The impact of a cervical spine radiographic protocol on cost and prophylactic spinal immobilization

1989 ◽  
Vol 18 (4) ◽  
pp. 453 ◽  
Author(s):  
SGA Gabram ◽  
RJ Schwartz ◽  
LM Jacobs
Keyword(s):  
Cervical Spine ◽  
Spinal Immobilization ◽  
The Impact

scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

scholarly journals Removal of the Long Spine Board From Clinical Practice: A Historical Perspective

2018 ◽  
Vol 53 (8) ◽  
pp. 752-755
Author(s):  
Francis X. Feld
Keyword(s):  
Cervical Spine ◽  
Historical Perspective ◽  
Spinal Injury ◽  
Position Statement ◽  
Spinal Motion ◽  
Initial Management ◽  
Injury Management ◽  
Spinal Immobilization ◽  
Growing Body ◽  
Spine Board

Since the early 1970s, initial management of patients with suspected spinal injuries has involved the use of a cervical collar and long spine board for full immobilization, which was thought to prevent additional injury to the cervical spine. Despite a growing body of literature demonstrating the detrimental effects and questionable efficacy of spinal immobilization, the practice continued until 2013, when the National Association of EMS Physicians issued a position statement calling for a reduction in the use of spinal immobilization and a shift to spinal-motion restriction. This article examines the literature that prompted the change in spinal-injury management and the virtual elimination of the long spine board as a tool for transport.

The Impact of Comorbid Mental Health Disorders on Complications Following Cervical Spine Surgery With Minimum 2-Year Surveillance

Spine ◽  
2018 ◽  
Vol 43 (21) ◽  
pp. 1455-1462 ◽  
Author(s):  
Bassel G. Diebo ◽  
Joshua D. Lavian ◽  
Shian Liu ◽  
Neil V. Shah ◽  
Daniel P. Murray ◽  
...  
Keyword(s):  
Mental Health ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Mental Health Disorders ◽  
Cervical Spine Surgery ◽  
Health Disorders ◽  
The Impact

scholarly journals Impact of Predominant Arm Pain vs Neck Pain on 12-Month Outcomes Following Elective Cervical Spine Surgery: Analysis From the Quality Outcomes Database (QOD)

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Clinton J Devin ◽  
Mohamad Bydon ◽  
Mohammed A Alvi ◽  
Anshit Goyal ◽  
Panagiotis Kerezoudis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Degenerative Spine ◽  
Quality Outcomes ◽  
Degenerative Spine Disease ◽  
Arm Pain ◽  
Spine Registry ◽  
Pain Location ◽  
The Impact ◽  
Spine Disease

Abstract INTRODUCTION The impact of the type of pain presentation on outcomes of spine surgery remains elusive. The severity of symptoms is a critical determinant for decision to operate among such patients. Herein, we present an analysis of the impact of predominant symptom location (arm pain vs neck pain) on postoperative improvement in patient reported outcomes. METHODS The Quality Outcomes Database (QOD) cervical spine registry was queried for patients undergoing 1 to 2 level ACDF for degenerative spine disease. Multivariable (MV) regression was performed to assess the impact of predominant pain location (arm pain vs neck pain vs equal arm and neck pain) on the following 12 mo outcomes following surgery-NASS satisfaction, Neck Disability Index (NDI) and return to work. RESULTS A total of 9277 patients were included in the final analysis. Of these, 18.4% (n = 1705) presented with predominant arm pain, 32.3% (n = 2994) presented with predominant neck pain, and 49.3% (n = 4578) presented with equal neck and arm pain. On MV analysis, patients with predominant neck pain were found to have lower odds of being satisfied at 1 yr following surgery (OR = 0.73, CI: 0.62-0.98, P < .001) while predominant arm pain was not significantly associated (OR = 1.04, CI: 0.6-1.4, P = .55, ref = equal neck and arm pain). On MV linear regression, patients with predominant neck pain had higher (worse) 12 mo NDI (Coef: 0.24, CI: 0.15-0.33, P < .0001) while predominant arm pain was not significantly associated with 12 mo NDI. Predominant arm pain (OR = 0.77, CI:0.64-1.02, P = .06) or neck pain (OR = 1.04, CI: 0.82-1.33, P = .6) were not significantly associated with return to work at 1 yr. CONCLUSION Analysis from a national spine registry suggests predominant pain location (arm pain vs neck pain) might be a significant determinant of improvement in functional outcomes and patient satisfaction following anterior cervical discectomy and fusion for degenerative spine disease.

The Impact of a Cervical Spine Diagnosis on the Careers of National Football League Athletes

Spine ◽  
2014 ◽  
Vol 39 (12) ◽  
pp. 947-952 ◽  
Author(s):  
Gregory D. Schroeder ◽  
T. Sean Lynch ◽  
Daniel B. Gibbs ◽  
Ian Chow ◽  
Mark W. LaBelle ◽  
...  
Keyword(s):  
Cervical Spine ◽  
National Football League ◽  
The Impact

The impact of minimally invasive cervical spine surgery

2004 ◽  
Vol 1 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Tim E. Adamson
Keyword(s):  
Cervical Spine ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Cervical Radiculopathy ◽  
Foraminal Stenosis ◽  
Content Type ◽  
Cervical Spine Surgery ◽  
The Impact ◽  
Safe Treatment Option ◽  
Fine Print

✓ Since 1997, cervical endoscopic laminoforaminotomy (CELF) has been an effective and safe treatment option for unilateral cervical radiculopathy secondary to disc herniation or foraminal stenosis. The development of the surgical technique is reviewed and recent outcomes discussed. Its impact is addressed in relation to the patient and surgeon.

Cartilage Thickness Distribution Affects Computational Model Predictions of Cervical Spine Facet Contact Parameters

2010 ◽  
Vol 133 (1) ◽  
Author(s):  
Wesley Womack ◽  
Ugur M. Ayturk ◽  
Christian M. Puttlitz
Keyword(s):  
Finite Element ◽  
Cervical Spine ◽  
Articular Cartilage ◽  
Cartilage Thickness ◽  
Implant Design ◽  
Lower Cervical Spine ◽  
Model Predictions ◽  
Geometric Representations ◽  
Spatially Varying ◽  
The Impact

With motion-sparing disk replacement implants gaining popularity as an alternative to anterior cervical discectomy and fusion (ACDF) for the treatment of certain spinal degenerative disorders, recent laboratory investigations have studied the effects of disk replacement and implant design on spinal kinematics and kinetics. Particularly relevant to cervical disk replacement implant design are any postoperative changes in solid stresses or contact conditions in the articular cartilage of the posterior facets, which are hypothesized to lead to adjacent-level degeneration. Such changes are commonly investigated using finite element methods, but significant simplification of the articular geometry is generally employed. The impact of such geometric representations has not been thoroughly investigated. In order to assess the effects of different models of cartilage geometry on load transfer and contact pressures in the lower cervical spine, a finite element model was generated using cadaver-based computed tomography imagery. Mesh resolution was varied in order to establish model convergence, and cadaveric testing was undertaken to validate model predictions. The validated model was altered to include four different geometric representations of the articular cartilage. Model predictions indicate that the two most common representations of articular cartilage geometry result in significant reductions in the predictive accuracy of the models. The two anatomically based geometric models exhibited less computational artifact, and relatively minor differences between them indicate that contact condition predictions of spatially varying thickness models are robust to anatomic variations in cartilage thickness and articular curvature. The results of this work indicate that finite element modeling efforts in the lower cervical spine should include anatomically based and spatially varying articular cartilage thickness models. Failure to do so may result in loss of fidelity of model predictions relevant to investigations of physiological import.

scholarly journals The Impact of Ossification Spread on Cervical Spine Function in Patients With Ossification of The Posterior Longitudinal Ligament

2021 ◽  
Author(s):  
Keiichi Katsumi ◽  
Takashi Hirai ◽  
Toshitaka Yoshii ◽  
Satoshi Maki ◽  
Kanji Mori ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Multicenter Study ◽  
Japanese Orthopaedic Association ◽  
Posterior Longitudinal Ligament ◽  
Multivariate Regression Analysis ◽  
Adverse Outcomes ◽  
Prospective Multicenter Study ◽  
Spine Function ◽  
Whole Spine ◽  
The Impact

Abstract Ossification of the posterior longitudinal ligament (OPLL) is a progressive disease. The bridging of ossified lesions to the vertebral body gradually increases, thereby decreasing the mobility of the cervical spine; thus, cervical spine function may decrease over time. However, cervical spine function in patients with cervical OPLL has not been evaluated in large prospective studies. Therefore, we conducted a prospective multicenter study to clarify whether ossification spread can influence cervical spine function and quality of life (QOL) in patients with cervical OPLL. In total, 238 patients (162 men, 76 women; mean age, 63.9 years) were enrolled from 16 institutions. Each patient underwent whole spine computed tomography and was evaluated cervical spine function and QOL using the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). In the multivariate regression analysis, a higher neck VAS score and a larger number of bridge formations of OPLL in the whole spine were significant predictors of adverse outcomes related to cervical spine function. This is the first prospective multicenter study to reveal the impact of ossification spread on cervical spine function. These findings are important to understand the natural course of OPLL and can serve as controls when evaluating postoperative cervical spine function.

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