scholarly journals Vertigo, can it be redefined?

2016 ◽  
Vol 24 (1) ◽  
pp. 29-31
Author(s):  
Bhabani Kumar Choudhury
Keyword(s):  
Cervical Spine ◽  
Physical Therapy ◽  
Cervical Spondylosis ◽  
Lifestyle Modification ◽  
Cervical Region ◽  
Co Morbidity ◽  
Cervical Orthosis ◽  
Cervical Traction ◽  
Symptom Complex ◽  
Pharmaceutical Agents

Background & Objectives- Vertigo, a clinical symptom complex is not infrequent in our patients. Its diagnosis too is controversial. Majority of these cases run from hospital to clinics, some times to Otolaryngologists to get rid of this bizarre experience. Sometimes they get benefit but otherwise they experience a destitute life. Our aim was to treat them by Physical Therapy in the light of Cervical Spondylosis that is commonly associated with vertigo. Material & Methods- This is a prospective case study done in PMR department (OPD) of a teaching institute over a period of 6 months time period. 20 OPD patients of both sexes (14 ladies and 6 gents) with definite Cervical Spondylosis along with complain of vertigo or dizziness, pain at cervical spine were accounted for the study. Only extreme aged persons or patients with other major co-morbidity were excluded. These 20 patients were treated with conventional Physical Therapy for CS. Medications were prescribed as and when required. Results- After Physical Therapy, that included lifestyle modification, isometric cervical exercise, intermittent cervical traction, application of Therapeutic Ultrasound (UST) to cervical region and proper posture care of cervical spine along with use of cervical orthosis (where needed), majority of the patients become symptom free. Conclusion- Physical Therapy may be considered as an alternative method of treatment of Vertigo patients, who are otherwise not responding satisfactorily to pharmaceutical agents.

134. Physical therapy on postoperative day zero following cervical spine surgery decreases length of stay

2021 ◽  
Vol 21 (9) ◽  
pp. S67
Author(s):  
Blaine Manning ◽  
Michaela Thomson ◽  
Haley Huff ◽  
Suryanshi Rawat ◽  
Shelby Harris ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Physical Therapy ◽  
Length Of Stay ◽  
Spine Surgery ◽  
Cervical Spine Surgery

Iatrogenic Vocal Fold Paralysis: A Population-Based Cohort Study in Taiwan

2021 ◽  
pp. 000348942110412
Author(s):  
Ying-Ta Lai ◽  
Pin-Zhir Chao ◽  
Yu-Kang Chang ◽  
Yu-Chun Yen ◽  
Yu-Ting Shen ◽  
...  
Keyword(s):  
Health Insurance ◽  
Cervical Spine ◽  
National Health Insurance ◽  
National Health ◽  
Vocal Fold ◽  
Population Based ◽  
Vocal Fold Paralysis ◽  
Research Database ◽  
Bilateral Vocal Fold Paralysis ◽  
Co Morbidity

Objective: Iatrogenic vocal fold paralysis is an important issue in laryngology, yet there are few population-based studies regarding the epidemiology. This study used a nationwide population-based claims database (the National Health Insurance Research Database) to investigate the epidemiology of iatrogenic unilateral and bilateral vocal fold paralysis (UVFP/BVFP) among the general adult population in Taiwan. Method: This study analyzed patients (20-90 years old) who underwent thyroid, parathyroid, thoracic, cardiac, or anterior cervical spine operations with vocal fold paralysis among adults in Taiwan from January 1, 2007 to December 31, 2013. The codes for vocal fold paralysis were defined by International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Claims data in the Taiwan National Health Insurance Research Database were used. Results: The most commonly performed operations which were related to vocal fold paralysis in Taiwan were, in descending order of frequency, thyroid, cervical spine, cardiac, thoracic (esophagectomy), and parathyroid operations. The operations that put laryngeal nerves at risk (ONRs) most commonly associated with a diagnosis of UVFP were, in descending order of frequency, thoracic, thyroid, parathyroid, cardiac, and cervical spine. For both UVFP and BVFP, the most commonly associated age group was 51 to 60. For both UVFP and BVFP, the more commonly associated sex was women. Increased length of stay was associated with a higher incidence of UVFP and BVFP. Charlson medical co-morbidity index (CCI) was not associated with UVFP but BVFP was associated with higher Charlson medical co-morbidity scores. Conclusions: Thyroid operations, age 51 to 60, longer hospital stays are associated with vocal fold paralysis. Overall women are more surgically affected than men. This is the first population-based study of iatrogenic vocal fold paralysis.

scholarly journals An unusual cause of dysphagia in elderly, dysphagia caused by cervical osteophytes: a case report and review of literature

2019 ◽  
Vol 5 (2) ◽  
pp. 520
Author(s):  
Uday Kiran Katari
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Inflammatory Diseases ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Review Of Literature ◽  
Neck Stiffness ◽  
Cervical Osteophytes ◽  
Common Causes ◽  
Spine Diseases

<p class="abstract">Dysphagia may occur in various pathological, inflammatory diseases of esophagus. It may also occur due to motility disorders of esophagus, benign and malignant diseases of mediastinum, cervical spine diseases. Dysphagia secondary to compression of esophagus by a cervical osteophyte is rare. The most common causes of osteophyte (bony outgrowth) in the cervical spine are diffuse idiopathic skeletal hyperostosis (DISH), ankylosing spondylitis (AS), and cervical spondylosis. Patients with cervical osteophytes are mostly asymptomatic. Hence, when considering cervical osteophytes as a cause of dysphagia other pathologic entities in the esophagus (e.g. tumors, webs, rings, strictures) should be excluded. We present a 68 year female patient who presented with complaints of dysphagia and neck stiffness since 3 months. She has been evaluated and found that dysphagia is due to large anterior cervical osteophytes compressing pharynx at C2/C3 and esophagus at C5/C6 and C6/C7 vertebral levels respectively. The objective of this case report is to emphasize the importance of anterior cervical osteophyte as a cause of dysphagia in elderly.</p>

In Vitro Comparison of a Translational Anterior Cervical Plate With a Constrained Anterior Cervical Plate

2001 ◽  
Author(s):  
Denis J. DiAngelo ◽  
Weiqiang Liu ◽  
Kristine M. Olney ◽  
Kevin T. Foley
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Load Transfer ◽  
Multi Level ◽  
Cervical Plate ◽  
Degenerative Disorder ◽  
Anterior Cervical Plate ◽  
Cervical Plating ◽  
In Vitro Comparison

Abstract Cervical spondylosis is the most common degenerative disorder affecting the cervical spine and is often treated surgically to prevent further neurological deterioration. However, clinical experience has shown that anterior cervical plating does not prevent construct failure in multi-level cervical corpectomy (Vaccaro et al., 1998). We have previously shown that anterior cervical plating reverses the load transfer through multi-level strut-grafts and may promote pistoning of these grafts (DiAngelo et al., 2000). The design of the anterior cervical plate (ACP) may contribute to this phenomenon. The purpose of this study was to compare the graft loading mechanics of two different anterior cervical plating systems; one with a constrained plate-screw interface versus another with a semi-constrained, translational plate-screw interface.

scholarly journals Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

2012 ◽  
Vol 3 (3) ◽  
pp. 168-171
Author(s):  
Prashanth Veerabhadraiah ◽  
Vishal Rao ◽  
Raghavendra Shankar ◽  
Naveen Shivappa ◽  
TM Nagaraj
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Anterolateral Approach ◽  
Rare Entity ◽  
External Compression ◽  
Radiographic Findings ◽  
Cervical Osteophytes ◽  
Life Threatening

ABSTRACT Large anterior cervical osteophytes can occur in degeneration of the cervical spine, cervical spondylosis or in diffuse idiopathic skeletal hyperostosis (DISH). Voluminous anterior cervical osteophytes which can develop from C3 to C7 can cause narrowing of the pharyngoesophageal segment by external compression and may cause dysphagia, which may be life threatening when it is associated with aspiration and or dyspnea. The objective of this case report is to highlight how commonly occurring anterior cervical osteophytes may become an unrecognized cause for life-threatening dysphagia. The clinical and radiographic findings in patient with dysphagia and ventral osteophytes of the cervical spine due to degeneration are demonstrated. The anterolateral approach for removal of these osteophytes is described. How to cite this article Veerabhadraiah P, Rao V, Shankar R, Shivappa N, Kumar P, Nagaraj TM. Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited. Int J Head and Neck Surg 2012;3(3):168-171.

Clinical recording of pressure on the spinal cord and cauda equina

1982 ◽  
Vol 57 (1) ◽  
pp. 64-66 ◽  
Author(s):  
Bjørn Magnaes
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Endotracheal Intubation ◽  
Cervical Spondylosis ◽  
Cauda Equina ◽  
Upper Cervical Spine ◽  
Lower Cervical Spine ◽  
Skeletal Traction ◽  
Neck Extension ◽  
Content Type

✓ Pressure on the spinal cord with the neck in the extended position for endotracheal intubation was recorded in eight patients with a narrow spinal canal due to cervical spondylosis. Pressures up to about 1400 mm H2O were recorded. Longitudinal skeletal traction with the tong placed frontally reduced the pressure on the spinal cord in all patients. When longitudinal skeletal traction was applied, the stress of the neck extension was probably in part transferred from the lower cervical spine where the canal was narrow to the upper cervical spine with the more spacious canal. Placing the tong for longitudinal skeletal traction frontally when performing endotracheal intubation is advocated in patients with cervical spondylosis and probably also in patients with injuries of the lower cervical spine.

scholarly journals Operative Techniques for Cervical Radiculopathy and Myelopathy

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
C. Moran ◽  
C. Bolger
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Past Century ◽  
Operative Techniques ◽  
Disc Arthroplasty ◽  
The Past ◽  
Surgical Options

The surgical treatment of cervical spondylosis and resulting cervical radiculopathy or myelopathy has evolved over the past century. Surgical options for dorsal decompression of the cervical spine includes the traditional laminectomy and laminoplasty, first described in Asia in the 1970's. More recently the dorsal approch has been explored in terms of minimally invasive options including foraminotomies for nerve root descompression. Ventral decompression and fusion techniques are also described in the article, including traditional anterior cervical discectomy and fusion, strut grafting and cervical disc arthroplasty. Overall, the outcome from surgery is determined by choosing the correct surgery for the correct patient and pathology and this is what we hope to explain in this brief review.

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