821 results match your criteria Cervical Spondylosis: Diagnosis and Management


Treatment experience for full-thickness wound dehiscence with cerebrospinal fluid leakage following posterior primary spine surgery: Three case reports.

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

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http://dx.doi.org/10.1097/MD.0000000000015126DOI Listing
April 2019
1 Read

Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report.

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

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http://dx.doi.org/10.1097/MD.0000000000014806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426532PMC
March 2019
1 Read

[Management of Cervical Spondylosis by Neurologists].

Authors:
Tetsuo Ando

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

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http://dx.doi.org/10.11477/mf.1416201249DOI Listing
March 2019
6 Reads

The most influential publications in cervical myelopathy.

J Spine Surg 2018 Dec;4(4):770-779

Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL, USA.

Management of cervical myelopathy (CM) has continued to evolve through a better understanding of the long-term outcomes of this diagnosis as well as improved diagnostic guidelines. More recent literature continues to expand the field, but certain publications can be distinguished from others due to their lasting impact. Using the Clarivate Analytics Web of Science, search phrases were used to identify publications pertaining to CM. Read More

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http://dx.doi.org/10.21037/jss.2018.09.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330587PMC
December 2018
2 Reads

Efficacy of using a 3D printed lumbosacral spine phantom in improving trainee proficiency and confidence in CT-guided spine procedures.

3D Print Med 2018 Oct 10;4(1). Epub 2018 Oct 10.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, M-391, San Francisco, CA, 94143-0628, USA.

Background: Minimally-invasive spine procedures provide targeted, individualized diagnosis and pain management for patients. Competence in these procedures is acquired through experience and training. We created a 3D printed model of a degenerative lumbosacral spine with scoliosis and spondylosis, using materials that mimic bone and soft tissue density under CT. Read More

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https://threedmedprint.springeropen.com/articles/10.1186/s41
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http://dx.doi.org/10.1186/s41205-018-0031-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179970PMC
October 2018
13 Reads

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

Authors:
Haytham Eloqayli

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

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

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

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

Posterior L5-S1 transdiscal screws for high grade spondylolisthesis - a systematic review.

Rev Assoc Med Bras (1992) 2018 Dec;64(12):1147-1153

Professor - Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Objective: The surgical management of high-grade lumbar spondylolisthesis (HGLS) is complex and aims to achieve both a solid fusion that is able to support the high shear forces of the lumbosacral junction, as well as neural decompression. We performed a systematic literature review of the safety and efficacy of posterior transdiscal (PTD) screw fixation from L5S1 for HGLS and its variations.

Methods: A systematic literature review following the PRISMA guidelines was performed in the PubMed database of the studies describing the use of PTD screw fixation for HGLS. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1806-9282.64.12.1147DOI Listing
December 2018
5 Reads

[The experts consensus on the surgical treatment and perioperative management of cervical spondylosis (2018)].

Authors:

Zhonghua Wai Ke Za Zhi 2018 Dec;56(12):881-884

In order to standardize the surgical care and perioperative management for patients with cervical spondylosis, the Editorial Board of has organized the several meetings with certain experienced spine surgeons regarding prevent complications related to surgical procedure, ensure the treatment safety as well as in improving the outcome efficacy. In the meantime, the relevant focused issues and repeated consulting have been reviewed and presented on a larger spectrum. By 2 years efforts, the consensus has been developed for patients with different types of cervical spondylosis. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.12.001DOI Listing
December 2018
1 Read

Exploring the use of single-port surgery in the conservative management of hepatic portal vein gas: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13368

Department of General and Gastroenterological Surgery.

Rationale: Hepatic portal vein gas (HPVG) is known as a sign of a lethal condition resulting from bowel necrosis. Recently, the detection rate of non-life-threatening cases of HPVG has increased due to the technological development of imaging, i.e. Read More

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http://dx.doi.org/10.1097/MD.0000000000013368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392919PMC
November 2018
12 Reads

Pars interarticularis injury in elite athletes - The role of imaging in diagnosis and management.

Eur J Radiol 2018 Nov 1;108:28-42. Epub 2018 Sep 1.

Fortius Clinic, 17 Fitzhardinghe Street, London W1H 6EQ, United Kingdom. Electronic address:

Injuries of the lumbar neural arch, in particular the pars interarticularis, are widely considered to be due to abnormal bone stress secondary to repetitive loading/shearing, and are a common pathology and a main cause of lower back pain in elite athletes across a range of sports. Medical imaging plays a pivotal role in the diagnosis, monitoring and prognostication of neural arch injury. Early detection is highly desirable in the young elite athlete, as early injuries have been shown to require shorter recovery time and have a higher potential of full healing, whilst accurate grading of injury allows appropriate rehabilitation planning. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183030
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http://dx.doi.org/10.1016/j.ejrad.2018.08.029DOI Listing
November 2018
26 Reads

Association of Depression and Cervical Spondylosis: A Nationwide Retrospective Propensity Score-Matched Cohort Study.

J Clin Med 2018 Oct 25;7(11). Epub 2018 Oct 25.

Graduate Institute of Biomedical Sciences, College of Medicine, China Medical University, Taichung 404, Taiwan.

: Depression is a psychiatric disorder associated with poorer health outcomes. Inappropriate mechanical stress and aging are factors associated with developing cervical spondylosis. The connection between cervical spondylosis and depression is not developed. Read More

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https://www.mdpi.com/2077-0383/7/11
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http://www.mdpi.com/2077-0383/7/11/387
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http://dx.doi.org/10.3390/jcm7110387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262285PMC
October 2018
19 Reads

Integrative Korean medicine as a possible conservative treatment for mild cervical spondylotic myelopathy: One-year follow-up case report (CARE-compliant).

Medicine (Baltimore) 2018 Sep;97(36):e12249

Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, Seoul, South Korea.

Rationale: Cervical spondylotic myelopathy (CSM) is the most common spinal cord disorder in older patients. The purpose of this case report is to introduce conservative treatment with integrative Korean medicine (KM) as a possible alternative to surgery in patients with mild CSM.

Patient Concerns: An 81-year-old male with both hand weakness and dysesthesia was diagnosed with CSM and was recommended laminectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000012249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133613PMC
September 2018
3 Reads

Risk of posterior circulation stroke in patients with cervical spondylosis: A nationwide, population-based study.

Atherosclerosis 2018 Oct 17;277:42-46. Epub 2018 Aug 17.

Graduate Institute of Biomedical Sciences, College of Medicine, China Medical University, Taichung, Taiwan; Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan; Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan. Electronic address:

Background And Aims: Cervical spondylosis (CS) is reported to be associated with vertebrobasilar insufficiency. However, few cohort studies have investigated the association between CS and posterior circulation ischemic stroke.

Methods: The study cohort comprised 27,990 patients aged ≥18 years with a first diagnosis of CS. Read More

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http://dx.doi.org/10.1016/j.atherosclerosis.2018.08.006DOI Listing
October 2018
7 Reads

Clinical and Radiologic Outcomes of Direct Versus Indirect Decompression with Lumbar Interbody Fusion: A Matched-Pair Comparison Analysis.

World Neurosurg 2018 Nov 10;119:e898-e909. Epub 2018 Aug 10.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea; The Catholic Central Laboratory of Surgery (CCLS), Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea. Electronic address:

Objective: To compare the radiologic and clinical outcomes between oblique lumbar interbody fusion (OLIF) without laminectomy and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF).

Methods: This was a retrospective study. Between April 2012 and January 2017, 25 patients in each of the MI-TLIF and OLIF groups were recruited as matched pairs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183178
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http://dx.doi.org/10.1016/j.wneu.2018.08.003DOI Listing
November 2018
20 Reads

Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management.

Authors:
K Devaraja

Eur Arch Otorhinolaryngol 2018 Oct 9;275(10):2421-2433. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India.

Purpose: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other. Read More

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http://link.springer.com/10.1007/s00405-018-5088-z
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http://dx.doi.org/10.1007/s00405-018-5088-zDOI Listing
October 2018
9 Reads

Spinal myoclonus: a rare presentation of cervical myelopathy.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.

Myoclonus describes a movement disorder characterised by brief, abrupt and involuntary contractions of muscles or groups of muscles, usually associated with intracranial lesions, with limited evidence linking it to spinal pathologies. The pathophysiology of spinal myoclonus is extensive and multifactorial. Infection, intramedullary and extramedullary space-occupying lesions, trauma, vascular abnormalities, degenerative processes and cervical spondylosis have been implicated with the disease, the latter been associated with cervical stenosis with no reported cases linking it to an underlying cervical disc herniation. Read More

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http://dx.doi.org/10.1136/bcr-2018-225455DOI Listing
July 2018
8 Reads

Stand-alone Anterior Lumbar Interbody, Transforaminal Lumbar Interbody, and Anterior/Posterior Fusion: Analysis of Fusion Outcomes and Costs.

Orthopedics 2018 Sep 16;41(5):e655-e662. Epub 2018 Jul 16.

Fusion outcomes and costs of stand-alone anterior lumbar interbody fusion (ALIF), transforaminal lumbar interbody fusion (TLIF) in association with posterior fusion, and anterior/posterior (A/P) fusion were compared using clinical, radiographic, and billing data. Adult patients with symptomatic 1- or 2-level degenerative disk disease in isolation or in association with a grade 1 or 2 degenerative or lytic spondylolisthesis and canal and/or foraminal stenosis who underwent elective stand-alone ALIF, TLIF, or A/P fusion were compared. The analysis focused primarily on fusion rates and costs and secondarily on radiographic and clinical parameters. Read More

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http://dx.doi.org/10.3928/01477447-20180711-06DOI Listing
September 2018
15 Reads

Effectiveness of percutaneous neuromuscular electrical stimulation for neck pain relief in patients with cervical spondylosis.

Medicine (Baltimore) 2018 Jun;97(26):e11080

Department of the Third Ward of Orthopedics.

Background: This study aimed to evaluate the effectiveness and safety of percutaneous neuromuscular electrical stimulation (PNMES) for treating neck pain in patients with cervical spondylosis (CS).

Methods: One hundred and twenty four patients with neck pain of CS were included, and then they were randomly divided into a PNMES group and a control group in a ratio of 1:1. All patients received PNMES or sham PNMES 30 minutes daily, 3 times weekly for 12 weeks. Read More

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http://dx.doi.org/10.1097/MD.0000000000011080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039622PMC
June 2018
3 Reads

[Precise application of Traditional Chinese Medicine in minimally-invasive techniques].

Authors:
Fu-Hui Dong

Zhongguo Gu Shang 2018 06;31(6):493-496

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

The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.06.001DOI Listing
June 2018
11 Reads

Comparative Utility of Dynamic and Static Imaging in the Management of Lumbar Spondylolisthesis.

World Neurosurg 2018 Sep 19;117:e507-e513. Epub 2018 Jun 19.

Department of Neurological Surgery, The Ohio State University, Wexner Medical Center, Columbus, Ohio, USA. Electronic address:

Objective: Segmental instability traditionally is investigated with flexion and extension (F/E) radiographs. We sought to determine whether motion between upright and supine (U/S) views can serve as an alternative sensitive diagnostic tool that predicts similar outcomes.

Methods: Ambispective collection of data was performed for 222 consecutive patients who underwent transforaminal lumbar interbody fusion. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.06.066DOI Listing
September 2018
12 Reads

Locomotive syndrome: clinical perspectives.

Clin Interv Aging 2018 30;13:819-827. Epub 2018 Apr 30.

Institute of Physical Fitness, Sports Medicine and Rehabilitation, Aichi Medical University, Yazako Karimata, Nagakute, Aichi, Japan.

The deterioration of locomotive components, which comprise bones, joints, and intervertebral discs, and muscles and nerves, can lead to symptoms such as pain, limitations in the range of joint mobility, malalignment, impaired balance, and difficulty walking. Locomotive syndrome (LoS) was proposed by the Japanese Orthopedic Association in 2007 as a concept for people who are at a high risk of developing a musculoskeletal ambulation disability attributed to locomotor organs. Although many international articles related to LoS have been published, an international consensus of this concept seems to be lacking. Read More

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http://dx.doi.org/10.2147/CIA.S148683DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933401PMC
September 2018
5 Reads

Cardiac Arrest During Spine Surgery in the Prone Position: Case Report and Review of the Literature.

World Neurosurg 2018 Jul 26;115:460-467.e1. Epub 2018 Apr 26.

Department of Neurosurgery, Bergman Clinics, Amsterdam, The Netherlands.

Objective: Intraoperative cardiac arrest (CA) is usually attributable to pre-existing disease or intraoperative complications. In rare cases, intraoperative stress can demask certain genetic diseases, such as catecholaminergic polymorphic ventricular tachycardia (CPVT). It is essential that neurosurgeons be aware of the etiologies, risk factors, and initial management of CA during surgery with the patient in the prone position. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.116DOI Listing
July 2018
9 Reads

Endoscopic Anterior Approach for Cervical Disc Disease (Disc Preserving Surgery).

World Neurosurg 2018 Jul 24;115:e599-e609. Epub 2018 Apr 24.

Department of Neurosurgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India. Electronic address:

Objective: To report our experience of endoscopic disc removal by anterior approach for management of cervical myelopathy in 210 patients.

Methods: A retrospective study of 187 cases of single- and 23 cases of double-level disc disease was performed. Cases of myelopathy with or without unilateral or bilateral radiculopathy and unilateral radiculopathy with either soft or hard disc prolapse were included. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.107DOI Listing
July 2018
5 Reads

Comparisons of direct costs, outcomes, and cost-utility of decompression surgery with fusion versus decompression alone for degenerative lumbar spondylolisthesis.

J Orthop Sci 2018 Jul 24;23(4):653-657. Epub 2018 Apr 24.

Department of Orthopedic Surgery, Keio University School of Medicine, Japan; Keio Spine Research Group (KSRG), Japan. Electronic address:

Background: Cost-utility analysis of surgery for degenerative lumber spondylolisthesis (DS) is essential for healthcare providers and patients to select appropriate treatment. The purpose of this study was to review the cost-utility of decompression alone versus decompression with fusion for DS.

Methods: A retrospective review of 99 consecutive patients who were treated for Meyerding grade 1 DS at two representative spine centers was performed. Read More

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http://dx.doi.org/10.1016/j.jos.2018.04.001DOI Listing
July 2018
3 Reads

A New Minimally Invasive Technique for Primary Unstable C2 Spondylolysis in an 8-Year-Old Child: A Case Report and Review of the Literature.

World Neurosurg 2018 Jul 11;115:79-84. Epub 2018 Apr 11.

Department of Neurosurgery, La Timone, University Hospital, Marseille, France.

Background: Posterior arch defect of C2 with an unstable spondylolysis is a rare condition mostly occurring within children. Its management is still controversial.

Case Description: We report in this article the first minimally invasive surgery (MIS) technique for this condition in an 8-year-old boy. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.013DOI Listing
July 2018
8 Reads

Association between Cervical Spondylosis and Migraine: A Nationwide Retrospective Cohort Study.

Int J Environ Res Public Health 2018 03 25;15(4). Epub 2018 Mar 25.

Graduate Institute of Clinical Medical Science and School of Medicine, College of Medicine, China Medical University, No. 2, Yuh-Der Road, Taichung 404, Taiwan.

Few studies have investigated the longitudinal association between cervical spondylosis (CS) and migraine by using a nationwide population-based database. We conducted a retrospective cohort study from 2000 to 2011 identifying 27,930 cases of cervical spondylosis and 111,720 control subjects (those without cervical spondylosis) from a single database. The subjects were frequency-matched on the basis of sex, age, and diagnosis date. Read More

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http://dx.doi.org/10.3390/ijerph15040587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923629PMC
March 2018
4 Reads

Double-level lumbar spondylolysis and spondylolisthesis: A retrospective study.

J Orthop Surg Res 2018 Mar 16;13(1):55. Epub 2018 Mar 16.

Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, No. 17 Yong Wai Zheng Street, Nanchang, Jiangxi, 330006, China.

Background: Lumbar spondylolysis and isthmic spondylolisthesis are common conditions. However, double-level lumbar spondylolysis and spondylolisthesis are rare. We report 24 cases of it along with a review of literature and a briefly description of the clinical and radiological features and integrated management of patients with this condition. Read More

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http://dx.doi.org/10.1186/s13018-018-0723-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857125PMC
March 2018
7 Reads

Tuberculous Spondylolisthesis: A Reappraisal of the Clinicoradiologic Spectrum and Surgical Treatment Paradigm.

World Neurosurg 2018 Jun 9;114:361-367. Epub 2018 Mar 9.

Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA. Electronic address:

Introduction: Spinal tuberculosis (TB) is a common infectious disease prevalent in developing countries and an increasing issue in developed countries. The association of tuberculosis with spondylolisthesis is rarely reported in literature. The aim of our review is to analyze the clinical features and radiologic characteristics of TB spondylolisthesis and to provide a concise update on its surgical management, based on the literature. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.02.157DOI Listing
June 2018
5 Reads
2.417 Impact Factor

Surgical Management in Cervical Spondylotic Myelopathy Due to Alkaptonuria.

World Neurosurg 2018 May 3;113:308-311. Epub 2018 Mar 3.

Department of Neurosurgery, Saglik Bilimleri University, Tepecik Research and Training Hospital, Izmir, Turkey. Electronic address:

Background: Ochronotic arthropathy related to alkaptonuria is a rare condition. Cervical spine involvement with myelopathic features has been even more rarely described, particularly related to atlantoaxial instability. As such, little is known about the optimal surgical management in these patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183042
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http://dx.doi.org/10.1016/j.wneu.2018.02.148DOI Listing
May 2018
16 Reads

Comparable clinical and radiological outcomes between skipped-level and all-level plating for open-door laminoplasty.

Eur Spine J 2018 06 28;27(6):1365-1374. Epub 2018 Feb 28.

Department of Orthopaedics and Traumatology, The University of Hong Kong, 5/F Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.

Purpose: To compare the clinical and radiological outcomes between skipped-level and all-level plating for cervical laminoplasty.

Methods: Patients with cervical spondylotic myelopathy (CSM) treated by open-door laminoplasty with minimum 2-year postoperative follow-up were included. All patients had opening from C3-6 or C3-7 and were divided into skipped-level or all-level plating groups. Read More

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http://dx.doi.org/10.1007/s00586-018-5533-0DOI Listing
June 2018
3 Reads
2.470 Impact Factor

Osteoid Osteoma Can Occur at the Pars Interarticularis of the Lumbar Spine, Leading to Misdiagnosis of Lumbar Spondylolysis.

Am J Case Rep 2018 Feb 26;19:207-213. Epub 2018 Feb 26.

Department of Orthopedic Surgery, National Hospital Organization, Kokura Medical Center, Kyoto University, Kokura, Fukuoka, Japan.

BACKGROUND Osteoid osteomas are benign bone-forming tumors characterized by local inflammation and pain. They are also characterized by a small osteolytic lesion (nidus). Spondylolysis is a defect of the pars interarticularis, which may lead to stress fractures, and is a common cause of low back pain in adolescence. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839132PMC
February 2018
17 Reads

Iatrogenic Spondylolisthesis Following Open Lumbar Laminectomy: Case Series and Review of the Literature.

World Neurosurg 2018 May 15;113:e383-e390. Epub 2018 Feb 15.

Spinal Column Biomechanics and Surgical Outcomes Laboratory, Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address:

Objective: To present diagnosis and surgical management of postlaminectomy spondylolisthesis in patients without preoperative instability and a review of relevant literature.

Methods: Medical records and radiographic studies of 105 patients who underwent first-time bilateral 1- to 4-level open laminectomies for degenerative lumbar disease at a single academic institution were reviewed. Patients who initially presented with listhesis and had additional discectomy or fusion procedures were excluded. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.02.039DOI Listing
May 2018
11 Reads

Utility of Supine Lateral Radiographs for Assessment of Lumbar Segmental Instability in Degenerative Lumbar Spondylolisthesis.

Spine (Phila Pa 1976) 2018 09;43(18):1275-1280

Albert Einstein College of Medicine, Bronx, NY.

Study Design: Retrospective chart review OBJECTIVE.: To determine whether supine lateral radiographs increase the amount of segmental instability visualized in single-level lumbar degenerative spondylolisthesis, when compared to traditional lateral flexion-extension radiographs. We hypothesized that supine radiographs increase the amount of segmental instability seen in single-level lumbar spondylolisthesis when compared to flexion-extension. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002604DOI Listing
September 2018
4 Reads

Traumatic Lateral Spondyloptosis: Case Series.

World Neurosurg 2018 May 7;113:e166-e171. Epub 2018 Feb 7.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Objective: To apprise readers about this rare but severest form of traumatic spine injury and its surgical management.

Background: Complete fracture dislocation and subluxation (>100%) of 1 vertebral body in the coronal or sagittal plane with respect to the adjacent vertebra is defined as spondyloptosis. In coronal spondyloptosis the subluxated vertebral bodies lie beside each other, and the condition is lateraloptosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183024
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http://dx.doi.org/10.1016/j.wneu.2018.01.206DOI Listing
May 2018
24 Reads

Percutaneous Endoscopic Laminotomy with Flavectomy by Uniportal, Unilateral Approach for the Lumbar Canal or Lateral Recess Stenosis.

World Neurosurg 2018 May 7;113:e129-e137. Epub 2018 Feb 7.

Department of Neurosurgery, St. Peter's Hospital, Seoul, Korea.

Objective: To evaluate clinical feasibility and safety of percutaneous endoscopic decompression by a uniportal, unilateral approach for lumbar canal or lateral recess stenosis.

Methods: In this retrospective study, the procedure was performed with endoscopic instruments in the same way as conventional microscopic laminotomy and flavectomy. Clinical outcomes (visual analog scale, Oswestry Disability Index, modified MacNab criteria) were evaluated. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.01.195DOI Listing
May 2018
9 Reads

Current Evidence Regarding the Diagnostic Methods for Pediatric Lumbar Spondylolisthesis: A Report From the Scoliosis Research Society Evidence Based Medicine Committee.

Spine Deform 2018 Mar - Apr;6(2):185-188. Epub 2017 Oct 16.

University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3017, Kansas City, KS 66160-7387, USA.

Study Design: Structured literature review.

Objectives: The Scoliosis Research Society (SRS) requested an assessment of the current state of peer-reviewed evidence regarding pediatric lumbar spondylolisthesis with the goal of identifying what is known and what gaps remain in further understanding the diagnostic methods for pediatric spondylolisthesis.

Summary Of Background Data: Spondylolisthesis in the lumbar spine is common among children and adolescents and no formal synthesis of the published literature regarding diagnostic methods has been previously performed. Read More

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http://dx.doi.org/10.1016/j.jspd.2017.08.010DOI Listing
December 2018
16 Reads

Clinical and Radiologic Features of 3 Reconstructive Procedures for the Surgical Management of Patients with Bilevel Cervical Degenerative Disc Disease at a Minimum Follow-Up Period of 5 Years: A Comparative Study.

World Neurosurg 2018 May 31;113:e70-e76. Epub 2018 Jan 31.

Department of Spine Surgery, Peking University People's Hospital, Beijing, China.

Objective: To assess the mid-long-term follow-up of the safety and efficacy of anterior cervical discectomy and fusion (ACDF), cervical artificial disc replacement (CADR) and hybrid surgery (HS) for bilevel cervical degenerative disc disease (cDDD).

Methods: 77 patients who underwent ACDF, HS, and CADR were retrospectively reviewed. Clinical effects were evaluated based on Neck Disability Index (NDI), Visual Analog Scale (VAS), and Japanese Orthopedic Association (JOA) scores and the Odom criteria. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.01.157DOI Listing
May 2018
7 Reads
2.420 Impact Factor

Effectiveness of acupuncture in the management of cervical spondylosis: a meta-analysis.

J Biol Regul Homeost Agents 2017 Oct-Dec;31(4):1017-1022

Department of Acupuncture, The affiliated Hospital to Changchun University of Chinese Medicine, Changchun, China.

Cervical spondylosis is the most common type of spinal pathology which is more common in middle-aged or senile populations with a high potential to affect physical and mental health. This study evaluates the effectiveness of acupuncture in the management of cervical spondylosis. After a detailed literature search in electronic databases, the required data were acquired from selected research articles and meta-analyses were performed to obtain the percent cure, failure and total effectiveness rates under random effects model. Read More

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February 2018
2 Reads

ACDF vs TDR for patients with cervical spondylosis - an 8 year follow up study.

BMC Surg 2017 Nov 28;17(1):113. Epub 2017 Nov 28.

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, NO555,East Friendship Rd, Xi'an, Shanxi, 86710054, China.

Background: ACDF has been considered as the gold standard in the treatment of single level cervical disk protrusion. However, it may cause adjacent level degeneration due to regional biomechanical changes. TDR has been applied with satisfactory results for over a decade, but there is no consensus if TDR is safer and more efficient than ACDF. Read More

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http://dx.doi.org/10.1186/s12893-017-0316-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706295PMC
November 2017
12 Reads

Imaging Evaluation of Degenerative Cervical Myelopathy: Current State of the Art and Future Directions.

Neurosurg Clin N Am 2018 Jan;29(1):33-45

Division of Neurosurgery, Department of Surgery, Krembil Research Institute, University of Toronto, 60 Leonard Avenue, Toronto, Ontario M5T 2S8, Canada.

Degenerative cervical myelopathy (DCM) is a common neurologic condition that is often treated with surgery. Imaging plays a central role in the management of DCM, including diagnosis, preoperative planning, postoperative assessment, and prognostication. Radiographs, CT, and MRI offer unique and complementary assessments, and all have important uses in current clinical practice. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10423680173009
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http://dx.doi.org/10.1016/j.nec.2017.09.003DOI Listing
January 2018
11 Reads

Future Directions and New Technologies for the Management of Degenerative Cervical Myelopathy.

Neurosurg Clin N Am 2018 Jan;29(1):185-193

Department of Neurosurgery, Toronto Western Hospital, University Health Network, 399 Bathurst Street 4WW-449, Toronto, Ontario M5T 258, Canada.

The diagnosis and treatment of degenerative cervical myelopathy (DCM) has been evolving over the past 5 decades as a result of collaborations between clinicians and scientists. The most recent trends in basic and clinical research include advances in imaging, clinical diagnostic tools, molecular genetics, surgical techniques, and reparative/regenerative strategies. Spine surgeons are witnessing a fast-paced evolution, which is reshaping the management strategies available for an aging population that suffers increasingly from this degenerative condition. Read More

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http://dx.doi.org/10.1016/j.nec.2017.09.006DOI Listing
January 2018
4 Reads

Clinical Characteristics and Management of C3-4 Degenerative Cervical Myelopathy.

Neurosurg Clin N Am 2018 Jan;29(1):153-158

Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan.

Single-level anterior cervical discectomy and fusion (ACDF) was performed at C3-4; non-C3-4 ACDF patients of the authors' random sample of ACDF patients were compared with C3-4 ACDF patients. The radiological study of C3-4 ACDF patients shows that they had significant cervical lordosis, and cervical motion was dependent on the C3-4 segment, which accounted for 39.8% of C2-7 range of intervertebral motion (total motion). Read More

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http://dx.doi.org/10.1016/j.nec.2017.09.011DOI Listing
January 2018

Options of Management of the Patient with Mild Degenerative Cervical Myelopathy.

Authors:
Izumi Koyanagi

Neurosurg Clin N Am 2018 Jan 27;29(1):139-144. Epub 2017 Oct 27.

Department of Neurosurgery, Hokkaido Neurosurgical Memorial Hospital, 1-20, Hachiken 9-jo, Higashi 5-chome, Nishi-ku, Sapporo 063-0869, Japan. Electronic address:

Surgical management of patients with mild degenerative cervical myelopathy (DCM) is controversial. This article reviews 84 subjects with cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) who underwent surgical treatment. Nine had mild myelopathy: 6 CSM and 3 OPLL. Read More

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http://dx.doi.org/10.1016/j.nec.2017.09.009DOI Listing
January 2018

Patients' beliefs about diagnosis and treatment of cervical spondylosis with radiculopathy.

Acta Neurochir (Wien) 2017 Dec 23;159(12):2379-2384. Epub 2017 Oct 23.

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.

Background: The clinical results of surgical spine care may be influenced by the patients' understanding and knowledge of his or her condition, treatment options and decision-making process. The aim of this survey study was to evaluate certain beliefs and opinions of patients with a degenerative condition in the cervical spine with a history of cervical radiculopathy such as importance of magnetic resonance imaging, risk factors, treatment alternatives and effectiveness.

Methods: An anonymous questionnaire survey was performed on two different patient populations with a degenerative condition in the cervical spine with a history of cervical radiculopathy referred to the outpatients' clinics of two neurosurgical departments in Germany and Norway. Read More

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http://dx.doi.org/10.1007/s00701-017-3356-0DOI Listing
December 2017
2 Reads

Anterior cervical spine surgery-associated complications in a retrospective case-control study.

J Spine Surg 2017 Sep;3(3):444-459

Department of Neurosurgery, University Hospital of Larissa, School of Medicine, University of Thessaly, Larissa, Greece.

Anterior cervical spine procedures have been associated with satisfactory outcomes. However, the occurrence of troublesome complications, although uncommon, needs to be taken into consideration. The purpose of our study was to assess the actual incidence of anterior cervical spine procedure-associated complications and identify any predisposing factors. Read More

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http://dx.doi.org/10.21037/jss.2017.08.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637201PMC
September 2017
17 Reads

Multilevel Spondylolysis Repair Using the "Smiley Face" Technique with 3-Dimensional Intraoperative Spinal Navigation.

World Neurosurg 2018 Jan 17;109:e609-e614. Epub 2017 Oct 17.

Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada; Sunnybrook Research Institute, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.

Background/objective: Multilevel spondylolysis is a rare cause of progressive lower back pain, and patients who fail conservative management are treated surgically. Direct repair methods can maintain mobility and lead to decreased morbidity compared with spinal fusion in single-level spondylolysis. In this paper, we present a patient with nonadjacent multilevel spondylolysis who underwent the "smiley face" technique of direct multilevel repair without fusion using 3-dimensional intraoperative spinal navigation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750173177
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http://dx.doi.org/10.1016/j.wneu.2017.10.046DOI Listing
January 2018
24 Reads

Quality of Life and Slip Progression in Degenerative Spondylolisthesis Treated Nonoperatively.

Spine (Phila Pa 1976) 2018 05;43(10):E574-E579

Division of Orthopaedics, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Study Design: A prospective cohort study of consecutive patients.

Objective: Determination of the quality of life (QoL) and prevalence of slip progression in patients with degenerative lumbar spondylolisthesis managed nonoperatively.

Summary Of Background Data: Lumbar spinal stenosis secondary to degenerative lumbar spondylolisthesis is a common radiographic diagnosis associated with chronic back pain and radicular symptoms. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002429DOI Listing
May 2018
10 Reads

Idiopathic Syringomyelia in a Military Helicopter Pilot.

Authors:
Anthony Schiemer

Aerosp Med Hum Perform 2017 Oct;88(10):962-965

Background: A syrinx is a fluid-filled cavity within the spinal cord. They can lead to a variety of symptoms, including limb weakness and back pain. Incidental finding of syringomyelia provides a challenge for clinicians due to the wide variety of possible symptoms. Read More

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http://dx.doi.org/10.3357/AMHP.4871.2017DOI Listing
October 2017
2 Reads

Current Diagnosis and Management of Cervical Spondylotic Myelopathy.

Global Spine J 2017 Sep 31;7(6):572-586. Epub 2017 May 31.

University of Southern California, Los Angeles, CA, USA.

Study Design: Review.

Objectives: Cervical spondylotic myelopathy (CSM) is a major cause of disability, particular in elderly patients. Awareness and understanding of CSM is imperative to facilitate early diagnosis and management. Read More

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http://dx.doi.org/10.1177/2192568217699208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582708PMC
September 2017
25 Reads

Classification of Diffusion Tensor Metrics for the Diagnosis of a Myelopathic Cord Using Machine Learning.

Int J Neural Syst 2018 Mar 16;28(2):1750036. Epub 2017 Jul 16.

3 Department of Systems Engineering and Engineering Management, City University of Hong Kong, Kowloon, Hong Kong.

In this study, we propose an automated framework that combines diffusion tensor imaging (DTI) metrics with machine learning algorithms to accurately classify control groups and groups with cervical spondylotic myelopathy (CSM) in the spinal cord. The comparison between selected voxel-based classification and mean value-based classification were performed. A support vector machine (SVM) classifier using a selected voxel-based dataset produced an accuracy of 95. Read More

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http://dx.doi.org/10.1142/S0129065717500368DOI Listing
March 2018
4 Reads