Neurophysiological Assessment of Degenerative Cervical Spine Disorders

2017 ◽  
Author(s):  
Fahed Zairi
Author(s):  
Howard An

♦ Degenerative cervical spine disorders may manifest clinically with axial neck pain, radiculopathy, myelopathy, or a combination of these clinical symptoms♦ The findings on radiographs and MRI are pertinent if they correlate with the clinical symptoms♦ The initial treatment for patients with degenerative cervical spine disorders is conservative, including non-narcotic analgesics, anti-inflammatory medications, exercise program, physiotherapy, and occasional injections♦ Surgical indications include significant radicular pain despite conservative treatment, profound neurologic deficits, and presence of significant myelopathy♦ Surgical treatment for cervical radiculopathy includes lamino-foraminotomy, anterior cervical discectomy and fusion (ACDF), and artificial disk replacement, and surgical treatment for myelopathy includes anterior discectomy and/or corpectomy with fusion, posterior laminoplasty, and posterior laminectomy and fusion. The surgeon should be familiar with the specific indications as well as advantages and disadvantages of each procedure.


2009 ◽  
Vol 70 (01) ◽  
pp. 3-8 ◽  
Author(s):  
R. Greiner-Perth ◽  
Y. Allam ◽  
H. El-Saghir ◽  
F. Röhl ◽  
J. Franke ◽  
...  

1996 ◽  
Vol 27 (4) ◽  
pp. 729-746
Author(s):  
James Rainville ◽  
Jerry B. Sobel ◽  
Robert J. Banco ◽  
Harvey L. Levine ◽  
Lisa Childs

2019 ◽  
Vol 101 (2) ◽  
pp. e38-e42
Author(s):  
J Holton ◽  
M Jones ◽  
Z Klezl ◽  
M Czyz ◽  
M Grainger ◽  
...  

We present the case of a 75-year-old man with a rapidly progressive cervical myelopathy on a background of a 3-year history of neck pain and a severely degenerative cervical spine. The patient developed progressive myelopathy over a six-month period and suffered from worsening kyphosis. Suspicion of an underlying oncological process prompted transfer to our tertiary referral unit. Biopsy was consistent for Paget’s disease, an extremely rare diagnosis of the cervical spine. Magnetic resonance imaging revealed cord compression between C4 and C6 with associated cord signal change indicative of myelopathy. A three-level corpectomy and posterior instrumented fusion was performed. There was significant blood loss (3.5l) intraoperatively, consistent with a diagnosis of Paget’s disease of the bone. Cell salvage was used, as was neuromonitoring for both the anterior and posterior part of the procedure. Postoperatively, neurological function improved slightly and the patient required community neurorehabilitation to allow independent living.


Spine ◽  
1999 ◽  
Vol 24 (2) ◽  
pp. 178-183 ◽  
Author(s):  
Anna Wright ◽  
Tom G. Mayer ◽  
Robert J. Gatchel

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Takahiro Otsudo ◽  
Kiyokazu Akasaka ◽  
Hiroshi Hattori ◽  
Yuki Hasebe ◽  
Akihiro Tamura ◽  
...  

Objective. The study used a 3D digitizer to determine three-dimensional motion analysis of the 2nd cervical (C2) spinous process at end range cervical rotation with the scapula in different positions. Methods. 30 healthy adults participated in this study. Different scapula positions were adopted bilaterally and positioned passively at normal resting, depression, adduction, and abduction. Under each scapula position, bilateral end range cervical rotation and displacement of the C2 spinous process were analyzed by a 3D digitizer. Results. Displacement of the C2 spinous process relative to the occiput was significantly correlated with range of cervical rotation under all scapular positions (p<0.05). However, there were no significant differences between end range cervical rotation and displacement of the C2 spinous process relative to the occiput in any scapular position. Conclusion. These results suggest that measurement of upper cervical mobility using the 3D digitizer is a reliable method that holds promise in the evaluation of people with cervical spine disorders.


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