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Diagnosis and Management of Cervical Spondylosis

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Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management.

Johnathon R McCormick, Andrew J Sama, Nicholas C Schiller, Alexander J Butler, Chester J Donnally,

Cervical spondylotic myelopathy (CSM) is a neurologic condition that develops insidiously over time as degenerative changes of the spine result in compression of the cord and nearby structures. It is the most common form of spinal cord injury in adults; yet, its diagnosis is often delayed. The purpose of this ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2020, 33(2):303-313]

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Compression of the S1 Nerve Root by an Extradural Vascular Malformation: A Case Report and Discussion of Atypical Causes of Lumbar Radiculopathy.

Jeffrey Thompson, Robert K Merrill, Sheeraz A Qureshi, Dante M Leven,

We present a case of lumbar radiculopathy due to a vascular malformation in the lumbar spine and discuss various causes of atypical lumbar radiculopathy. Lumbar radiculopathy is a condition of neurologic deficits and painful symptoms of the lower extremities due to nerve root compression, most commonly at the L5 and ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):96-101]

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International Society for the Advancement of Spine Surgery Guideline-Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain.

Morgan Lorio, Olivier Clerk-Lamalice, Douglas P Beall, Terrence Julien,

This International Society for the Advancement of Spine Surgery guideline is generated to respond to growing requests for background, supporting literature and evidence, and proper coding for intraosseous ablation of the basivertebral nerve for chronic low back pain. ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):18-25]

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Thunder-Fire Moxibustion for Cervical Spondylosis: A Systematic Review and Meta-Analysis.

Ruina Huang, Yunxuan Huang, Ruijia Huang, Shaofen Huang, Xiaojun Wang, Xiaojiang Yu, Danghan Xu, Xinghua Chen,

Background:Cervical spondylosis (CS) refers to the degenerative changes in the cervical spinal column, which affect the majority of middle-aged and elderly people. Thunder-fire moxibustion originated from thunder-fire miraculous needle, which has been applied widely for treating pain syndromes for thousands of years. The aim of our research is to provide ... Read more >>

Evid Based Complement Alternat Med (Evidence-based Complementary and Alternative Medicine : eCAM)
[2020, 2020:5816717]

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International Society for the Advancement of Spine Surgery Policy 2019-Surgical Treatment of Lumbar Disc Herniation with Radiculopathy.

Morgan Lorio, Choll Kim, Ali Araghi, Jason Inzana, James J Yue,

Lumbar disc herniation (LDH) is a frequent cause of low back pain and radiculopathy, disability, and diminution in quality of life. While nonsurgical care remains the mainstay of initial treatment, symptoms that persist for prolonged periods of time are well treated with discectomy surgery. A large body of evidence shows ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):1-17]

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The value of dynamic MRI in the treatment of cervical spondylotic myelopathy: a protocol for a prospective randomized clinical trial.

Nanfang Xu, Youyu Zhang, Guangjin Zhou, Qiang Zhao, Shaobo Wang,

BACKGROUND:Cervical spondylotic myelopathy (CSM) is the most severe type of cervical spondylosis and the most common cause of spinal cord dysfunction among adults over 55 years old. MRI plays an important role in the diagnosis and evaluation of CSM, which can directly demonstrate the correlation between disc, spinal cord, posterior structures ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):83]

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Lateral Position versus Prone Position for Cervical Laminoplasty: A Retrospective Comparative Study.

Lin Du, Yanzheng Gao, Kun Gao, Guang Yang, Shanjun Gao,

Purpose:To examine the safety of lateral decubitus positions for cervical laminoplasty. Patients and Methods:A retrospective comparative study was conducted on the safety between the lateral and prone positions in cervical laminoplasty. After screening, 466 patients who underwent cervical laminoplasty at a single medical center were enrolled and categorized into the ... Read more >>

Ther Clin Risk Manag (Therapeutics and clinical risk management)
[2020, 16:133-140]

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The Influence of Depression on Health Care Expenditures Among Adults with Spondylosis, Intervertebral Disc Disorders, and Other Back Problems in the United States.

Jawad Bilal, Adam Berlinberg, Jaren Trost, Irbaz Bin Riaz, Sandipan Bhattacharjee,

BACKGROUND:Back pain is a very prevalent complaint, affecting two-thirds of the US population, and it accounts for $100 billion annually in health care expenditures. The occurrence of depression has been reported in existing literature among patients with back pain, but there is limited information regarding health care expenditures among patients ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(2):e45-e53]

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Degenerative Cervical Myelopathy: A Brief Review of Past Perspectives, Present Developments, and Future Directions.

Aria Nouri, Joseph S Cheng, Benjamin Davies, Mark Kotter, Karl Schaller, Enrico Tessitore,

Degenerative cervical myelopathy (DCM) is the most common cause of spinal cord injury in developed countries; its prevalence is increasing due to the ageing of the population. DCM causes neurological dysfunction and is a significant cause of disability in the elderly. It has important negative impacts on the quality of ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(2):]

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Dysphagia in a Young Adult: Rare Case of Giant Cervical Osteophyte.

Abhinandan Reddy Mallepally, Vikas Tandon, Harvinder Singh Chhabra,

Cervical osteophytes may be seen in diffuse idiopathic skeletal hyperostosis, ankylosing spondylitis, posttraumatic, postoperative, degenerative causes, cervical spondylosis, and infectious spondylitis. A cervical osteophyte is very rarely considered among the differentials for symptoms of dysphagia. C5-C6 as well as C6-C7 being a site of greater load-bearing and mobility, the propensity ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2020, 15(1):218-221]

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Quantitative analysis of medical students' and physicians' knowledge of degenerative cervical myelopathy.

Mueez Waqar, Jane Wilcock, Jayne Garner, Benjamin Davies, Mark Kotter,

OBJECTIVES:We have previously identified a delay in general practitioner (GP) referrals for patients with degenerative cervical myelopathy (DCM). The aim of this study was to evaluate whether an education gap existed for DCM along the GP training pathway by quantitatively assessing training in, and knowledge of, this condition. DESIGN:Gap analysis: ... Read more >>

BMJ Open (BMJ open)
[2020, 10(1):e028455]

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Epidural Steroid Injection-Induced Pancreatitis: A Case Report.

Kaja Richard, Garrett Waggoner, Matthew Donnan, Kwabena Ayesu, Mario Madruga, Steve J Carlan,

BACKGROUND Degenerative disc disease of the lumbar spine can be associated with spinal canal and neuroforaminal stenosis, resulting in severe pain. Conservative approaches to treatment are generally recommended initially, especially in the elderly. Epidural corticosteroid injections can provide significant but temporary pain relief and are a commonly performed procedure in ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e921241]

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Hirayama Disease: A Case of an Albanian Woman Clinically Stabilized Without Surgery.

Annibale Antonioni, Mattia Fonderico, Enrico Granieri,

Hirayama Disease (HD) is a rare clinical condition that usually affects young people with preference for Asian males. It appears with unilateral distal amyotrophy or asymmetric bilateral amyotrophy of an upper limb which is to refer to an involvement of the spinal metamers C7-C8-T1. A clinical case of a female ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:]

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The Neural Sulcus of the Cervical Vertebrae: A Review of Its Anatomy and Surgical Perspectives.

Neil Joshi, Neil Klinger, Dia R Halalmeh, R Shane Tubbs, Marc D Moisi,

The neural sulcus is a bony channel that spans the transverse process in the subaxial cervical spine. It is located between the anterior and posterior tubercles on either side of the transverse foramen, housing the spinal nerve as it passes through the intervertebral foramina. Although numerous studies have evaluated the ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6693]

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Thunder-fire moxibustion for cervical spondylotic radiculopathy: Study protocol for a randomized controlled trial.

Yunxuan Huang, Jiabi Zhang, Buhui Xiong, Ruina Huang, Wenjing Zhao, Mengxue Zhou, Qi Chen, Danghan Xu, Xinghua Chen,

BACKGROUND:Thunder-fire moxibustion originated in China and contains traditional Chinese medicine. It can produce strong firepower, infrared thermal radiation, and medicinal effects when burning on the acupoints. Thunder-fire moxibustion is commonly used in patients with neck pain, but its efficacy has rarely been systematically demonstrated. We designed a randomized trial of ... Read more >>

Trials (Trials)
[2020, 21(1):143]

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Os Odontoideum in Children.

Daniel J Hedequist, Andrew Z Mo,

Os odontoideum is a rare entity of the second cervical vertebra, characterized by a circumferentially corticated ossicle separated from the body of C2. The ossicle is a distinct entity from an odontoid fracture or a persistent ossiculum terminale. The diagnosis may be made incidentally on imaging obtained for the workup ... Read more >>

J Am Acad Orthop Surg (The Journal of the American Academy of Orthopaedic Surgeons)
[2020, 28(3):e100-e107]

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Rapid spontaneous resolution of lumbar ganglion cysts: A case report.

Vito Chiarella, Alessandro Ramieri, Marco Giugliano, Maurizio Domenicucci,

BACKGROUND:To discuss the rare event of spontaneous resolution of a lumbar ganglion cyst, a personal case report and 25 cases culled from the literature were described in detail. We focused on demographic, classification, clinical and radiological findings, treatment, outcome and radiological resolution. CASE SUMMARY:A 51-year-old man presented to our observation ... Read more >>

World J Orthop (World journal of orthopedics)
[2020, 11(1):68-75]

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Pulsed Radiofrequency of C2 Dorsal Root Ganglion Under Ultrasound-Guidance and CT Confirmed for Chronic Headache: Follow-Up of 20 Cases and Literature Review.

Jun Li, Yan Yin, Ling Ye, Yunxia Zuo,

Background:Chronic headache is common but difficult to treat. Most patients respond poorly to drugs. Nerve block is an effective treatment but has no continuous effect. The pulsed radiofrequency (PRF) technique has been shown to be effective in relieving head pain and extending the effect of nerve block. Objective:The purpose of ... Read more >>

J Pain Res (Journal of Pain Research)
[2020, 13:87-94]

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Misdirected Patients in Orthopedic Outpatient Clinics: A Retrospective Four Years Data Analysis (23435 Patients).

Syed Muhammad Azfar, Manal Abdulaziz Murad, Syeda Azim, Mukhtiar Baig,

Objective To identify the frequency of misdirected patients in orthopedic outpatient clinics. Methodology This was a retrospective study done in a private hospital of Jeddah. Computer records of patients attending the orthopedic outpatient department (OPD) during the period of 2013-2017 were collected. Data were analysed using IBM SPSS version 23 (IBM ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6526]

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Development and Biomechanical Study of a New Open Dynamic Anterior Cervical Nail Plate System.

Xiao-Feng Zhao, Yi-Bo Zhao, Xiang-Dong Lu, Wen-Xuan Wang, De-Tai Qi, Xu Yang, Xiao-Nan Wang, Run-Tian Zhou, Yuan-Zhang Jin, Bin Zhao,

OBJECTIVE:To develop a new type of open dynamic cervical spine system and study its biomechanical properties. METHODS:Ten fresh goat spine specimens were used in this study. Using high precision digital display grating displacement sensor system, a new type of open dynamic nail plate fixation was compared with Atlantis nail plate ... Read more >>

Orthop Surg (Orthopaedic surgery)
[2020, 12(1):254-261]

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An Algorithmic Approach to Treating Lumbar Spinal Stenosis: An Evidenced-Based Approach.

Sudhir Diwan, Dawood Sayed, Timothy R Deer, Amber Salomons, Kevin Liang,

OBJECTIVE:Lumbar spinal stenosis (LSS) can lead to compression of the neural and vascular elements and is becoming more common due to degenerative changes that occur because of aging processes. Symptoms may manifest as pain and discomfort that radiates to the lower leg, thigh, and/or buttocks. The traditional treatment algorithm for ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2019, 20(Suppl 2):S23-S31]

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Lumbar Degenerative Disease Part 1: Anatomy and Pathophysiology of Intervertebral Discogenic Pain and Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series and Review of Literature.

Hyeun Sung Kim, Pang Hung Wu, Il-Tae Jang,

Degenerative disc disease is a leading cause of chronic back pain in the aging population in the world. Sinuvertebral nerve and basivertebral nerve are postulated to be associated with the pain pathway as a result of neurotization. Our goal is to perform a prospective study using radiofrequency ablation on sinuvertebral ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2020, 21(4):]

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Modified C7 pedicle subtraction osteotomy for the correction of cervicothoracic kyphosis.

Yichen Meng, Jun Ma, Lun Shu, Jia Yin, Rui Gao, Ce Wang, Xuhui Zhou,

BACKGROUND:Osteotomies in the cervical spine are technically challenging. The purpose of this study was to evaluate the feasibility of the modified pedicle subtraction osteotomy (PSO) technique at C7 to be used for the treatment of cervicothoracic kyphosis secondary to ankylosing spondylitis. METHODS:A total of 120 cervical spine computed tomography (CT) ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):28]

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Demographics of Patients Undergoing Carpal Tunnel Release in an Urban Tertiary Hospital in Malaysia.

A S Bahar-Moni, S Abdullah, H Fauzi, S Y Chee-Yuen, F Z Abdul-Razak, J Sapuan,

Introduction: Carpal tunnel syndrome (CTS) is the most commonly encountered neuropathy. The entrapment of the median nerve at the wrist can be corrected with a carpal tunnel release (CTR) procedure. The objective of this retrospective study was to determine the demographic, medical, and surgical characteristics of the patients with CTS ... Read more >>

Malays Orthop J (Malaysian orthopaedic journal)
[2019, 13(3):53-59]

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A Review of Lumbar Spinal Stenosis with Intermittent Neurogenic Claudication: Disease and Diagnosis.

Timothy Deer, Dawood Sayed, John Michels, Youssef Josephson, Sean Li, Aaron K Calodney,

OBJECTIVE:Lumbar spinal stenosis (LSS) is a degenerative spinal condition affecting nearly 50% of patients presenting with lower back pain. The goal of this review is to present and summarize the current data on how LSS presents in various populations, how it is diagnosed, and current therapeutic strategies. Properly understanding the ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2019, 20(Suppl 2):S32-S44]

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