scholarly journals Notalgia Paresthetica: Cervical Spine Disease and Neuropathic Pruritus

Cureus ◽  
2021 ◽  
Author(s):  
Ayesha Akram
Keyword(s):  
Cervical Spine ◽  
Neuropathic Pruritus ◽  
Notalgia Paresthetica ◽  
Spine Disease

Gadolinium DTPA-enhanced MRI of degenerative cervical spine disease*

1992 ◽  
Vol 2 (6) ◽  
Author(s):  
P. Schubeus ◽  
W. Sch�rner ◽  
B. Sander ◽  
T. Heim ◽  
N. Hosten ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Gadolinium Dtpa ◽  
Enhanced Mri ◽  
Degenerative Cervical Spine ◽  
Spine Disease ◽  
Degenerative Cervical Spine Disease

scholarly journals Impact of Predominant Arm Pain vs Neck Pain on 12-Month Outcomes Following Elective Cervical Spine Surgery: Analysis From the Quality Outcomes Database (QOD)

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Clinton J Devin ◽  
Mohamad Bydon ◽  
Mohammed A Alvi ◽  
Anshit Goyal ◽  
Panagiotis Kerezoudis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Degenerative Spine ◽  
Quality Outcomes ◽  
Degenerative Spine Disease ◽  
Arm Pain ◽  
Spine Registry ◽  
Pain Location ◽  
The Impact ◽  
Spine Disease

Abstract INTRODUCTION The impact of the type of pain presentation on outcomes of spine surgery remains elusive. The severity of symptoms is a critical determinant for decision to operate among such patients. Herein, we present an analysis of the impact of predominant symptom location (arm pain vs neck pain) on postoperative improvement in patient reported outcomes. METHODS The Quality Outcomes Database (QOD) cervical spine registry was queried for patients undergoing 1 to 2 level ACDF for degenerative spine disease. Multivariable (MV) regression was performed to assess the impact of predominant pain location (arm pain vs neck pain vs equal arm and neck pain) on the following 12 mo outcomes following surgery-NASS satisfaction, Neck Disability Index (NDI) and return to work. RESULTS A total of 9277 patients were included in the final analysis. Of these, 18.4% (n = 1705) presented with predominant arm pain, 32.3% (n = 2994) presented with predominant neck pain, and 49.3% (n = 4578) presented with equal neck and arm pain. On MV analysis, patients with predominant neck pain were found to have lower odds of being satisfied at 1 yr following surgery (OR = 0.73, CI: 0.62-0.98, P < .001) while predominant arm pain was not significantly associated (OR = 1.04, CI: 0.6-1.4, P = .55, ref = equal neck and arm pain). On MV linear regression, patients with predominant neck pain had higher (worse) 12 mo NDI (Coef: 0.24, CI: 0.15-0.33, P < .0001) while predominant arm pain was not significantly associated with 12 mo NDI. Predominant arm pain (OR = 0.77, CI:0.64-1.02, P = .06) or neck pain (OR = 1.04, CI: 0.82-1.33, P = .6) were not significantly associated with return to work at 1 yr. CONCLUSION Analysis from a national spine registry suggests predominant pain location (arm pain vs neck pain) might be a significant determinant of improvement in functional outcomes and patient satisfaction following anterior cervical discectomy and fusion for degenerative spine disease.

Reoperation Rates After Surgery for Degenerative Cervical Spine Disease According to Different Surgical Procedures

Spine ◽  
2016 ◽  
Vol 41 (19) ◽  
pp. 1484-1492 ◽  
Author(s):  
Moon Soo Park ◽  
Young-Su Ju ◽  
Seong-Hwan Moon ◽  
Tae-Hwan Kim ◽  
Jae Keun Oh ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Procedures ◽  
Degenerative Cervical Spine ◽  
Reoperation Rates ◽  
Spine Disease ◽  
Degenerative Cervical Spine Disease

Comparison of 3 Fusion Techniques in the Treatment of the Degenerative Cervical Spine Disease. Is Stand-Alone Autograft Really the “Gold Standard?”

Spine ◽  
2012 ◽  
Vol 37 (19) ◽  
pp. 1645-1651 ◽  
Author(s):  
Petr Vanek ◽  
Ondrej Bradac ◽  
Patricia DeLacy ◽  
Karel Saur ◽  
Tomas Belsan ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Gold Standard ◽  
Degenerative Cervical Spine ◽  
Spine Disease ◽  
Degenerative Cervical Spine Disease

Cervical decompression and reconstruction without intraoperative neurophysiological monitoring

2012 ◽  
Vol 16 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Vincent C. Traynelis ◽  
Kingsley O. Abode-Iyamah ◽  
Katie M. Leick ◽  
Sarah M. Bender ◽  
Jeremy D. W. Greenlee
Keyword(s):  
Cervical Spine ◽  
Evoked Potential ◽  
Motor Evoked Potential ◽  
Lower Extremities ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring ◽  
Upper And Lower Extremities ◽  
Evoked Potential Monitoring ◽  
Spine Disease ◽  
Potential Monitoring

Object The primary goal of this study was to review the immediate postoperative neurological function in patients surgically treated for symptomatic cervical spine disease without intraoperative neurophysiological monitoring. The secondary goal was to assess the economic impact of intraoperative monitoring (IOM) in this patient population. Methods This study is a retrospective review of 720 consecutively treated patients who underwent cervical spine procedures. The patients were identified and the data were collected by individuals who were not involved in their care. Results A total of 1534 cervical spine levels were treated in 720 patients using anterior, posterior, and combined (360°) approaches. Myelopathy was present preoperatively in 308 patients. There were 185 patients with increased signal intensity within the spinal cord on preoperative T2-weighted MR images, of whom 43 patients had no clinical evidence of myelopathy. Three patients (0.4%) exhibited a new neurological deficit postoperatively. Of these patients, 1 had a preoperative diagnosis of radiculopathy, while the other 2 were treated for myelopathy. The new postoperative deficits completely resolved in all 3 patients and did not require additional treatment. The Current Procedural Terminology (CPT) codes for IOM during cervical decompression include 95925 and 95926 for somatosensory evoked potential monitoring of the upper and lower extremities, respectively, as well as 95928 and 95929 for motor evoked potential monitoring of the upper and lower extremities. In addition to the charge for the baseline [monitoring] study, patients are charged hourly for ongoing electrophysiology testing and monitoring using the CPT code 95920. Based on these codes and assuming an average of 4 hours of monitoring time per surgical case, the savings realized in this group of patients was estimated to be $1,024,754. Conclusions With the continuing increase in health care costs, it is our responsibility as providers to minimize expenses when possible. This should be accomplished without compromising the quality of care to patients. This study demonstrates that decompression and reconstruction for symptomatic cervical spine disease without IOM may reduce the cost of treatment without adversely impacting patient safety.

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