scholarly journals Clustered clinical findings for diagnosis of cervical spine myelopathy

2010 ◽  
Vol 18 (4) ◽  
pp. 175-180 ◽  
Author(s):  
Chad Cook ◽  
Christopher Brown ◽  
Robert Isaacs ◽  
Matthew Roman ◽  
Samuel Davis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Findings ◽  
Cervical Spine Myelopathy

scholarly journals Inter-examinerreliability study of physical examination procedures to assess the cervical spine

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Karthik V. Hariharan ◽  
Michael G. Timko ◽  
Christopher G. Bise ◽  
Meenakshi Sundaram ◽  
Michael J. Schneider
Keyword(s):  
Cervical Spine ◽  
Physical Examination ◽  
Facet Joint ◽  
Physical Therapists ◽  
Clinical Status ◽  
Clinical Findings ◽  
Qualitative Assessment ◽  
Segmental Mobility ◽  
Convenience Sample ◽  
Pain Provocation

Abstract Objective The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to assess the cervical spine. Materials: Reliability study that used a convenience sample of 51 patients between the ages of 16–70 years presenting with a chief complaint of neck pain. Two physical therapists independently performed the same series of cervical physical examination procedures on each of the participant. The clinicians were blinded to each other’s findings and the clinical status of the patient. Kappa coefficients (κ) were calculated for levels of agreement between the clinicians for each procedure. Results When assessing for asymmetrical motion, excellent levels of reliability (κ range: 0.88–0.96) were observed for the Bilateral Modified Lateral Shear (asymmetry criterion), Bilateral C2 Spinous Kick (asymmetry criterion) and Flexion-Rotation Tests. When pain provocation was used as the indicator of a positive test during palpation of the cervical facet joints, moderate to substantial levels of reliability (κ range: 0.53–0.76) were observed. When patients were instructed not to provide feedback to the clinicians about pain provocation during facet joint palpation and clinicians relied solely on their qualitative assessment of segmental mobility, the level of reliability was lower (κ range: 0.45–0.53). Due to 100 % prevalence of negative findings, Kappa values could not be calculated for the Sharp-Purser test or the Unilateral C2 Spinous Kick Test. Conclusions Most physical examination procedures examined in this study demonstrated moderate to excellent levels of inter-examiner reliability. Palpation for segmental mobility without pain provocation demonstrated a lower level of reliability compared to palpation for pain provocation. Correlation with clinical findings is necessary to establish validity and the applicability of these procedures in clinical practice.

scholarly journals Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet

2021 ◽  
Author(s):  
Piyawat Bintachitt ◽  
Ratanaphorn Chamnan ◽  
Weera Chaiyamongkol ◽  
Wongthawat Liawrungrueawng
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Gunshot Wound ◽  
Foreign Bodies ◽  
Surgical Removal ◽  
History Of ◽  
Spine Fixation ◽  
Cervical Spine Fixation ◽  
Cervical Spine Myelopathy

     A Civilian gunshot wound associated with metallosis in the cervical spine region was an extremely rare case; hence, the clinician had difficulty with diagnosis and surgical treatment.      A 57–year-old gentleman had a history of a gunshot wound injury going back 30 years. He presented with neck pain, progress of paresthesia of upper extremities and progressively difficult ambulation for 3 months. Radiographic and pathological diagnosis from tissue of the 7th paravertebral of the cervical spine showed foreign bodies consistent with metallosis. The patient showed improvement of symptoms after posterior cervical spine fixation and decompression. He had full recovery at 1 year follow up.      Metallosis can occur in cases of chronic exposure to lead and metals. The results of this chronic process of metallosis will develop to metalloma, which then compresses the spinal cord and develops into myelopathy. The patient had a bullet, or piece of metal at the cervical spine, so surgical removal was performed to prevent further compression of the spinal cord from metalloma.

Effect of Modified Japanese Orthopedic Association Severity Classifications on Satisfaction With Outcomes 12 Months After Elective Surgery for Cervical Spine Myelopathy

Spine ◽  
2019 ◽  
Vol 44 (11) ◽  
pp. 801-808
Author(s):  
Anthony L. Asher ◽  
Clinton J. Devin ◽  
Benjamin M. Weisenthal ◽  
Jacquelyn Pennings ◽  
Inamullah Khan ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elective Surgery ◽  
Japanese Orthopedic Association ◽  
Cervical Spine Myelopathy

Stabilization of the Cervical Spine in Spondyloepiphyseal Dysplasia Congenita

Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 580-583 ◽  
Author(s):  
Mark S. LeDoux ◽  
Richard C. Naftalis ◽  
Patricia A. Aronin
Keyword(s):  
Cervical Spine ◽  
Bone Dysplasia ◽  
Clinical Findings ◽  
Radiographic Features ◽  
Spondyloepiphyseal Dysplasia ◽  
Odontoid Hypoplasia ◽  
Spondyloepiphyseal Dysplasia Congenita ◽  
Lumbar Hyperlordosis ◽  
Vertebral Bodies ◽  
Ocular Hypertelorism

Abstract Spondyloepiphyseal dysplasia congenita is an inheritable bone dysplasia causing abnormalities that manifest at birth and primarily involve the spine and proximal epiphyses. The clinical findings include short-trunk dwarfism, myopia, frequent retinal detachment, shortening of the spine and proximal extremities, mild thoracic kyphoscoliosis, a barrel-shaped thorax, a short neck, and mild ocular hypertelorism. The characteristic radiographic features are a generalized delay in ossification, flattening and dysplasia of the vertebral bodies, pelvic dysplasia, and retarded ossification of the femoral head and neck. Other radiographic features of interest to the neurosurgeon may be platybasia, kyphoscoliosis, lumbar hyperlordosis, and odontoid hypoplasia. A case of spondyloepiphyseal dysplasia congenita is presented in which an unstable and markedly dysplastic cervical spine was stabilized with Halifax interlaminar clamps and sublaminar wires. The clinical findings and radiographic features are presented and the etiology and neurosurgical management of spondyloepiphyseal dysplasia congenita are discussed.

Sign in / Sign up

Export Citation Format

Share Document