Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Abstract Objective To evaluate the clinicoradiologic conditions of patients with a herniated cervical disk who were treated with percutaneous endoscope-assisted cervical diskectomy. Materials and Methods The medical data of 27 patients (16 men and 11 women; mean age: 40.9 years) who were operated on with the posterior endoscope-assisted cervical diskectomy method were reviewed retrospectively. The mean follow-up was 35.1 months, and the patients were assessed with combined preoperative and postoperative visual analog scale (VAS), Prolo Functional Economic Outcome Rating scale, MacNab scale, and clinical imaging. Results The mean preoperative VAS level was 8.6 (range: 7–10), and mean Prolo score was 2.5 (range: 2–5). A postoperative assessment performed 1 week postsurgery found a mean VAS level of 2.1 (range: 0–4). At the final examination, the mean VAS level was 0.81 (range: 0–3), and the mean Prolo score was 4.5 (range: 3–5). The final MacNab scale scores were 62.9%, excellent; 25.9%, good; 7.4%, moderate; and 3.7%, poor. Conclusion Percutaneous endoscope-assisted cervical diskectomy is a suitable and effective treatment method for soft cervical disk herniation.

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Treatment of Acute Acromioclavicular Joint Injuries Using AO Hook Locking Plate

Clinics in Shoulder and Elbow ◽

10.5397/cise.2014.17.3.114 ◽

2014 ◽

Vol 17 (3) ◽

pp. 114-119 ◽

Cited By ~ 1

Author(s):

Kyung Cheon Kim ◽

Yoo Sun Jeon

Keyword(s):

Los Angeles ◽

Acromioclavicular Joint ◽

Locking Plate ◽

Rating Scale ◽

Treatment Method ◽

Unaffected Side ◽

Joint Injuries ◽

Coracoclavicular Distance ◽

The Mean

BACKGROUND: To evaluate clinical and radiological outcome using AO hook locking plate in acute acromioclavicular joint injuries.METHODS: This study was based on patients with Rockwood type 3 or 5 acromioclavicular joint injuries who received surgery with AO hook locking plate from June 2008 until June 2009. Among the 22 patients, 19 of them were male and 3 were female, the mean age was 44.4 +/- 15.57 years (20-72 years) and follow-up period was 15.5 +/- 3.90 months (12-23 months). Preoperatively, postoperatively, and at the final follow-up after the plate removal, both coracoclavicular distances were measured from the anteroposterior radiograph. Also, the Shoulder Rating Scale of the University of California at Los Angeles scores (UCLA scores), the American Shoulder and Elbow Surgeons scores (ASES scores), Constant scores, and the Korean Shoulder Society scores (KSS scores) were measured at the final follow-up to evaluate the function of the shoulder joint.RESULTS: At the time of injury, the mean coracoclavicular distance of the injured side was 17.69 +/- 4.23 mm (9.57-27.82 mm) and the unaffected side was 7.55 +/- 2.20 mm (3.24-13.05 mm). The mean coracoclavicular distance measured postoperatively and at the final follow-up was 6.87 +/- 2.34 mm (4.07-14.13 mm) and 8.47 +/- 2.96 mm (4.37-17.48 mm), respectively. The mean UCLA, ASES, Constant, and KSS scores measured in the final follow-up were 33.5 +/- 1.30 (31-35), 90.8 +/- 8.36 (72-100), 78.6 +/- 8.80 (62-100), and 94.4 +/- 5.08 (84-100) each.CONCLUSIONS: From this short-term research, the surgical treatment using AO hook locking plates in acute acromioclavicular joint injuries is clinically and radiographically satisfying and considered as a useful treatment method.

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Outcomes From Magnetic Resonance Imaging–Confirmed Symptomatic Cervical Disk Herniation Patients Treated With High-Velocity, Low-Amplitude Spinal Manipulative Therapy: A Prospective Cohort Study With 3-Month Follow-Up

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2013.07.002 ◽

2013 ◽

Vol 36 (8) ◽

pp. 461-467 ◽

Cited By ~ 13

Author(s):

Cynthia K. Peterson ◽

Christof Schmid ◽

Serafin Leemann ◽

Bernard Anklin ◽

B. Kim Humphreys

Keyword(s):

Magnetic Resonance Imaging ◽

Cohort Study ◽

Spinal Manipulative Therapy ◽

Resonance Imaging ◽

Disk Herniation ◽

Manipulative Therapy ◽

Cervical Disk Herniation ◽

Low Amplitude ◽

Cervical Disk

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High resolution CT of cervical disk herniation: the value of intravenous contrast enhancement

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1991.27.2.213 ◽

1991 ◽

Vol 27 (2) ◽

pp. 213

Author(s):

Heoung Keun Kang ◽

Yong Yeun Jeong ◽

Won Jee Lee ◽

Jae Kyu Kim ◽

Jin Gyoon Park ◽

...

Keyword(s):

High Resolution ◽

Contrast Enhancement ◽

Disk Herniation ◽

Intravenous Contrast ◽

High Resolution Ct ◽

Cervical Disk Herniation ◽

Cervical Disk

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Long-term outcome of pallidal stimulation for Meige syndrome

Journal of Neurosurgery ◽

10.3171/2017.7.jns17323 ◽

2018 ◽

Vol 130 (1) ◽

pp. 84-89 ◽

Cited By ~ 8

Author(s):

Shiro Horisawa ◽

Taku Ochiai ◽

Shinichi Goto ◽

Takeshi Nakajima ◽

Nobuhiko Takeda ◽

...

Keyword(s):

Rating Scale ◽

Small Scale ◽

Initial Symptom ◽

Long Term Outcome ◽

Time Points ◽

Meige Syndrome ◽

Pallidal Stimulation ◽

The Mean

OBJECTIVEMeige syndrome is characterized by blepharospasm and varied subphenotypes of craniocervical dystonia. Current literature on pallidal surgery for Meige syndrome is limited to case reports and a few small-scale studies. The authors investigated the clinical outcomes of deep brain stimulation (DBS) of the globus pallidus internus (GPi) in patients with Meige syndrome.METHODSSixteen patients who underwent GPi DBS at the Tokyo Women’s Medical University Hospital between 2002 and 2015 were included in this study. Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) movement subscale (BFMDRS-M) scores (range 0–120) obtained at the following 3 time points were included in this analysis: before surgery, 3 months after surgery, and at the most recent follow-up evaluation.RESULTSThe patients’ mean age (± SD) at symptom onset was 46.7 ± 10.1 years, and the mean disease duration at the time of the authors’ initial evaluation was 5.9 ± 4.1 years. In 12 patients, the initial symptom was blepharospasm, and the other 4 patients presented with cervical dystonia. The mean postoperative follow-up period was 66.6 ± 40.7 months (range 13–150 months). The mean total BFMDRS-M scores at the 3 time points were 16.3 ± 5.5, 5.5 ± 5.6 (66.3% improvement, p < 0.001), and 6.7 ± 7.3 (58.9% improvement, p < 0.001).CONCLUSIONSThe results indicate long-term efficacy for GPi DBS for the majority of patients with Meige syndrome.

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Surgical Management of Cervical Disk Herniation

Spinal Disorders and Treatments: The NYU-HJD Comprehensive Textbook ◽

10.5005/jp/books/12544_43 ◽

2015 ◽

pp. 301-301

Author(s):

Jonathan Stieber ◽

Kseniya Slobodyanyuk

Keyword(s):

Surgical Management ◽

Disk Herniation ◽

Cervical Disk Herniation ◽

Cervical Disk

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Diagnosis: Cervical Disk Herniation

Musculoskeletal Manual Medicine ◽

10.1055/b-0034-72442 ◽

2008 ◽

Keyword(s):

Disk Herniation ◽

Cervical Disk Herniation ◽

Cervical Disk

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A Prospective Pilot Study of Levetiracetam for Body Dysmorphic Disorder

CNS Spectrums ◽

10.1017/s1092852900025414 ◽

2009 ◽

Vol 14 (5) ◽

pp. 252-260 ◽

Cited By ~ 26

Author(s):

Katharine A. Phillips ◽

William Menard

Keyword(s):

Pilot Study ◽

Body Dysmorphic Disorder ◽

Rating Scale ◽

Primary Outcome Measure ◽

Obsessive Compulsive ◽

Open Label ◽

Double Blind ◽

The Social ◽

Scale Scores ◽

The Mean

ABSTRACTIntroduction: Body dysmorphic disorder (BDD) is an often severe disorder, but few treatment studies have been conducted.Objective: This pilot study explored the efficacy and safety of the antiepileptic medication levetiracetam for BDD.Methods: Seventeen subjects with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition BDD participated in a 12-week open-label levetiracetam trial. Subjects were assessed at regular intervals with standard measures.Results: In intent-to-treat analyses, scores on the Yale-Brown Obsessive Compulsive Scale Modified for BDD (BDD-YBOCS), the primary outcome measure, decreased from 32.5±4.7 at baseline to 21.5±11.0 at endpoint (P<.001). Approximately 60% (n=9) of subjects were responders (≥30% decrease on the BDD-YBOCS). The mean time to response was 4.6±2.8 (range: 2-10) weeks. Scores also significantly improved on the Brown Assessment of Beliefs Scale, the Hamilton Rating Scale for Depression, the Global Assessment of Functioning Scale, and the Social and Occupational Functioning Assessment Scale. Scores did not significantly improve on the Quality of Life Enjoyment and Satisfaction Questionnaire, the Beck Anxiety Inventory, or the Social Phobia Inventory. The mean endpoint dose of levetiracetam was 2,044.1±1,065.2 (range: 250–3,000) mg/day, and it was relatively well-tolerated.Conclusion: Randomized, double-blind placebo-controlled studies of levetiracetam for BDD are needed to confirm these preliminary findings.

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The influence of approach side on facet preservation in microscopic bilateral decompression via a unilateral approach for degenerative lumbar scoliosis

Journal of Neurosurgery Spine ◽

10.3171/2010.5.spine091001 ◽

2010 ◽

Vol 13 (6) ◽

pp. 758-765 ◽

Cited By ~ 20

Author(s):

Akira Matsumura ◽

Takashi Namikawa ◽

Hidetomi Terai ◽

Tadao Tsujio ◽

Akinobu Suzuki ◽

...

Keyword(s):

Clinical Outcomes ◽

Recovery Rate ◽

Japanese Orthopaedic Association ◽

Spinal Instability ◽

Degenerative Lumbar Scoliosis ◽

Lumbar Scoliosis ◽

Unilateral Approach ◽

Scale Scores ◽

The Mean

Object The authors compared the clinical outcomes of microscopic bilateral decompression via a unilateral approach (MBDU) for the treatment of degenerative lumbar scoliosis (DLS) and for lumbar canal stenosis (LCS) without instability. The authors also compared postoperative spinal instability in terms of different approach sides (concave or convex) following the procedure. Methods The authors retrospectively reviewed data obtained in 50 consecutive patients (25 in the DLS group and 25 in the LCS group) who underwent MBDU; the minimum follow-up period was 2 years. Patients with DLS were divided into 2 subgroups according to the surgical approach side: a concave group (23 segment) and a convex group (17 segments). The Japanese Orthopaedic Association Scale scores for the assessment of low-back pain were evaluated before surgery and at final follow-up. The Japanese Orthopaedic Association Scale scores and recovery rates were compared between the DLS and LCS groups, and between the convex and concave groups. Cobb angle and scoliotic wedging angle (SWA) were evaluated on standing radiographs before surgery and at final follow-up. Facet joint preservation (the percentage of preservation) was assessed on pre- and postoperative CT scans, compared between the LCS and DLS groups, and compared between the concave and convex groups. The influence of approach side on postoperative progression of segmental instability was also examined in the DLS group. Results The mean recovery rate was 58.7% in the DLS and 62.0% in the LCS group. The mean recovery rate was 58.6% in the convex group and 60.6% in the concave group. There were no significant differences in recovery rates between the LCS and DLS groups, or between the DLS subgroups. The mean Cobb angles in the DLS group were significantly increased from 12.7° preoperatively to 14.1° postoperatively (p < 0.05), and mean preoperative SWAs increased significantly from 6.2° at L3–4 and 4.1° at L4–5 preoperatively to 7.4° and 4.9°, respectively, at final follow-up (p < 0.05). There was no significant difference in percentage of preservation between the DLS and LCS groups. The mean percentages of preservation on the approach side in the DLS group at L3–4 and L4–5 were 89.0% and 83.1% in the convex group, and those in the concave group were 67.3% and 77.6%, respectively. The percentage of preservation at L3–4 was significantly higher in the convex than the concave group. The mean SWA had increased in the concave group (p = 0.01) but not the convex group (p = 0.15) at final follow-up. Conclusions The MBDU can reduce postoperative segmental spinal instability and achieve good postoperative clinical outcomes in patients with DLS. The convex approach provides surgeons with good visibility and improves preservation of facet joints.

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A randomized controlled trial with 4-month follow-up of adjunctive repetitive transcranial magnetic stimulation of the left prefrontal cortex for depression

Psychological Medicine ◽

10.1017/s0033291707001663 ◽

2007 ◽

Vol 38 (3) ◽

pp. 323-333 ◽

Cited By ~ 52

Author(s):

A. Mogg ◽

G. Pluck ◽

S. V. Eranti ◽

S. Landau ◽

R. Purvis ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Magnetic Stimulation ◽

Sham Group ◽

Rating Scale ◽

Repetitive Transcranial Magnetic Stimulation ◽

Controlled Trial ◽

Randomized Controlled ◽

Real Group ◽

The Mean

BackgroundEffectiveness of repetitive transcranial magnetic stimulation (rTMS) for major depression is unclear. The authors performed a randomized controlled trial comparing real and sham adjunctive rTMS with 4-month follow-up.MethodFifty-nine patients with major depression were randomly assigned to a 10-day course of either real (n=29) or sham (n=30) rTMS of the left dorsolateral prefrontal cortex (DLPFC). Primary outcome measures were the 17-item Hamilton Depression Rating Scale (HAMD) and proportions of patients meeting criteria for response (⩾50% reduction in HAMD) and remission (HAMD⩽8) after treatment. Secondary outcomes included mood self-ratings on Beck Depression Inventory-II and visual analogue mood scales, Brief Psychiatric Rating Scale (BPRS) score, and both self-reported and observer-rated cognitive changes. Patients had 6-week and 4-month follow-ups.ResultsOverall, Hamilton Depression Rating Scale (HAMD) scores were modestly reduced in both groups but with no significant group×time interaction (p=0.09) or group main effect (p=0.85); the mean difference in HAMD change scores was −0.3 (95% CI −3.4 to 2.8). At end-of-treatment time-point, 32% of the real group were responders compared with 10% of the sham group (p=0.06); 25% of the real group met the remission criterion compared with 10% of the sham group (p=0.2); the mean difference in HAMD change scores was 2.9 (95% CI −0.7 to 6.5). There were no significant differences between the two groups on any secondary outcome measures. Blinding was difficult to maintain for both patients and raters.ConclusionsAdjunctive rTMS of the left DLPFC could not be shown to be more effective than sham rTMS for treating depression.

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