stenosis in patients with no more than grade one anterolisthesis, and superior performance compared to laminectomy alone when a combined outcome score was used. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453832PMC
March 2019
1 Read

Parallels between lumbosacral radiculopathy and complex regional pain syndrome: α1-adrenoceptor upregulation, reduced dermal nerve fibre density and hemi-sensory disturbances in post-surgical sciatica.

Pain 2019 Apr 2. Epub 2019 Apr 2.

College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia.

Residual lower limb pain after low back surgery (post-surgical sciatica) and complex regional pain syndrome involving a lower limb (CRPS) are separate conditions, but may share some mechanisms (e.g., tissue inflammation, neuro-immune disturbances and central neuro-plasticity). Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001574DOI Listing
April 2019
1 Read

A Pilot Study of Percutaneous Interlaminar Endoscopic Lumbar Sequestrectomy: A Modern Strategy to Tackle Medically-Refractory Radiculopathies and Restore Spinal Function.

Neurospine 2019 Mar 31;16(1):120-129. Epub 2019 Mar 31.

Neurosurgical Clinic, Department of Neurosciences, University of Messina, Messina, Italy.

Objective: Angled scopes allow 360° visualization, which makes percutaneous endoscopic techniques (percutaneous endoscopic lumbar discectomy, PELD) particularly attractive for sequestrectomies, which entail the removal of extruded lumbar disc fragments that have migrated caudally or cranially between the ligaments, foramina, and neural structures, while preserving the disc. Although many different PELD techniques are currently available, not all of them are suitable for sequestrectomies; furthermore, long-term follow-up data are unfortunately lacking.

Methods: A pilot study was conducted on a cohort of 270 patients with lumbar radiculopathy undergoing minimally invasive spine surgery (PELD or microdiscectomy), of whom only 7 were eligible for endoscopic interlaminar sequestrectomy with disc preservation. Read More

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http://dx.doi.org/10.14245/ns.1836210.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449818PMC
March 2019
1 Read

Step-by-Step Sublaminar Approach With a Newly-Designed Spinal Endoscope for Unilateral-Approach Bilateral Decompression in Spinal Stenosis.

Neurospine 2019 Mar 31;16(1):41-51. Epub 2019 Mar 31.

Tokyo Spine Clinic, Tokyo, Japan.

Objective: Spinal stenosis is increasingly common due to population aging. In elderly patients with lumbar central canal stenosis (LCCS), minimizing muscle damage and bone resection is particularly important. We performed a step-by-step operation with a newly designed spinal endoscope to obtain adequate decompression in patients with spinal stenosis. Read More

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http://dx.doi.org/10.14245/ns.1836320.160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449824PMC
March 2019
2 Reads

A Novel 3D Printed Titanium Implant for Anterior Cervical Discectomy and Fusion.

Cureus 2019 Jan 24;11(1):e3952. Epub 2019 Jan 24.

Neurosurgery, Thousand Oaks Spine Institute, Thousand Oaks, USA.

Cervical spondylosis is a common age-related disorder that results in pain, radiculopathy, and myelopathy. A retrospective chart and radiograph review of a 50-year-old male who underwent surgical treatment for correction of cervical radiculopathy was performed. Immediately after surgery the patient reported complete relief of his preoperative arm pain. Read More

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http://dx.doi.org/10.7759/cureus.3952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433458PMC
January 2019
4 Reads

Rare Case of Ischaemic Stroke Following Cervical Transforaminal Injection.

Eur J Case Rep Intern Med 2019 20;6(3):001082. Epub 2019 Mar 20.

Service de Médecine Interne et Cancérologie, Centre Hospitalier Saint-Cyr, Villeneuve-sur-Lot, France.

We report a case of brainstem infarction following a C5-C6 cervical transforaminal injection, a rare and serious neurological complication of this procedure. Cervical transforaminal steroid injection is a common therapy for patients with persistent cervical radiculopathy not relieved by conservative treatment, and is effective in 65-70% of cases. Unfortunately, this procedure may lead to serious complications such as neurological damage. Read More

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http://dx.doi.org/10.12890/2019_001082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438116PMC
March 2019
1 Read

Comparative effectiveness of transverse oscillatory pressure and cervical traction in the management of cervical radiculopathy: A randomized controlled study.

Hong Kong Physiother J 2018 Dec 14;38(2):149-160. Epub 2018 Aug 14.

Department of Medical Rehabilitation, Faculty of Basic Medical Sciences College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria.

Background: Radiating neck pain is one of the major symptoms of cervical radiculopathy (CR).

Objective: This study compared the effects of cervical traction (CT) and transverse oscillatory pressure (TOP) in management of CR.

Methods: Seventy-five participants with unilateral radiating neck pain were randomly allocated into three groups, 25 (14 males, 11 females) for CT, 25 (15 males and 10 females) for TOP and 25 (11 males and 14 females) control (Cnt) group. Read More

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http://dx.doi.org/10.1142/S1013702518500130DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405355PMC
December 2018
2 Reads

[Tensor fascia lata unilateral hypertrophy: A case report].

Rehabilitacion (Madr) 2019 Jan - Mar;53(1):65-67. Epub 2018 Dec 2.

Servicio de Rehabilitación, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.

Hypertrophy of the tensor fascia lata muscle is an uncommon clinical entity, which can simulate a soft tissue tumour. In most patients, it presents as a palpable proximal anterior thigh mass. The characteristic appearance on CT or MRI allows a confident diagnosis of muscle hypertrophy to be made, avoiding unnecessary diagnostic biopsy or surgical intervention. Read More

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http://dx.doi.org/10.1016/j.rh.2018.10.003DOI Listing
December 2018
4 Reads

Magnetic Resonance Imaging Features of Cervical Spine Intraspinal Extradural Synovial Cysts.

Can Assoc Radiol J 2019 Mar 25. Epub 2019 Mar 25.

Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom. Electronic address:

Spinal synovial cysts are relatively uncommon and are most frequently found in the lumbar spine and rarely in the cervical spine. Intraspinal extradural cervical synovial cysts can occur and potentially cause cord/nerve root compression with symptoms of myelopathy/radiculopathy; however, most are asymptomatic and incidental findings. We conducted a literature review and present, to our knowledge, the largest imaging case series and describe the magnetic resonance imaging features of cervical synovial cysts. Read More

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http://dx.doi.org/10.1016/j.carj.2018.12.005DOI Listing
March 2019
2 Reads

Prognosis for Recovery of Foot Drop after Transforaminal Endoscopic Decompression of Far Lateral Lumbar 5-Sacral 1 Herniated Disc: Case Series.

Pain Physician 2019 03;22(2):E97-E103

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

Background: Foot drop that results from compression of the exiting L5 nerve as a result of far lateral disc herniation (FLDH) at L5-S1 poses a significant surgical challenge to the minimally-invasive spine surgeon given the narrow corridor for an extraforaminal approach because of the high iliac crest.

Objectives: Here we describe our experience with transforaminal endoscopic decompression for the treatment of foot drop secondary to FLDH at L5-S1.

Study Design: Retrospective case review. Read More

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March 2019
1 Read

A Modern Pain Neuroscience Approach in Patients Undergoing Surgery for Lumbar Radiculopathy: A Clinical Perspective.

Phys Ther 2019 Mar 28. Epub 2019 Mar 28.

Pain in Motion International Research Group and Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy (KIMA), Vrije Universiteit Brussel.

Around 20% of patients undergoing surgery for lumbar radiculopathy develop chronic pain after surgery, leading to high socio-economic burden. Current perioperative interventions, including education and rehabilitation, are not always effective in preventing prolonged or chronic postoperative pain and disability. Here, a shift in educational intervention from a biomedical towards a biopsychosocial approach for people scheduled for lumbar surgery is proposed. Read More

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http://dx.doi.org/10.1093/ptj/pzz053DOI Listing
March 2019
2 Reads

Obesity does not impact clinical outcome but affects cervical sagittal alignment and adjacent segment degeneration in short term follow-up after an anterior cervical decompression and fusion.

Spine J 2019 Mar 23. Epub 2019 Mar 23.

Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, IL, USA.

Background Context: Obesity increases complications and cost following spine surgery. However, the impact on sagittal alignment and adjacent segment degeneration (ASD) after anterior cervical decompression and fusion is less understood.

Purpose: To compare clinical and radiographic outcomes after anterior cervical decompression and fusion between obese and nonobese patients. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.02.016DOI Listing
March 2019
3 Reads

An evaluation of contrast dispersal pattern on preganglionic epidural injection through trans-lateral recess approach in patients with lumbosacral radiculopathy.

Eur Spine J 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Republic of Korea.

Purpose: To evaluate the accessibility of the preganglionic epidural space in patients with lumbosacral radiculopathy treated with epidural steroid injection (ESI) through trans-lateral recess (TLR) approach.

Methods: From September 2016 to December 2016, we enrolled 50 consecutive preganglionic ESI through TLR approach for 38 patients with lumbosacral radiculopathy at or below L4 territory. Fifteen of patients were diagnosed with lumbar disc herniation and 23 with lumbar spinal stenosis. Read More

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http://dx.doi.org/10.1007/s00586-019-05947-wDOI Listing
March 2019
4 Reads

Major Concerns Regarding the Conduct of a Trial of Spinal Mobilization for Lumbar Radiculopathy.

Arch Phys Med Rehabil 2019 Apr;100(4):784-785

Institute for Musculoskeletal Health, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

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http://dx.doi.org/10.1016/j.apmr.2018.12.025DOI Listing
April 2019
2 Reads

Response to Letter to the Editor regarding "The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy-A Double-Blind Randomized Controlled Trial".

Arch Phys Med Rehabil 2019 Apr;100(4):783-784

School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.

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http://dx.doi.org/10.1016/j.apmr.2018.12.026DOI Listing
April 2019
6 Reads

The Mobi-C® cervical disc and other devices for two-level disc replacement: overview of its safety and efficacy.

Expert Rev Med Devices 2019 Apr 25;16(4):307-315. Epub 2019 Mar 25.

b Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.

Introduction: Cervical disc arthroplasty (CDA) has become an acceptable alternative for anterior cervical discectomy and fusion (ACDF) for a significant patient population with cervical radiculopathy and/or myelopathy secondary to degenerative changes in the cervical spine. There are sufficient mid- and long-term data supporting performance and safety of one-level CDA. With the success of single-level cervical CDA, considerable interest exists about CDA use for multilevel cervical degenerative disc disease (DDD). Read More

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http://dx.doi.org/10.1080/17434440.2019.1593137DOI Listing
April 2019
2 Reads

Postoperative structured rehabilitation in patients undergoing surgery for cervical radiculopathy: a 2-year follow-up of a randomized controlled trial.

J Neurosurg Spine 2019 03 22:1-10. Epub 2019 Mar 22.

Department of Medical and Health Sciences, Physiotherapy, Linköping University, Linköping.

OBJECTIVE: Information about postoperative rehabilitation for cervical radiculopathy (CR) is scarce. The aim of this study was to investigate the additional benefits of structured postoperative rehabilitation (SPT), which was performed in all patients, compared with a pragmatic standard postoperative approach (SA), in which rehabilitation was used as needed and patients sought physiotherapy on their own without a referral, in patients with MRI evidence of disc herniation and concomitant clinical signs who underwent surgery for CR. METHODS: Patients (n = 202) were randomized to receive SPT or SA. Read More

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http://dx.doi.org/10.3171/2018.12.SPINE181258DOI Listing
March 2019
2 Reads

Abnormal change of paravertebral muscle in adult degenerative scoliosis and its association with bony structural parameters.

Eur Spine J 2019 Mar 21. Epub 2019 Mar 21.

Department of Spine Surgery, Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei Province, China.

Purpose: While many studies have explored the association between paravertebral muscle (PVM) change and low back pain/lumbar spinal stenosis, little is known about PVM change in adult degenerative scoliosis (ADS). The present study explored the PVM change in ADS and investigated its association with bony structural parameters.

Methods: We evaluated 78 patients in ADS without radiculopathy (ADS group) and 65 healthy persons without degenerative lumbar diseases (control group). Read More

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http://dx.doi.org/10.1007/s00586-019-05958-7DOI Listing
March 2019
4 Reads

A Comparison of Patient-Centered Outcome Measures to Evaluate Dysphagia and Dysphonia After Anterior Cervical Discectomy and Fusion.

J Am Acad Orthop Surg 2019 Mar 12. Epub 2019 Mar 12.

From the Department of Orthopaedic Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL (Dr. Rosenthal, Dr. McCarthy, Bhatt, Dr. Hsu, and Dr. Patel), the Cleveland Clinic, Center for Spine Health, Cleveland, OH (Dr. Savage), and the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL (Dr. Singh).

Of Background Data: Dysphagia and dysphonia are the most common complications after anterior cervical diskectomy and fusion (ACDF). No consensus system exists currently in the spine literature for the classification of these conditions postoperatively.

Objective: The purpose of this analysis was to evaluate the validity and reliability of the Eating Assessment Tool (EAT-10) in the assessment of dysphagia when compared with the Bazaz score. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00631DOI Listing
March 2019
8 Reads

Percutaneous Endoscopic Transforaminal Approach for Far Lateral Lumbar Discectomy: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 19. Epub 2019 Mar 19.

Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, Republic of Korea.

The conventional surgical approach to far lateral lumbar disk herniations is a paraspinal Wiltse approach. During the Wiltse approach, it is sometimes necessary to resect some of the facet or pars interarticularis to achieve an adequate exposure. The endoscopic transforaminal route can be of benefit in far lateral disk herniations due to direct access to the epidural space through Kambin's triangle, without the need for any bony removal or nerve retraction. Read More

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http://dx.doi.org/10.1093/ons/opz037DOI Listing
March 2019
2 Reads

Percutaneous Endoscopic Lumbar Foraminoplasty for Lumbar Foraminal Stenosis of Elderly Patients with Unilateral Radiculopathy: Radiographic Changes in Magnetic Resonance Images.

J Neurol Surg A Cent Eur Neurosurg 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopedic Surgery, Busan Bumin Hospital, Busan, Republic of Korea.

Background And Study Aims/objective:  Clinical outcomes of percutaneous endoscopic lumbar foraminoplasty (PELF) performed for lumbar foraminal stenosis (LFS) have been reported in the literature. However, no study has reported the radiographic changes in magnetic resonance imaging (MRI) after surgery. This report presents the clinical outcome as well as radiographic changes in MRI after PELF for elderly patients with unilateral radiculopathy. Read More

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http://dx.doi.org/10.1055/s-0038-1677052DOI Listing
March 2019
1 Read

Pain reduction after lumbar epidural injections using particulate versus non-particulate steroids: intensity of the baseline pain matters.

Eur Radiol 2019 Mar 18. Epub 2019 Mar 18.

Institute of Medical Radiology of the Solothurn Hospitals, Bürgerspital Solothurn, Schöngrünstrasse 42, 4500, Solothurn, Switzerland.

Objectives: To compare pain relief after CT-guided lumbar epidural steroid injections (ESI) using particulate (triamcinolone) and non-particulate (dexamethasone) steroids, and to explore factors affecting the effectiveness of both steroid types.

Methods: This retrospective observational study included 806 patients with lumbar radiculopathy and corresponding MRI or CT abnormalities of the lumbar spine, who were matched using the propensity score method, yielding two cohorts of 209 patients each. Pain intensity was evaluated prior to the procedure using a pain numerical rating scale (NRS) with range 0-10. Read More

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http://dx.doi.org/10.1007/s00330-019-06108-9DOI Listing
March 2019
6 Reads

Neck movement during cervical transforaminal epidural injections and the position of the vertebral artery: an anatomical study.

Acta Radiol Open 2019 Mar 12;8(3):2058460119834688. Epub 2019 Mar 12.

Seattle Science Foundation, Seattle, WA, USA.

Background: Cervical transforaminal epidural steroid injections (CTFESIs) are sometimes performed in patients with cervical radiculopathy secondary to nerve-root compression. Neck movements for patient positioning may include rotation, flexion, and extension. As physicians performing such procedures do not move the neck for fear of injuring the vertebral artery, we performed fluoroscopy and cadaveric dissection to analyze any movement of the vertebral artery during head movement and its relation to the foramina in the setting of CTFESI. Read More

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http://dx.doi.org/10.1177/2058460119834688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415478PMC
March 2019
2 Reads

Back Pain and Radiculopathy from Non-Steroidal Anti-Inflammatory Drug-induced Dorsal Epidural Haematoma.

BMJ Case Rep 2019 Mar 15;12(3). Epub 2019 Mar 15.

Division of Neurosurgery, Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.

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http://dx.doi.org/10.1136/bcr-2018-229015DOI Listing
March 2019
3 Reads

A contemporary medicolegal claims analysis of injuries related to neuraxial anesthesia between 2007 and 2016.

J Clin Anesth 2019 Mar 12;57:66-71. Epub 2019 Mar 12.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States of America; Center for Perioperative Research, Brigham and Women's Hospital, Boston, MA, United States of America. Electronic address:

Study Objective: To provide a contemporary medicolegal analysis of claims brought against anesthesia providers in the United States related to neuraxial blocks for surgery and obstetrics.

Design: In this retrospective analysis, we analyzed closed claims data from the Controlled Risk Insurance Company (CRICO) Comparative Benchmarking System (CBS) database between 2007 and 2016.

Setting: Closed claims from inpatient and outpatient settings related to neuraxial anesthesia for surgical procedures and obstetrics. Read More

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http://dx.doi.org/10.1016/j.jclinane.2019.03.013DOI Listing
March 2019
4 Reads

Gabapentin and Pregabalin Not Effective for Low Back Pain with or Without Radiculopathy.

Authors:
Mark H Ebell

Am Fam Physician 2019 Mar;99(6):Online

University of Georgia, Athens, GA, USA.

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March 2019
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Clinico-radiological correlation and surgical outcome of idiopathic spinal cord herniation: A single centre retrospective case series.

J Spinal Cord Med 2019 Mar 14:1-5. Epub 2019 Mar 14.

a Department of Neurology , SCTIMST , Trivandrum , India.

Context: Idiopathic spinal cord herniation (ISCH) remains an obscure, under recognised but potentially treatable entity among the etiologies of compressive myelopathy.

Findings: Here, we present a retrospective case series of eight patients of ISCH with their clinical features, imaging findings and long-term follow up data along with a relevant review of the literature. Mean age at presentation was 36 years with the duration of symptoms ranging from two months to more than thirty years. Read More

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http://dx.doi.org/10.1080/10790268.2019.1579986DOI Listing
March 2019
2 Reads
1.878 Impact Factor