Radiological Changes in the Cervical Spine in Freshman Collegiate Sumo Wrestlers

Background: Sumo has long been a traditional sport in Japan and is rapidly attracting enthusiasts abroad. Sumo wrestling entails a risk of impact to the cervical spine during an initial charge. Few reports are available in the English-language literature regarding radiological changes in the cervical spine in sumo wrestlers. Purpose: To examine radiological changes in the cervical spine in freshmen collegiate sumo wrestlers. Study Design: Case series; Level of evidence, 4. Methods: A total of 53 freshmen sumo wrestlers (age, 18-19 years) who belonged to the Japan Sumo Federation underwent routine radiographic examination of the cervical spine and completed questionnaires on cervical symptoms. Results: Of the 53 wrestlers, 81% showed loss of lordosis, 45% showed osteophyte formation (mainly at C3-C4), 11% showed disc space narrowing (mainly at C5-C6), and 51% showed narrowing of the cervical nerve root foramina (mainly at C3-C4). Fifty-one percent had some cervical symptoms. A correlation was found between deformity of the cervical bodies (such as intervertebral disc ballooning) and cervical symptoms, but no correlation was found between cervical degenerative changes and cervical symptoms. Conclusion: Our data suggest that loss of lordosis, osteophyte formation, and narrowing of the cervical nerve root foramina at C3-C4 were frequently present in freshmen wrestlers and may be due to the axial load incurred prior to their collegiate careers.

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Brachioradial pruritus treated with computed tomography-guided cervical nerve root block: A case series

JAAD Case Reports ◽

10.1016/j.jdcr.2018.03.025 ◽

2018 ◽

Vol 4 (7) ◽

pp. 640-644 ◽

Cited By ~ 2

Author(s):

Brent D. Weinberg ◽

Matthew Amans ◽

Sibel Deviren ◽

Timothy Berger ◽

Vinil Shah

Keyword(s):

Computed Tomography ◽

Nerve Root ◽

Case Series ◽

Cervical Nerve Root ◽

Cervical Nerve ◽

Nerve Root Block ◽

Cervical Nerve Root Block

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Drop finger caused by 8th cervical nerve root impairment: a clinical case series

European Spine Journal ◽

10.1007/s00586-016-4836-2 ◽

2016 ◽

Vol 26 (4) ◽

pp. 1096-1100 ◽

Cited By ~ 1

Author(s):

Masao Koda ◽

Takeo Furuya ◽

Tomoyuki Rokkaku ◽

Masazumi Murakami ◽

Yasushi Ijima ◽

...

Keyword(s):

Nerve Root ◽

Clinical Case ◽

Case Series ◽

Cervical Nerve Root ◽

Cervical Nerve ◽

Drop Finger

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Short-term clinical results of frozen shoulder treated with shoulder manipulation under ultrasound-guided cervical nerve root block at outpatient setting: A case series

Journal of Orthopaedic Science ◽

10.1016/j.jos.2016.11.007 ◽

2017 ◽

Vol 22 (2) ◽

pp. 275-280 ◽

Cited By ~ 9

Author(s):

Tomohiro Saito ◽

Hideyuki Sasanuma ◽

Yuki Iijima ◽

Yuji Kanaya ◽

Toshihiro Saito ◽

...

Keyword(s):

Nerve Root ◽

Frozen Shoulder ◽

Case Series ◽

Clinical Results ◽

Outpatient Setting ◽

Ultrasound Guided ◽

Short Term ◽

Cervical Nerve Root ◽

Cervical Nerve ◽

Cervical Nerve Root Block

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US-guided transforaminal cervical nerve root block: a novel lateral in-plane approach

Pain Medicine ◽

10.1093/pm/pnab008 ◽

2021 ◽

Author(s):

Junzhen Wu ◽

Yongming Xu ◽

Shaofeng Pu ◽

Jin Zhou ◽

Yingying Lv ◽

...

Keyword(s):

Nerve Root ◽

Rating Scales ◽

Symptom Relief ◽

Venous Blood ◽

Case Series ◽

University Hospital ◽

Cervical Nerve Root ◽

Cervical Nerve ◽

Nerve Root Block ◽

Cervical Nerve Root Block

Abstract Objective The aim of the present study was to investigate the effectiveness and safety of a novel lateral in-plane approach for US-guided transforaminal cervical nerve root block (US-guided TF-CNRB) in the treatment of cervical radiculopathic pain. Design The design of the present study consisted of an institutional, retrospective case series. Setting The present study was conducted at a university hospital. Subjects Thirty-two patients with cervical radiculopathy who were resistant to conservative therapies and regular US-guided CNRB were included as participants. Methods The included patients were treated with US-guided TF-CNRB. During the treatments, using real-time fluoroscopy, we monitored the spreading patterns of a contrast medium, and double confirmed the positions of needle tips. Pain numeric rating scales (NRS) and symptom relief grades were determined via telephone interviews at 1, 4, and 12 weeks after the procedures. Results US-guided TF-CNRB was performed at the C5 level in 6 patients, the C6 level in 18 patients, and the C7 level in 8 patients. Comparing to NRS at baseline, pain scores decreased throughout the observation period. Symptom relief rates of US-guided TF-CNRB at 1, 4, and 12 weeks were 72%, 69%, and 63%, respectively. Venous blood was aspirated during the procedures in two patients, and the needle tips were corrected. No intravascular injections or neurologic injuries were observed. Conclusion US-guided TF-CNRB produced circumferential spreading around the involved cervical nerve root, and showed significant clinical effectiveness in patients resistant to regular US-guided CNRB.

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