Clinical signs are characterized by ataxia and weakness, caused by narrowing of the cervical vertebral canal in combination with malformation of the cervical vertebrae, which results in compression of the spinal cord and subsequent neurologic disease. (ivis.org)
This disorder has many names- it is also called cervical vertebral instability, cervical vertebral malarticulation/malformation, cervical vertebral stenotic myelopathy, and cervical spondylopathy - which is probably why most of us refer to it simply as 'Wobbler's. (prouddanish.dk)
Neurological symptoms1
Typically, their neurological symptoms and signs reflect their underlying neurologic disorders rather than structural spinal pathology reported on magnetic resonance images (MR) or computed tomographic scans (CT). (surgicalneurologyint.com)
Instability1
Spondylotic changes (stenosis, spondylosis, disc disease, instability) seen on MR and/or CT studies were correlated with patients' clinical symptoms and signs. (surgicalneurologyint.com)
Lumbar1
Over a 20-month period, prospectively, 437 patients with cervical or lumbar complaints were evaluated. (surgicalneurologyint.com)
Decompression2
Pre-operative and post-operative computer tomography cervical spine evaluation of foraminal length in ventro-dorsal, cephalad-caudal dimensions, sagittal foraminal area and using 3D CT reconstruction coronal decompression area were done. (springer.com)
The force transmitted to the cervical spine in these cases is one of axial compression with the vertebrae in positions of slight flexion. (medscape.com)
If the impact force is greater than the yield strength of the vertebrae, a fracture and possible dislocation with spinal cord injury (SCI) can occur. (medscape.com)
Cervical vertebral stenotic myelopathy (CSM) occurs as either a static or dynamic form in young horses and described as a multifactorial disease when stenosis is observed in older horses it is primarily due to osteoarthritis of the articular process joints. (ivis.org)
redirection of venous flow to the vertebral veins (VVs) occurs in the upright position, with compliant reduction of the CSA of the IJV. (bmj.com)
Spine3
Cervical spine (C-spine) injuries are relatively uncommon in sports but can be devastating when they occur. (medscape.com)
Cervical radiculopathy is a common cervical spine condition which is potentially disabling with nerve root dysfunction [ 1 ]. (springer.com)
Patients10
Epstein NE, Gottesman M. Few patients with neurodegenerative disorders require spinal surgery. (surgicalneurologyint.com)
Of 254 patients seen in first opinion (e.g., had not been seen by a spinal surgeon), 9 had MS, while 2 had ALS. (surgicalneurologyint.com)
Of 183 patients seen in second opinion (e.g., prior spinal surgeons recommended surgery), 4 had MS, 2 had ALS, and 1 had PPS. (surgicalneurologyint.com)
We performed this study to establish how often patients with ND, seen in first or second opinion, require spinal surgery. (surgicalneurologyint.com)
We focused on whether second opinions from spinal surgeons would limit the number of operations offered to these patients. (surgicalneurologyint.com)
However, none of the seven patients seen in second opinion, who were previously told by outside surgeons they needed spinal surgery, required operations. (surgicalneurologyint.com)
Few patients with neurodegenerative syndromes (MS, ALS, PPS) and reported "significant" spondyloitic spinal disease interpreted on MR/CT studies required surgery. (surgicalneurologyint.com)
Great caution should be exercised in offering patients with ND spinal surgery, and second opinions should be encouraged to limit "unnecessary" procedures. (surgicalneurologyint.com)
A prospective clinical and radiological study with retrospective evaluation were done for 25 patients with 29 levels of cervical radiculopathy who underwent posterior endoscopic cervical discectomy from November 2016 to December 2018. (springer.com)
It significantly improved clinical outcomes and achieved the objective of increasing in the cervical foramen size in our cohort of patients. (springer.com)
MS, ALS, or PPS) come in for first (no prior spinal surgical evaluation) or second opinions (where a previous spinal surgeon recommended surgery) regarding the need for spinal surgery. (surgicalneurologyint.com)
Adjacent segment disease and pseudoarthrosis and being the commonest postoperative complications of anterior cervical surgery with an overall complication rate of anterior cervical surgery ranges from 13.2 to 19.3% [ 4 ]. (springer.com)
Fusion1
Anterior approaches treatment options such as cervical discectomy and fusion (ACDF) and cervical artificial disc replacement (ADR) are popular treatment options for cervical radiculopathy [ 3 ]. (springer.com)
Treatment1
Uniportal posterior endoscopic cervical foraminotomy and discectomy are safe, efficient and precise choreographed set of technique in the treatment of cervical radiculopathy. (springer.com)
Flexion1
Preoperative and post-operative final follow-up flexion and extension roentgenogram were evaluated for cervical stability assessment. (springer.com)
Avoid1
In these cases, seeking a second opinion from another spinal surgeon may avoid some of these operations. (surgicalneurologyint.com)
Multiple1
Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS), and Postpolio Syndrome (PPS)) present with progressive neurological deterioration typically attributed to their underlying diseases rather than surgical spinal pathology. (surgicalneurologyint.com)
Lead1
Increasing prevalence of sedentary occupation with overuse of computer technology, laptops and handheld devices may lead to higher incidence of cervical radiculopathy and cervical degeneration in the long run due to poor neck posture. (springer.com)
Author1
The first author, a neurosurgeon, reviewed 437 spinal consultations performed over a 20-month period. (surgicalneurologyint.com)