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PLoS One 2019 17;14(4):e0214575. Epub 2019 Apr 17.

Department of Anthropology, University of Alberta, Edmonton, Alberta, Canada.

Over the past several decades archaeologists have used the spinal pathology spondylosis deformans as an indicator that archaeological dogs were used to pull or carry loads. This interpretive approach is largely based upon observations of prehistoric dog remains and archaeologist's interpretations of veterinary literature on recent sled dogs and other draft animals. However, no comparative large-scale studies of the occurrence of spondylosis deformans in wild canids, transport dogs, and dogs never involved in pulling or carrying loads have been published. Read More

PLoS One 2019 16;14(4):e0215357. Epub 2019 Apr 16.

Second Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University Medical School, Xi'an, Shaanxi Province, China.

Objective: The aim of this study was to measure the movement of the cervical spine in healthy volunteers and patients with cervical spondylosis (CS) and describe the actual motion of the cervical spine using a three-dimensional (3D) CT reconstruction method. The results can enrich current biomechanical data of cervical spine and help to find the differences between the noted two groups.

Materials And Methods: 20 healthy volunteers underwent CT examination ranging from the clivus of the occiput (Oc) to the top of first thoracic vertebrae (T1) in a neutral position with left or right maximal axial rotation, while 26 CS patients received the same CT scan procedures in the neutral position with left and right maximum rotation. Read More

Zhongguo Zhong Yao Za Zhi 2019 Feb;44(4):629-635

Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing 100102,China.

Cheezheng Xiaotong Tiegao is a Tibetan traditional prescription,which has the functions of promoting blood circulation,relieving swelling and relieving pain. It has been widely used in various clinical departments such as orthopedics department,rheumatology department,pain management department,and rehabilitation department to treat all types of acute and chronic skeletal muscle pain. However,duet to the lack of detailed description of the specific use of various diseases in its manual,and in the published guidelines,monographs,and clinical reports,the introduction of the dominant clinical disease,usage,treatment,safety,etc. Read More

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Priapism is a relatively uncommon clinical presentation. The well-recognised causes are sickle cell anaemia and the use of medications, such as vasoactive erectile agents. Infrequently, it could be the result of lumbar spinal stenosis. Read More

Mult Scler Relat Disord 2019 Apr 3;31:131-133. Epub 2019 Apr 3.

Johns Hopkins University School of Medicine, Department of Neurology, Division of Neuroimmunology and Neuroinfectious Disorders. 600 N. Wolfe Street. Pathology 627, Baltimore, MD 21287, USA. Electronic address:

Objective: To describe two cases of cervical spondylotic myelopathy initially misdiagnosed as transverse myelitis.

Methods: Case series.

Results: A 44- and 56-year-old man presented with chronic progressive myelopathy. Read More

Medicine (Baltimore) 2019 Apr;98(15):e15126

Department of Orthopedics, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China.

Rationale: Full-thickness wound dehiscence with cerebrospinal fluid (CSF) leakage following posterior spine surgery is a rare but troublesome complication. In the present study, 3 clinical cases associated with this entity are reported.

Patient Concerns: The first case developed incision effusion 5 days after posterior decompression and internal fixation for lumbar spinal stenosis. Read More

Global Spine J 2019 Apr 31;9(2):133-137. Epub 2018 Jul 31.

University of Maryland School of Medicine, Baltimore, MD, USA.

Study Design: Single-blinded prospective randomized control trial.

Objectives: To compare the incidence of adverse events (AEs) and hospital length of stay between patients who received liposomal bupivacaine (LB) versus a single saline injection, following posterior lumbar decompression and fusion surgery for degenerative spondylosis.

Methods: From 2015 to 2016, 59 patients undergoing posterior lumbar decompression and fusion surgery were prospectively enrolled and randomized to receive either 60 mL injection of 266 mg LB or 60 mL of 0. Read More

Ochsner J 2019 ;19(1):38-42

Department of Neurosurgery, University of California, Los Angeles, CA.

Epidural spinal cord stimulator (SCS) implantation is a commonly used strategy for treating refractory neuropathic pain, but the literature on the technical aspects of cervical SCS surgery remains scarce. Degenerative cervical stenosis and prior fusion surgery are relatively frequent conditions in this population, and the optimal method for cervical lead placement among such patients has not been established. Decompressive laminectomy may be required for cervical SCS placement in the presence of spinal stenosis. Read More

Joint Bone Spine 2019 Apr 11. Epub 2019 Apr 11.

Department of Orthopedics, Qilu Hospital of Shandong University, Shandong University, Jinan, 250012, China.

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

Neurological Center, American British Cowdry Hospital, Mexico City, Mexico.

Study Design: Prospective case series study.

Purpose: Description of the outcome of stand-alone cervical cages for single and multilevel cervical degenerative spine disease.

Overview Of Literature: The aim of anterior cervical discectomy and fusion (ACDF) for cervical spine disease is to improve patient symptoms and spine stability and restore lordosis. Read More

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Institute of Medical Genetics, Head of the Section "Clinical Genetics", Medical School of Vienna, Vienna, Austria. Electronic address:

Objective: Hereditary spastic paraplegia type-IV (HSP4) is the most common of the autosomal-dominant HSPs. Though urinary dysfunction is a frequent phenotypic feature, long-term pollakisuria as the initial manifestation of HSP4 has not been reported.

Case Report: The patient is a 56yo female with an uneventful history until age 46y, when she developed pollakisuria. Read More

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China.

Background: Postoperative dysphagia is one major concern in the treatment for patients with cervical spine spondylosis by using anterior cervical discectomy and fusion (ACDF) with plating and cage system.

Purpose: To evaluate the influence of two types of surgery for multilevel cervical spondylotic myelopathy (CSM) on postoperative dysphagia, namely ACDF with cage alone (ACDF-CA) using Fidji cervical cages and ACDF with cage and plate fixation (ACDF-CP).

Methods: A retrospective study was performed in 62 consecutive patients with multilevel CSM, including 32 underwent ACDF-CA (group A) and 30 underwent ACDF-CP (group B). Read More

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

Mod Rheumatol 2019 Mar 29:1-8. Epub 2019 Mar 29.

b Department of Rehabilitation , Kansai University of Welfare Sciences , Osaka , Japan.

Purpose: To examine effects of combined osteoporosis (P), knee osteoarthritis (K-OA), and lumbar spondylosis (L-OA) on quality of life (QOL), and identify risk factors for poor QOL.

Methods: 1021 subjects (440 males, 581 females, mean age: 63.4 years) were prospectively included. Read More

Zhongguo Gu Shang 2019 Mar;32(3):283-287

People's Hospital of Linxi City, Linxi 276003, Shandong, China;

Isthmic spondylolisthesis is a common degenerative disease of the spine and seriously affects people's quality of life. At present, surgical indications for lumbar spondylolisthesis have basically reached consensus. The surgical plan for the disease is mainly isthmus repair, decompression of spinal canal, reduction of spondylolisthesis, and spinal fusion. Read More

Zhongguo Gu Shang 2019 Mar;32(3):234-238

Department of Spinal Surgery, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China;

Objective: To compare the sagittal morphological features of the spine and pelvis between L₅S₁ dysplastic spondylolisthesis and isthmus spondylolisthesis in adolescent.

Methods: Retrospective analysis of 24 cases of adolescent L₅S₁ spondylolisthesis with complete imaging data from May 2002 to December 2016. Those included 8 males and 16 females, aged from 10 to 18 years old with an average of (13. Read More

Zhongguo Gu Shang 2019 Mar;32(3):225-229

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To analyze the X-ray characteristics in youth neck type of cervical spondylosis with upper crossed syndrome(UCS).

Methods: The patients who had a neck type of cervical spondylosis with or without UCS were selected from January to October 2017, 20 cases in each group, and 10 normal volunteers were chosen in the study. X-ray examination of lateral and hyperextension-hyperflexion of cervical spine were performed to observe cervical spine angle, angular displacement and adjacent vertebral body slip. Read More

Zhongguo Gu Shang 2019 Mar;32(3):212-219

Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China;

Objective: To explore the clinical effect in the near future between Zero-profile intervertebral fusion system (Zero-P) and conventional cage-plate intervertebral fusion system (CCP) for the multi-segment(>=2 segments) cervical spondylosis.

Methods: Forty-two patients with cervical spondylosis who underwent multi-segment decompression of the cervical spine from October 2012 to October 2017 were selected as subjects. Zero-P was applied in 21 patients (Zero-P group) and CCP was applied in 21 patients(CCP group). Read More

Zhongguo Gu Shang 2019 Mar;32(3):199-206

People's Hospital of Gansu Province, Lanzhou 730000, Gansu, China;

Objective: To investigate the advantages of minimally invasive surgery-transforaminal lumbar interbody fusion(MIS-TLIF) under Quadrant channel in the treatment of grade I and II degree degenerative lumbar spondylolisthesis.

Methods: The clinical data of 100 patients with grade I and II degree degenerative lumbar spondylolisthesis treated from March 2014 to March 2017 were retrospectively analyzed. Among them, 50 patients were treated with MIS-TLIF, including 19 males and 31 females, aged from 44 to 73 years old with an average of (49. Read More

Cureus 2019 Jan 14;11(1):e3878. Epub 2019 Jan 14.

Neurosurgery, The Icahn School of Medicine at Mount Sinai, New York, USA.

Flexion-extension magnetic resonance imaging (MRI) in the cervical spine is not universally used in cervical spine surgery. However, flexion-extension MRIs can identify previously undetected spinal stenosis, improve surgical decision-making, and maybe a better tool to evaluate postoperative outcomes. One uncommon complication after laminectomy, to treat cervical spinal stenosis, is muscle weakness due to subsequent dynamic cord compression by posterior paraspinal musculature. Read More

Sci Rep 2019 Mar 21;9(1):4992. Epub 2019 Mar 21.

Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan.

Degenerative cervical spondylolisthesis (DCS) is a cervical deformity arising from regressive changes where trapezoidal deformity characterized by hypertrophic osteophytes of spinal elements is often observed. There is a paucity of literature about the spinal contour of DCS and trapezoidal vertebrae. We conducted this research to clarify the relationship between spinal sagittal alignment and trapezoidal deformity in DCS. Read More

Sci Rep 2019 Mar 20;9(1):4926. Epub 2019 Mar 20.

Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym University, 22 Gwanpyeong-ro 170 beon-gi, Dongan-gu, Anyang-si, Gyeonggi-do, 14068, Republic of Korea.

There is a low incidence of reoperation after surgery. It is difficult to detect statistical differences between reoperation rates of different lumbar fusion surgeries. National population-based databases provide large, longitudinally followed cohorts that may help overcome this challenge. Read More

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

J Alzheimers Dis 2019 ;68(2):735-744

Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo, Japan.

Background: Patients with idiopathic normal-pressure hydrocephalus (iNPH) are typically older adults with multiple comorbidities that are associated with a reduction in the efficacy of iNPH treatment via cerebrospinal fluid (CSF) shunt placement.

Objective: The present study aimed to investigate the effectiveness of CSF shunt for iNPH using data from a nationwide epidemiological survey in Japan.

Methods: We examined 1,423 patients (581 women) aged ≥60 years (median age [25%-75%]: 77 [73-80] years) who were diagnosed with iNPH following a hospital visit in 2012. Read More

Medicine (Baltimore) 2019 Mar;98(11):e14806

Institute of Spine, Longhua Hospital, Shanghai University of Traditional Chinese Medicine.

Rationale: Thoracic outlet syndrome (TOS) is a rare disease that presents with neurogenic and vascular symptoms similar to those of cervical spondylosis. However, making the diagnosis of TOS can be challenging due to a lack of standardized objective confirmatory tests.

Patient Concerns: A 66-year-old man presented with neck, supraclavicular, and right shoulder pain as well as numbness and weakness in the right arm after surgery to correct cervical spondylotic myelopathy (CSM). Read More

J Clin Anesth 2019 Mar 6;57:37. Epub 2019 Mar 6.

Department of Anesthesiology, Showa University Hospital, Hatanodai Shinagawa-ku, Tokyo, Japan. Electronic address:

Oral Oncol 2019 Mar 1;90:48-53. Epub 2019 Feb 1.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Pok Fu Lam, Hong Kong. Electronic address:

Objectives: Nasopharyngeal carcinoma (NPC) and its treatment can lead to cervical spine pathologies such as metastases, osteoradionecrosis (ORN) and infection. However, the occurrence rate and relationship between timing of diagnosis and outcomes of the ever-advancing technology of radiation therapy is largely unknown. Hence, the aim of this study is to determine the prevalence and impact of cervical spine pathologies in patients with NPC. Read More

Ann Glob Health 2018 Oct 10;84(3):541-550. Epub 2018 Oct 10.

Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE 68198-4350, US.

Background: According to the U.S. State Department's Refugee Processing Center and the U. Read More

J Orthop Surg Res 2019 Mar 4;14(1):71. Epub 2019 Mar 4.

Department of Spinal Surgery, Binzhou Medical University Hospital, No. 661 Huanghe 2nd Road, Binzhou, 256603, Shandong, China.

Background: Cervical spondylotic radiculopathy is a common spinal disease. The traditional surgical treatment consists of anterior cervical decompression and fusion (ACDF), but it presents problems such as trauma and fusion complications. Percutaneous posterior endoscopic cervical discectomy (PPECD) is a new minimally invasive technology that has produced good clinical outcome, but further biomechanical comparisons are needed to guide the clinical work. Read More

Brain Nerve 2019 Mar;71(3):239-248

Department of Neurology, Anjo Kosei Hospital.

Neurologists have to manage patients with cervical spondylosis, a common neurological disease in individuals over the age of 50 years. The diagnosis of cervical spondylosis requires a detailed neurological examination that takes into account cervical levels. To prevent misdiagnosis, it is important to integrate the levels of the lesions revealed by imaging with the clinical findings. Read More

Brain Nerve 2019 Mar;71(3):207-215

Department of Neurology, Teikyo University School of Medicine.

Neuromuscular anatomy is the indispensable background for the diagnosis and differential diagnosis of cervical spondylosis (CS), i.e. cervical spondylotic radiculopathy (CSR), cervical spondylotic myelopathy (CSM) and cervical spondylotic amyotrophy (CSA). Read More

Acta Med Okayama 2019 Feb;73(1):77-80

Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama 700-8558, Japan.

Anterior cervical plate fixation is a common surgical treatment for cervical spine trauma, disc herniation, or cervical spondylosis. Esophageal perforation following anterior cervical plate fixation is a rare but serious complication. Management of esophageal perforation is controversial; however, we suggest treating most cases surgically because this condition is slow to heal and often fatal. Read More

Medicine (Baltimore) 2019 Feb;98(8):e14700

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongam-gu, Cheonan.

Rationale: Degenerative spondylolisthesis is defined as forward slippage of a vertebra with respect to the underlying vertebra and is associated with the induction of lumbar canal stenosis. The use of anterior column support for degenerative lumbar conditions has been well documented. Direct lateral interbody fusion (DLIF) gains access via a lateral approach through the retroperitoneal fat and psoas muscle. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Feb;33(2):128-131

Ningxia Medical University Shanghai Gongli Hospital Postgraduate Training Base, Shanghai, 200135, China.

To analyze the advantages and application value of tinnitus multielement integration sound therapy(T-MIST) in the diagnosis and treatment of tinnitus. Collect 172 patients with subjective tinnitus and 54 non-tinnitus subjects, record history through T-MIST, observe the distribution of the tinnitus patients, an illness population characteristics, precise detection in patients with tinnitus related status indicators and analysis of gender, age, hearing loss, and the correlation of frequency of hearing loss and tinnitus, at the same time in surgical treatment and analysis of its curative effect. The incidence of hypertension, sleep disturbance, diabetes, chronic noise exposure, rhinitis, colds and cervical spondylosis during tinnitus was high, and the frequency of tinnitus and hearing loss were high. Read More

Int J Environ Res Public Health 2019 Feb 21;16(4). Epub 2019 Feb 21.

Department of Neurosurgery, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan.

Anterior cervical discectomy and fusion (ACDF) is the standard surgical management for disc herniation and spondylosis worldwide and reportedly performed with short hospitalization and early discharge (ED). However, it is unknown if ED improves the outcomes of ACDF including among older adults. This cohort study included patients who underwent ACDF surgery in Taiwan over two years analyzed in two groups: the ED group (discharged within 48 hours), and the comparison group (hospitalized for more than 48 h). Read More

J Craniovertebr Junction Spine 2018 Oct-Dec;9(4):223-226

Department of Orthopedics, Rottal-Inn-Kliniken GmbH, Eggenfelden, Bayern, Germany.

Objective: Anterior cervical arthroplasty (ACA) is the gold standard surgery in severe or unresponsive cases of cervical disc herniation, uncarthrosis, and foraminal stenosis. The aim of this study is to establish the impact and outcome evaluations of managing the patients operated for cervical arthroplasty by the intersomatic porous alumina ceramic cervical cages (PACC). The authors describe their experience in the area to allow the comparison of effectiveness of ceramic cages versus other interbody fusion cages. Read More

J Craniovertebr Junction Spine 2018 Oct-Dec;9(4):219-220

Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India.

World Neurosurg 2019 Feb 16. Epub 2019 Feb 16.

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.

Background: The cause of postoperative heterotopic ossification (HO) after cervical disc replacement (CDR) is unclear. The aim of the present study was to investigate the incidence of HO, its clinical significance, and whether the degree of preoperative degeneration was associated with its occurrence.

Methods: Patients who had undergone CDR using the Prestige-LP disc with a minimum of 48 months of follow-up were included. Read More

Acta Ortop Bras 2018 ;26(6):411-414

Department of Orthopedic Surgery, Spine Division, Bone and Joint Research Center, Chang Gung Memorial Hospital and University College of Medicine, Taoyuan, Taiwan.

Objective: The Michigan State University (MSU) classification of lumbar disc herniation (LDH) is periodically used by various authors to classify disc herniation. We assessed the reliability of this classification system among orthopedic residents at our institute.

Methods: Fifty T2 axial-cut magnetic resonance images (MRI) corresponding to the level of maximal disc herniation from patients diagnosed with a single LDH were selected and distributed to six orthopedic residents. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Feb;51(1):187-193

Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Objective: To retrospectively compare the effect of alternate levels miniplate and anchor fixation with the effect of all levels miniplate fixation in expansive open-door cervical laminoplasty (EOLP).

Methods: Patients with cervical spondylosis underwent EOLP between July 2015 and June 2016 were included in the study. There were 33 patients in the alternate group (alternate levels miniplate and anchor fixation group) and 34 patients in the miniplate group (all levels miniplate fixation group). Read More

Medicine (Baltimore) 2019 Feb;98(7):e14415

Orthopaedics Surgery Department, China-Japan Union Hospital of Jilin University, Changchun, Jilin Province, China.

Rationale: Gout occurs mainly in joints, but rarely in the spine. In the spine, urate crystals can cause intervertebral space instability but rarely lead to retrolisthesis. Here, we present an extremely rare disease with gout invaded the intervertebral disc with lumbar retrolisthesis. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14393

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

To investigate the relationship between cervical and thoracic sagittal alignment parameters measured by magnetic resonance imaging (MRI) and x-ray in patients with cervical spondylosisData from 120 symptomatic patients who presented with cervical spondylosis between April 2015 and January 2016 were retrospectively analyzed. Patients received both a cervical MRI and a cervical radiograph during a single visit. The thoracic inlet angle (TIA), T1 slope (T1S), neck tilt (NT), C2-C7 angle (C2-C7), and C2-C7 sagittal vertical axis (C2-7 SVA) were assessed. Read More

Eur Spine J 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedics, West China Hospital of Sichuan University, Guoxuexiang No. 37, Wuhouqu, Chengdu, 610041, Sichuan, China.

Purpose: POEMS syndrome is a rare clonal plasma cell disease characterized by polyneuropathy, organomegaly, endocrinopathy, M protein, and skin changes. We report a rare case of neurological impairment in patients with concurrent cervical disc herniation and POEMS syndrome.

Methods: A patient presented to a local hospital with C3/4 and C4/5 disc herniation, apparent spinal cord compression concomitant with neurological signs, and concurrent POEMS syndrome. Read More

J Orthop Res 2019 Apr 28;37(4):965-971. Epub 2019 Feb 28.

Department of Orthopedic Surgery, University of Pittsburgh, 3820 South Water Street, Pittsburgh, 15203, Pennsylvania.

If intervertebral disc degeneration can be identified early, preventative treatments may be initiated before symptoms become disabling and costly. Changes in disc mechanics, such as the decrease in the compressive modulus of the nucleus, are some of the earliest signs of degeneration. Therefore, in vivo changes in the disc response to compressive load may serve as a biomarker for pending or early disc degeneration. Read More

Clin Rheumatol 2019 Feb 12. Epub 2019 Feb 12.

Department of Rheumatology and Immunology, China-Japan Union Hospital of Jilin University, 126 Xiantai Street, Changchun, 130033, China.

Objectives: To investigate the effective serum level of etanercept biosimilar in Chinese patients with ankylosing spondylitis (AS) who achieve AS Disease Activity Score-C-reactive protein (ASDAS-CRP) < 2.1, and the effect of antidrug antibodies on drug levels and clinical efficacy.

Methods: Our study enrolled 60 patients with AS who were treated with etanercept biosimilar. Read More

Am J Phys Med Rehabil 2019 Feb 7. Epub 2019 Feb 7.

Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Objective: This study evaluated the effectiveness of ergonomic latex pillows in terms of clinical and biomechanical (cervical range of motion) outcome measures in patients with cervical spondylosis.

Design: This parallel-group randomized controlled trial randomly assigned 42 patients with cervical spondylosis to the experimental and control groups. Both groups received 12 sessions of routine physical therapy for four weeks. Read More

Med Sci Monit 2019 Feb 8;25:1071-1077. Epub 2019 Feb 8.

Nursing Department, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland).

BACKGROUND Pain is a common problem affecting the wellbeing of nurses. This study investigated physical pain of nurses and their pain self-management in mainland China. MATERIAL AND METHODS A total of 2458 full-time nurses working in 18 hospitals across mainland China were studied from May 2016 to July 2016, of which a total of 1269 nurses (51. Read More

J Clin Neurosci 2019 May 4;63:149-154. Epub 2019 Feb 4.

Clinical Faculty, Department of Neurosurgery at UCSF Medical Center, Saint Francis Memorial Hospital, San Francisco, CA, United States.

This is a retrospective review of 24 elderly patients with upper cervical adjacent segment disease (ASD) after anterior cervical discectomy and fusion (ACDF), treated with posterior cervical fusion (PCF) and stabilized with cages placed bilaterally in the facets. Eight out of 24 patients had PCF with laminectomy (PCLF). Length of stay for PCF alone cohort was 30 ± 11 h, operative time was 44 ± 11 min and estimated blood loss was 46 ± 26 cc. Read More

PM R 2019 Feb 6. Epub 2019 Feb 6.

Division, Physical Medicine & Rehabilitation, Departments of Neurology and Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri.

A sacral pedicle stress fracture is an uncommon source of low back pain in adolescent athletes. Given the extensive differential diagnosis of low back pain coupled with the fact that non- directed specific imaging can be normal, diagnosis can be delayed. We report the case of a 15- year-old African American male, dual-sport athlete who experienced low back pain from a sacral pedicle stress fracture. Read More