9,933 results match your criteria Cervical Spondylosis


Relationship Between Endplate Defects, Modic Change, Facet Joint Degeneration, and Disc Degeneration of Cervical Spine.

Neurospine 2020 Jun 30;17(2):443-452. Epub 2020 Jun 30.

Department of Neurosurgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

Objective: The ''disc degeneration precedes facet joint osteoarthritis'' hypothesis and multidimensional analysis were actively discussed in lumbar spine. However, in cervical spine degeneration, the multifactorial analyzes of disc degeneration (DD), Modic changes (Mcs), facet degeneration, and endplate degeneration (ED) is still limited. In this cross-sectional study, we aimed to analyze the prevalence and interrelationship of cervical DD parameters. Read More

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http://dx.doi.org/10.14245/ns.2040076.038DOI Listing

Are Surgically Remediable Headaches Associated With Cervical Spondylosis Equivalent to "Cervicogenic Headaches"?

Neurospine 2020 Jun 30;17(2):374-376. Epub 2020 Jun 30.

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

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http://dx.doi.org/10.14245/ns.2040262.131DOI Listing

Headache Relief Is Maintained 7 Years After Anterior Cervical Spine Surgery: Post Hoc Analysis From a Multicenter Randomized Clinical Trial and Cervicogenic Headache Hypothesis.

Neurospine 2020 Jun 30;17(2):365-373. Epub 2020 Jun 30.

Department of Neurological Surgery, University of California Davis, Sacramento, CA, USA.

Objective: To evaluate whether anterior cervical spine surgery offers sustained (7 years) relief in patients with cervicogenic headaches (CGHs), and evaluate the difference between cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) for 1 and 2-level surgeries from a multicenter randomized clinical trial.

Methods: A post hoc analysis was performed of 575 patients who underwent one or 2-level CDA or ACDF for symptomatic cervical spondylosis as part of a prospective randomized clinical trial. Assessment of pain and functional outcome was done with the Neck Disability Index (NDI) in the trial. Read More

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http://dx.doi.org/10.14245/ns.2040004.002DOI Listing

Analysis of the morphometric change in the uncinate process of the cervical spondylosis patients: A study of radiological anatomy.

J Orthop Translat 2020 Sep 18;24:32-38. Epub 2020 Apr 18.

Spine Surgery Department, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou City, Guangdong Province, China.

Purpose: Although there are many researches that focus on the relationship between the vertebral artery and uncinate process (UP), there were no publications concerning difference in the dimensions of the UP between the normal spine and degenerative spine, especially in Chinese patient. The purpose of this study is to determine the anatomic parameters that can be used as a guide for the procedure in intervertebral foramen decompression and for analysis of the morphometric change in the UP of the cervical spondylosis patients.

Methods: Forty patients from January 2016 to January 2019 were enrolled in this study. Read More

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http://dx.doi.org/10.1016/j.jot.2020.03.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300234PMC
September 2020

Adult spinal deformity and its relationship with height loss: a 34-year longitudinal cohort study.

BMC Musculoskelet Disord 2020 Jul 1;21(1):422. Epub 2020 Jul 1.

Department of Orthopaedic Surgery, Furano Kyokai Hospital, Furano, Japan.

Background: Age-related height loss is a normal physical change that occurs in all individuals over 50 years of age. Although many epidemiological studies on height loss have been conducted worldwide, none have been long-term longitudinal epidemiological studies spanning over 30 years. This study was designed to investigate changes in adult spinal deformity and examine the relationship between adult spinal deformity and height loss. Read More

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http://dx.doi.org/10.1186/s12891-020-03464-2DOI Listing

Prevalence and risk factors for bone loss in Southern Chinese with rheumatic diseases.

BMC Musculoskelet Disord 2020 Jun 30;21(1):416. Epub 2020 Jun 30.

Division of Rheumatology, Third Affiliated Hospital of Sun Yat-sen University, 600 Tianhe Road, Tianhe District, Guangzhou, 510630, China.

Backgroud: This study is to explore the prevalence of different stages of bone loss and the potential risk factors in rheumatic patients.

Method: A cross-sectional study recruits 1398 rheumatic patients and 302 healthy subjects. Demographic data, blood, and bone mineral density (BMD) tests are collected. Read More

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http://dx.doi.org/10.1186/s12891-020-03403-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329556PMC

Prevalence of cervical anterior and posterior spondylolisthesis and its association with degenerative cervical myelopathy in a general population.

Sci Rep 2020 Jun 26;10(1):10455. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama, Japan.

The purpose of this study was to examine the prevalence of cervical spondylolisthesis according to age and vertebral level and its association with degenerative cervical myelopathy (DCM). This study included 959 participants (319 men and 640 women; mean age, 66.4 years) in the Wakayama Spine Study from 2008 to 2010. Read More

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http://dx.doi.org/10.1038/s41598-020-67239-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320182PMC

Dynamic MRI is reliable for evaluation of the lumbosacral spine in healthy dogs.

Vet Radiol Ultrasound 2020 Jun 23. Epub 2020 Jun 23.

Department of Veterinary, Pathobiology, University of Illinois at Urbana-Champaign, Urbana, Illinois.

Magnetic resonance imaging (MRI) is commonly used to diagnose degenerative lumbosacral stenosis; however, studies show limited correlation between imaging and clinical signs. The purpose of this prospective observer agreement study was to use dynamic MRI of the lumbosacral (LS) spine of healthy dogs to determine reliable reference ranges. Twenty-two healthy large breed dogs were prospectively enrolled. Read More

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http://dx.doi.org/10.1111/vru.12891DOI Listing

[Evaluation of therapeutic effects of the ultramicro needle knife combined with cervical spine fine adjusting on youth cervical curvature abnormality case].

Zhongguo Gu Shang 2020 Jun;33(6):524-9

Fangta Hospital of Traditional Chinese Medicine, Songjiang Branch, Shanghai 201699, China.

Objective: To study the therapeutic effects of the ultramicro needle-knife combine with cervical spine fine adjusting on youth cervical curvature abnormality case.

Methods: From November 2016 to October 2018, 88 young patients with abnormal curvature of cervical spine were treated. Due to loss of follow up, 86 cases were actually completely including 37 males and 49 females, ranging in age from 20 to 40 years old, with an average of (30. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.007DOI Listing

Comparison of single versus double door posterior cervical laminoplasty for patients with cervical spondylotic myelopathy: A systematic review and meta-analysis.

Medicine (Baltimore) 2020 Jun;99(25):e20538

Clothing Center, Jinan Zhangqiu District Hospital of Traditional Chinese Medicine, Jinan, Shandong, China.

Objective: We undertook a meta-analysis to compare the efficacy and safety of single versus double door posterior cervical laminoplasty for cervical spondylotic myelopathy.

Methods: PubMed, Embase, and Cochrane Central Register of controlled trials were searched for randomized controlled trials investigating single and double door posterior cervical laminoplasty for cervical spondylotic myelopathy. The Mantel-Haenszel method with the fixed-effects or random-effects model was used to calculate relative risks and 95% confidence intervals (CIs). Read More

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http://dx.doi.org/10.1097/MD.0000000000020538DOI Listing

Adjacent-segment "central" atlantoaxial instability and C2-C3 instability following lower cervical C3-C6 interbody fusion: Report of three cases.

J Craniovertebr Junction Spine 2020 Jan-Mar;11(1):51-54. Epub 2020 Apr 4.

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

Aim: We report adjacent-segment "central" or "axial" atlantoaxial instability and C2-C3 instability as the cause of delayed neurological worsening following multisegmental cervical spinal stabilization.

Materials And Methods: Three male patients aged 34, 56, and 70 years had been operated earlier for cervical spondylosis by multilevel C3-C6 cervical interbody fusion 6-11 years earlier. After an initial improvement for few years, the patients observed relatively rapid clinical deterioration. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_7_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274363PMC

Microendoscopic discectomy versus minimally invasive transforaminal lumbar interbody fusion for lumbar spinal stenosis without spondylolisthesis.

Medicine (Baltimore) 2020 Jun;99(24):e20743

Department of Orthopedics, Xinqiao Hospital, Army Military Medical University, Chongqing.

Micoendoscopic discectomy (MED) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) has become alternatives of the traditional open decompression surgery alone and decompression plus fusion surgery in the treatment of lumbar spinal stenosis (LSS). To date, there is no study focusing on the comparison of clinical outcomes after MED and MIS-TLIF for LSS without spondylolisthesis.Four hundred ninety-seven patients who underwent MED (236 cases) or MIS-TLIF (261 cases) for LSS without spondylolisthesis were included in this study. Read More

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http://dx.doi.org/10.1097/MD.0000000000020743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302583PMC

Cervical Arthroplasty: Long-Term Outcomes of FDA IDE Trials.

Global Spine J 2020 Apr 28;10(2 Suppl):61S-64S. Epub 2020 May 28.

Carolinas Medical Center, Charlotte, NC, USA.

Study Design: Special Issues MIS/Navigation.

Objectives: Over the past decade, cervical total disc replacement has been established in numerous randomized clinical trials as an alternative to anterior cervical discectomy and fusion. The purpose of this review is to evaluate the long-term outcomes after cervical arthroplasty. Read More

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http://dx.doi.org/10.1177/2192568219898154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263333PMC

Tackling Research Inefficiency in Degenerative Cervical Myelopathy: Illustrative Review.

JMIR Res Protoc 2020 Jun 11;9(6):e15922. Epub 2020 Jun 11.

Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.

Background: Degenerative cervical myelopathy (DCM) is widely accepted as the most common cause of adult myelopathy worldwide. Despite this, there is no specific term or diagnostic criteria in the International Classification of Diseases 11th Revision and no Medical Subject Headings (MeSH) or an equivalent in common literature databases. This makes searching the literature and thus conducting systematic reviews or meta-analyses imprecise and inefficient. Read More

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http://dx.doi.org/10.2196/15922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317636PMC

Etiology-Based Classification of Adjacent Segment Disease Following Lumbar Spine Fusion.

HSS J 2020 Jul 30;16(2):130-136. Epub 2019 Oct 30.

Department of Orthopedic Surgery, Rush University Medical Center, 1611 W. Harrison St., Suite 300, Chicago, IL 60612 USA.

Background: Adjacent segment disease (ASDz) is a potential complication following lumbar spinal fusion. A common nomenclature based on etiology and ASDz type does not exist and is needed to assist with clinical prognostication, decision making, and management.

Questions/purposes: The objective of this study was to develop an etiology-based classification system for ASDz following lumbar fusion. Read More

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http://dx.doi.org/10.1007/s11420-019-09723-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253547PMC

Etiology of Lumbosacral Radiculoplexopathy: Sacral Insufficiency Fracture on Magnetic Resonance Imaging.

HSS J 2020 Jul 6;16(2):126-129. Epub 2020 Feb 6.

Department of Radiology and Imaging, Hospital for Special Surgery, 535 E. 70th St., New York, NY 10021 USA.

Background: Sacral insufficiency fracture (SIF) can cause lumbosacral radiculoplexopathy (LSRP) and is probably under-recognized. Symptoms may include nonspecific lumbar spine or buttock pain that is exacerbated by physical activity and alleviated with rest. The frequency of LSRP secondary to SIF has not been reported. Read More

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http://dx.doi.org/10.1007/s11420-020-09750-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253557PMC

[A case control study of lumbar fusion surgery with the Wiltse approach and the traditional approach].

Zhongguo Gu Shang 2019 Oct;32(10):965-970

Department of Orthopaedics, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430000, Hubei, China;

Objective: To compare the clinical results between the Wiltse approach and traditional approach in lumbar fusion.

Methods: The clinical data of 70 patients with lumbar disc herniation or lumbar spondylolisthesis within Meyerding II degree who underwent lumbar fusion surgery from May 2016 to May 2017 were retrospectively analyzed. According to the surgical approach, the patients were divided into Wiltse approach group and traditional approach group. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.019DOI Listing
October 2019

[Analysis of risk factors of postoperative wound infection in lumbar spondylolisthesis].

Zhongguo Gu Shang 2019 Oct;32(10):882-885

Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China;

Objective: To explore related risk factors of postoperative wound infection in lumbar spondylolisthesis.

Methods: The clinical data of 296 patients with lumbar spondylolisthesis underwent posterior decompression and fusion from January 2013 to December 2017 were retrospectively analyzed. According to whether the wound was infected or not, the patients were divided into infection group and non-infection group. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.002DOI Listing
October 2019

Association of cervical spondylosis with obstructive sleep apnea.

Sleep Med 2020 Jul 3;71:54-58. Epub 2020 Apr 3.

Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan; School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan. Electronic address:

Objective: The study objective was to evaluate the association between cervical spondylosis (CS) and a subsequent diagnosis of obstructive sleep apnea (OSA) in light of the expected constricting impact of CS-associated cervical spine changes on the pharyngeal airway space, a key contributor to OSA.

Methods: Data were retrieved from the Taiwan National Health Insurance Research Dataset. A total of 98,234 patients who newly received a diagnosis of OSA were identified. Read More

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http://dx.doi.org/10.1016/j.sleep.2020.03.025DOI Listing

Silver acupuncture for myofascitis: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2020 Jun;99(23):e20519

Affiliated Hospital of Chengdu University of Traditional Chinese Medicine.

Background: This systematic review aims to evaluate the effectiveness and safety of silver acupuncture in treatment of myofascitis.

Methods: Electronic databases of all silver acupuncture for myofascitis will be searched at PubMed, Cochrane Library, Springer, Embase, China National Knowledge Infrastructure, Wanfang, and Chinese Biological Medical disc from inception to March 31, 2020, with language restricted in Chinese and English. The primary outcome is visual analog scale, a short pain scale with sensitivity and comparability. Read More

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http://dx.doi.org/10.1097/MD.0000000000020519DOI Listing
June 2020
5.723 Impact Factor

Deep Venous Thrombosis and Pulmonary Embolism After Minimally Invasive Transforaminal Lumbar Interbody Fusion: Report of 2 Cases in 315 Procedures.

Orthop Clin North Am 2020 Jul 19;51(3):423-425. Epub 2020 Mar 19.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

When the guidelines of the North American Spine Society concerning deep venous thrombosis (DVT) prophylaxis were followed, only 2 (0.63%) of 315 patients with minimally invasive transforaminal lumbar interbody fusions developed DVT complications over a 9-year period. Based on these findings, mechanical DVT prophylaxis appears to be adequate in patients undergoing elective spinal surgery, with no current support for pharmacologic prophylaxis. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.006DOI Listing

Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis.

Surg Neurol Int 2020 9;11:100. Epub 2020 May 9.

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: The surgical management of cervical spondylotic myelopathy (CSM) attributed to os odontoideum (OO with atlantoaxial instability atlantoaxial instability) and subaxial kyphosis together pose significant surgical challenges.

Case Description: An elderly male presented with CSM/myelopathy and severe quadriparesis attributed to an unstable OO and 87° fixed, subaxial cervical kyphosis. After performing a 540° spinal cord decompression with atlantoaxial fixation, the patient did well. Read More

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http://dx.doi.org/10.25259/SNI_104_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265439PMC

Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 May 23. Epub 2020 May 23.

Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.

Lateral recess stenosis is a common cause of lumbar radiculopathy in adults. A lumbar nerve root travels in the lateral recess prior to exiting the spinal canal via the neural foramen. In the lateral recess, the traversing nerve root is susceptible to compression by the degenerative hypertrophy of the medial facet in addition to hypertrophied ligamentum flavum and herniated intervertebral disc. Read More

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http://dx.doi.org/10.1093/ons/opaa134DOI Listing

Evidence Base of Clinical Studies on Qi Gong: A Bibliometric Analysis.

Complement Ther Med 2020 May 6;50:102392. Epub 2020 Apr 6.

Centre for Evidence Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, China; Institute of Integrated Traditional Chinese Medicine and Western Medicine, Guangzhou Medical University, Guangzhou, China. Electronic address:

Objective: This bibliometric study aimed to systematically and comprehensively summarize the volume, breadth and evidence for clinical research on Qigong. And this bibliometric analysis also can provide the evidence of this field.

Design: Bibliometric analysis. Read More

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http://dx.doi.org/10.1016/j.ctim.2020.102392DOI Listing

Treatment of cervical spondylotic radiculopathy with posterior percutaneous endoscopic cervical discectomy: Short-term outcomes of 24 cases.

Medicine (Baltimore) 2020 May;99(20):e20216

Department of Spine Surgery, Guizhou Orthopedics Hospital, Guiyang, China.

To determine the short-term clinical outcomes of single-segment cervical spondylotic radiculopathy treated with posterior percutaneous endoscopic cervical discectomy (PPECD).Data of a total of 24 patients who underwent PPECD and local anesthesia for single-level segmental cervical spondylotic radiculopathy between March 2016 and December 2017 were reviewed. The Japanese Orthopaedic Association, visual analog scale (VAS), and neck disability index scores at preoperative 1 day, postoperative 1 day, 1 week, 1 month, 3 months, 6 months, and 1 year were recorded. Read More

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http://dx.doi.org/10.1097/MD.0000000000020216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254843PMC

Disabling Pruritus in a Patient With Cervical Stenosis.

J Am Acad Orthop Surg Glob Res Rev 2020 Mar 9;4(3). Epub 2020 Mar 9.

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.

Brachioradial pruritus is a rare condition characterized by chronic localized itching of the dorsolateral upper extremities. Although the exact pathophysiology is still unknown, cervical nerve compression is thought to be a cause. We present the case of a 56-year-old man with a 6-year history of disabling chronic bilateral upper extremity pruritus and pain as well as concurrent neck pain. Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209791PMC

Research Inefficiency in Degenerative Cervical Myelopathy: Findings of a Systematic Review on Research Activity Over the Past 20 Years.

Global Spine J 2020 Jun 12;10(4):476-485. Epub 2019 Jun 12.

Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, United Kingdom.

Study Design: Scoping review.

Objective: To describe activity, themes and trends in degenerative cervical myelopathy (DCM) research over the past 20 years with a view to considering DCM research inefficiency.

Methods: A systematic review of MEDLINE and Embase for "Cervical" AND "Myelopathy" was conducted following PRISMA guidelines. Read More

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http://dx.doi.org/10.1177/2192568219847439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222686PMC

Sagittal Alignment After Laminectomy Without Fusion as Treatment for Cervical Spondylotic Myelopathy: Follow-up of Minimum 4 Years Postoperatively.

Global Spine J 2020 Jun 26;10(4):425-432. Epub 2019 Jun 26.

Neuroorthopedic Center and Department of Radiology, Jönköping, Region Jönköping County, Sweden.

Objectives: The aims of this study were to evaluate the incidence of sagittal malalignment including kyphosis following cervical laminectomy without fusion as treatment for cervical spondylotic myelopathy and to assess any correlation between malalignment and clinical outcome.

Study Design: Retrospective cohort study.

Methods: In all, 60 patients were followed up with conventional radiography at an average of 8 years postoperatively. Read More

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http://dx.doi.org/10.1177/2192568219858302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222687PMC

A Comparison of Minimally Invasive and Open Transforaminal Lumbar Interbody Fusion for Grade 1 Degenerative Lumbar Spondylolisthesis: An Analysis of the Prospective Quality Outcomes Database.

Neurosurgery 2020 May 14. Epub 2020 May 14.

Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.

Background: It remains unclear if minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) is comparable to traditional, open TLIF because of the limitations of the prior small-sample-size, single-center studies reporting comparative effectiveness.

Objective: To compare MI-TLIF to traditional, open TLIF for grade 1 degenerative lumbar spondylolisthesis in the largest study to date by sample size.

Methods: We utilized the prospective Quality Outcomes Database registry and queried patients with grade 1 degenerative lumbar spondylolisthesis who underwent single-segment surgery with MI- or open TLIF methods. Read More

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http://dx.doi.org/10.1093/neuros/nyaa097DOI Listing

Effect of (therapeutic heat burns) and (therapeutic bloodletting) in the management of (lumbar spondylosis).

Ayu 2019 Apr-Jun;40(2):79-88. Epub 2020 Mar 20.

Department of Shalyatantra, IPGT and RA, Gujarat Ayurved University, Jamnagar, Gujarat, India.

Background: (therapeutic heat burns) and (therapeutic bloodletting) are the treatment modalities mentioned in Ayurveda texts to combat the clinical condition of (osteoarthritis) which occurs due to provoked and/or overlapped with . Lumbar spondylosis is a degenerative disorder presenting with lower back pain, stiffness, numbness, difficulty in movement etc., with evidence of osteophytes and reduced disc height in plain film radiograph. Read More

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http://dx.doi.org/10.4103/ayu.AYU_142_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210822PMC

Association of Cervical Spondylosis With Peripheral Vertigo: A Case-Control Study.

Laryngoscope 2020 May 12. Epub 2020 May 12.

School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.

Objectives/hypothesis: This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo.

Study Design: Case-control study.

Methods: Data were retrieved from the Taiwan Longitudinal Health Insurance Database. Read More

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http://dx.doi.org/10.1002/lary.28715DOI Listing

Emerging Spine Care Trends and Innovations.

Nurs Clin North Am 2020 Jun;55(2):175-192

Department of Orthopaedic Surgery and Rehabilitative Services, University of Chicago, 5841 South Maryland MC3079, Chicago, IL 60637, USA. Electronic address:

The spine is an anchoring structure that is the base for mechanical motion of the body and a protector of neuroelements. Spinal disorders continue to plague generations with issues. Management options continue to evolve, allowing for operative and nonoperative pathways to treat underlying causes. Read More

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http://dx.doi.org/10.1016/j.cnur.2020.02.008DOI Listing

Increased risk of tinnitus following a trigeminal neuralgia diagnosis: a one-year follow-up study.

J Headache Pain 2020 May 6;21(1):46. Epub 2020 May 6.

Department of Health Care Administration, Taipei Medical University, 250 Wu-Hsing St, Taipei, 110, Taiwan.

Background: Tinnitus due to hyperactivity across neuronal ensembles along the auditory pathway is reported. We hypothesized that trigeminal neuralgia patients may subsequently suffer from tinnitus. Using nationwide, population-based data and a retrospective cohort study design, we investigated the risk of tinnitus within 1 year following trigeminal neuralgia. Read More

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http://dx.doi.org/10.1186/s10194-020-01121-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203585PMC

How common is repeat surgery and multi-level treatment in Degenerative Cervical Myelopathy? Findings from a patient perspective survey.

J Clin Neurosci 2020 Jul 30;77:181-184. Epub 2020 Apr 30.

Academic Neurosurgery Unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK. Electronic address:

Degenerative Cervical Myelopathy (DCM) is a common condition which causes significant disability and reduces health-related quality of life. The only evidence-based treatment and current management guidance is surgery to decompress the spinal cord and stop further damage in moderate to severe cases. However, this guidance is mainly informed by studies that only include first time surgery and/or single level disease, but DCM can reoccur after primary surgery and affect multiple levels of the spine. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.04.109DOI Listing

Baduanjin exercise for cervical spondylotic radiculopathy: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(18):e0037s

Wangjing Hospital of China Academy of Chinese Medical Sciences.

Background: Cervical spondylotic radiculopathy (CSR) is one of the most common public health concerns in the world. Baduanjin is very widely and popularly practiced for the management of CSR. Therefore, we conducted a systematic review and meta-analysis to investigate the efficacy of Baduanjin exercise for patients with CSR. Read More

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http://dx.doi.org/10.1097/MD.0000000000020037DOI Listing

Effects of smoking on pedicle screw-based dynamic stabilization: radiological and clinical evaluations of screw loosening in 306 patients.

J Neurosurg Spine 2020 May 1:1-8. Epub 2020 May 1.

1Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital.

Objective: Cigarette smoking has been known to increase the risk of pseudarthrosis in spinal fusion. However, there is a paucity of data on the effects of smoking in dynamic stabilization following lumbar spine surgery. This study aimed to investigate the clinical outcomes and the incidence of screw loosening among patients who smoked. Read More

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http://dx.doi.org/10.3171/2020.2.SPINE191380DOI Listing

Risk factors associated with reoperation in posterior cervical fusions: A large-scale retrospective analysis.

Clin Neurol Neurosurg 2020 Apr 9;195:105828. Epub 2020 Apr 9.

Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.

Objectives: To identify risk factors for reoperation in patients who have undergone posterior cervical fusion (PCF).

Patients And Methods: A retrospective cohort analysis was performed of patients undergoing PCF during a 12-year period at a single institution. Demographic and surgical characteristics were collected from electronic medical records. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105828DOI Listing

[A Wearable System for Cervical Spondylosis Prevention Based on Artificial Intelligence].

Zhongguo Yi Liao Qi Xie Za Zhi 2020 Jan;44(1):33-37

School of Biological Science&Medical Engineering, Southeast University, Nanjing, 210096. ##Email#.

Accompanied by changes in modern work and lifestyle, the incidence of cervical spondylosis has increased year by year. In view of the fact long-term fixed posture of the head and neck is one of the main causes of cervical spondylosis, a set of wearable cervical spondylosis prevention system is developed. The system comprises a head and neck movement collection module based on the acceleration sensor and a head and neck motion recognition module based on artificial intelligence. Read More

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http://dx.doi.org/10.3969/j.issn.1671-7104.2020.01.007DOI Listing
January 2020

Klippel-Feil Syndrome with Cervical Diastematomyelia in an Adult with Extensive Cervicothoracic Fusions: Case Report and Review of the Literature.

World Neurosurg 2020 Apr 25;139:274-280. Epub 2020 Apr 25.

Duke University School of Medicine, Durham, North Carolina, U.S.A; Division of Spine, Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, U.S.A.

Split cord malformation (SCM) is a developmental disorder that is usually symptomatic and diagnosed in childhood. The majority of these lesions are in the thoracic and lumbar spine, with only 1%-3% of cases found in the cervical spine. This is a case report of a 55-year-old female patient with an unremarkable medical history who presented with neck pain. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.148DOI Listing

External and internal responses of cervical disc arthroplasty and anterior cervical discectomy and fusion: A finite element modeling study.

J Mech Behav Biomed Mater 2020 Jun 22;106:103735. Epub 2020 Mar 22.

Center for NeuroTrauma Research, Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.

Surgical treatment for spinal disorders, such as cervical disc herniation and spondylosis, includes the removal of the intervertebral disc and replacement of biological or artificial materials. In the former case, bone graft is used to fill the space, and this conventional procedure is termed anterior cervical discectomy and fusion (ACDF). The latter surgery is termed as artificial disc replacement ADR) or cervical disc arthroplasty (CDA). Read More

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http://dx.doi.org/10.1016/j.jmbbm.2020.103735DOI Listing

Relationship between postural stability and fall risk in elderly people with lumbar spondylosis during local vibratory stimulation for proprioception: a retrospective study.

Somatosens Mot Res 2020 Apr 22:1-5. Epub 2020 Apr 22.

Department of Electrical and Mechanical Engineering, Graduate School of Engineering, Nagoya Institute of Technology, Nagoya, Japan.

Reduced proprioception affects fall risks in elderly people with lumbar spondylosis. The decrease in proprioception in the trunk or lower legs may contribute to a decline in postural stability. We aimed to investigate the association between proprioceptive postural stability and fall risks in elderly individuals with lumbar spondylosis. Read More

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http://dx.doi.org/10.1080/08990220.2020.1756243DOI Listing

Cervical laminoplasty: indication, technique, complications.

J Spine Surg 2020 Mar;6(1):290-301

Department of Orthopaedic Surgery, The Emory Spine Center, Emory University School of Medicine, Atlanta, Georgia, USA.

Cervical laminoplasty is a non-fusion, decompression procedure for cervical spondylotic myelopathy (CSM). It is most commonly indicated for patients with multilevel stenosis who have preserved sagittal alignment and minimal to no axial neck pain related to spondylosis. Expansion of the laminar arch can allow for direct and indirect decompression of the spinal canal. Read More

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http://dx.doi.org/10.21037/jss.2020.01.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154346PMC

Multilevel cervical arthroplasty-clinical and radiological outcomes.

J Spine Surg 2020 Mar;6(1):233-242

Department of Neurosurgery, Centro Hospitalar de Vila Nova de Gaia, Espinho, Portugal.

Background: Cervical disc arthroplasty (CDA) is a valid option for single-level cervical disc disease (CDD) as an alternative to fusion. However, the use in 3- and 4-level disc disease is under scrutiny with scarce data published so far. Our aim was to study clinical and radiological outcomes of arthroplasty in patients with multilevel CDD. Read More

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http://dx.doi.org/10.21037/jss.2020.01.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154349PMC

Cervical disc arthroplasty versus anterior cervical discectomy and fusion: a meta-analysis of rates of adjacent-level surgery to 7-year follow-up.

J Spine Surg 2020 Mar;6(1):217-232

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

Background: Anterior cervical discectomy and fusion (ACDF) is an effective treatment for cervical spondylosis. A limitation of ACDF is the risk of adjacent-segment degeneration (ASD), owing to arthrodesis of a motion segment. Cervical disc arthroplasty (CDA) has hence garnered significant attention; yet, compelling evidence of reduction in ASD requiring surgery is lacking. Read More

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http://dx.doi.org/10.21037/jss.2019.12.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154351PMC

Correlation of neural foraminal motion after surgical treatment of cervical radiculopathy with long-term patient reported outcomes.

J Spine Surg 2020 Mar;6(1):18-25

Department of Neurosurgery, Henry Ford Health System, Detroit, MI, USA.

Background: Post-surgical changes in adjacent segment motion are considered a factor in further development of degeneration and cervical radiculopathy. The objective was to examine the extent of correlations between physiological motion of cervical foramina and long-term patient reported outcomes (PRO).

Methods: Biplane X-ray imaging and CT-based markerless tracking were used to measure 3D static and dynamic dimensions during neck axial rotation and extension from 18 patients treated for C5-6 radiculopathy with fusion or arthroplasty. Read More

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http://dx.doi.org/10.21037/jss.2020.03.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154365PMC

Minimally Invasive Decompression with Posterior Elements Preservation Versus Laminectomy and Fusion For Lumbar Degenerative Spondylolisthesis: A Systematic Review and Meta-Analysis of Surgical, Clinical and Radiological Outcomes.

Surg Technol Int 2020 May;36:457-463

Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, Department of Neuroscience, Neurosurgery Section, Università Cattolica del Sacro Cuore, Rome, Italy.

Introduction: Chronic low back pain can be due to many different causes, including degenerative spondylolisthesis (DS). For patients who do not respond to conservative management, surgery remains the most effective treatment. Open laminectomy alone and laminectomy and fusion (LF) for DS have been widely investigated, however, no meta-analyses have compared minimally invasive decompression with posterior elements preservation (MID) techniques and LF. Read More

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An Eight-Year Follow-Up Study on the Treatment of Single-Level Cervical Spondylosis Through Intervertebral Disc Replacement and Anterior Cervical Decompression and Fusion.

Orthop Surg 2020 Jun 14;12(3):717-726. Epub 2020 Apr 14.

Department of Spine Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

Objective: To compare the efficacy and safety of the postoperative long-term effect of the treatment of single-level cervical spondylosis through anterior cervical discectomy and fusion (ACDF) and artificial cervical disc replacement (ACDR).

Methods: This is a retrospective contrastive study, which was conducted for the period of January 2007 and January 2009 at the Department of Spine Surgery of the First Affiliated Hospital of Xinjiang Medical University. A total of 113 patients were divided into two groups depending on the operation method: ACDF group (fusion group, n = 66) and ACDR group (replacement group, n = 47). Read More

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http://dx.doi.org/10.1111/os.12634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307226PMC

What Are the Patient-Reported Outcomes, Complications, and Radiographic Results of Lumbar Fusion for Degenerative Spondylolisthesis in Patients Younger Than 50 Years?

Clin Orthop Relat Res 2020 Apr 8. Epub 2020 Apr 8.

G. S. Goh, Y. W. A. Tay, C. M. Guo, J. L-T. Chen, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore W.-M. Yue, The Orthopaedic Centre, Mount Elizabeth Medical Centre, Singapore S.-B. Tan, Orthopaedic and Spine Clinic, Mount Elizabeth Medical Centre, Singapore.

Background: The number of young patients with degenerative lumbar spondylosis is expected to increase, and with it, the number of younger patients seeking surgical treatment is likely to rise. The goals of young patients with degenerative spondylolisthesis may differ from those of older patients, but little is known about the levels of pain and function, complication rates, or radiographic union that young patients achieve after interbody fusion.

Questions/purposes: (1) How likely were patients younger than 50 years to achieve a minimal clinically important difference (MCID) in improvement on any of several validated patient-reported outcomes scores after transforaminal lumbar interbody fusion for degenerative spondylolisthesis at a minimum of 2 years after surgery? (2) What proportion developed complications or underwent reoperations? (3) What proportion achieved radiographic fusion or developed adjacent-segment degeneration?

Methods: Longitudinally maintained institutional registry data of patients undergoing primary, single-level, transforaminal lumbar interbody fusion for degenerative spondylolisthesis at a single institution from 2006 to 2013 were studied in this retrospective case series. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001252DOI Listing

Analysis of re-operations after cervical total disc replacement in a consecutive series of 535 patients receiving the ProDisc-C device.

Eur Spine J 2020 Apr 10. Epub 2020 Apr 10.

Center for Disc Replacement at Texas Back Institute, 6020 W. Parker Rd. #200, Plano, TX, 75093, USA.

Introduction: One important factor in evaluating the safety of an implant is the rate of subsequent surgery and the reasons for surgery, particularly those that are related to possible problems with the implant. The purpose of this study was to determine the overall re-operation rate (including revisions, removals, device-related, procedure-related, adjacent segment, and others) for a large consecutive series of cervical TDR patients beginning with the first case experience, using a single device at a single institution.

Methods: Surgery records were reviewed to identify cervical TDR patients and those who underwent subsequent surgery. Read More

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http://dx.doi.org/10.1007/s00586-020-06399-3DOI Listing