SpondyloticRadiculopathyDeformityDegenerativeSpondylolisthesisInstabilityDiscectomyUpper extremityViews of the cervical spineKyphosisSymptomsRadiographsVertebraeSeverePosteriorACDFSurgeriesForaminal stenosisCommon in the cervicalDiscsAnterior cervical fusionFusionSurgicalArthroplastyDecompressionInjuryTraumaHerniationNerveSurgeryProcedureRadicularDiscPatientsCurvatureStabilizationEvaluating neurologicNeck painLordosisParaspinalLaminoplasty
Spondylotic7
- Background To investigate the clinical effect of anterior controllable antedisplacement and fusion (ACAF) technique for the treatment of multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS), and compare ACAF with hybrid decompression fixation (HDF). (researchsquare.com)
- Multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS) is a disorder of spinal cord dysfunction characterized by involving three or more cervical segments, which is caused by congenital, developmental or degenerative factors which results in spinal stenosis and compression of spinal cord and its blood vessel at the levels of both intervertebral disc and vertebra[1]. (researchsquare.com)
- 2) cervical spondylotic myelopathy involving segments≥3. (researchsquare.com)
- Cervical spine laminoplasty is a treatment for multi-level cervical spondylotic myelopathy (CSM) without accompanying instability or cervical kyphosis. (jomi.com)
- OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) is a standard surgical approach for cervical spondylotic myelopathy (CSM) caused by disc herniations. (bvsalud.org)
- Our spine specialists treat a variety of myelopathy (spinal cord compression) conditions, including cervical myelopathy , thoracic myelopathy, cervical spondylotic myelopathy and traumatic myelopathy. (hopkinsmedicine.org)
- Spondylotic changes (stenosis, spondylosis, disc disease, instability) seen on MR and/or CT studies were correlated with patients' clinical symptoms and signs. (surgicalneurologyint.com)
Radiculopathy13
- Cervical radiculopathy can result from nerve root injury in the presence of disc herniation or stenosis, most commonly foraminal stenosis, leading to sensory, motor, or reflex abnormalities in the affected nerve root distribution. (medscape.com)
- This is a case of a 43-year old female who previously underwent an anterior cervical discectomy and instrumented fusion at C6 - C7 for radiculopathy utilizing structural allograft with a Transom anterior cervical plate. (neurostructures.com)
- She did well from this surgery but subsequently developed adjacent segment disease at C5 - C6 with stenosis and radiculopathy. (neurostructures.com)
- If degenerative disc disease leads to or worsens spinal stenosis , myelopathy or radiculopathy , our orthopaedic spine experts can help address these conditions as well. (hopkinsmedicine.org)
- We also treat conditions that can be caused by herniated discs, such as radiculopathy , myelopathy and similar nerve and spinal cord compression issues. (hopkinsmedicine.org)
- Learn about the diagnosis, treatment, and management of thoracic radiculopathy and myelopathy. (medmastery.com)
- Although less common than in the cervical spine, thoracic spine compression can cause radiculopathy or myelopathy. (medmastery.com)
- Compression of the thoracic spine can cause radiculopathy or myelopathy. (medmastery.com)
- When evaluating for thoracic radiculopathy, first evaluate for myelopathy. (medmastery.com)
- These disorders commonly present with axial pain, myelopathy, radiculopathy or a combination of these symptoms. (edu.au)
- For the retrospective chart review, consecutive patients undergoing ACDF from 2015 to 2019 for cervical radiculopathy and/or myelopathy were included. (edu.au)
- MRI, Axial T2 sequence, demonstrating a right-sided cervical disk herniation causing cervical nerve root impingement and resulting radiculopathy. (medscape.com)
- Our client suffered relatively minor injuries, including a sprain of ligaments of the cervical spine, a sprain of ligaments of the thoracic spine, lower back strain, and thoracic radiculopathy. (autoaccident.com)
Deformity9
- Plain cervical spine radiographs are used to evaluate chronic degenerative changes, metastatic disease, infection, spinal deformity, and stability, while magnetic resonance imaging (MRI) remains the imaging modality of choice to assess cervical HNP. (medscape.com)
- Plain cervical spine radiographs are used to evaluate chronic degenerative changes, metastatic disease, infection, spinal deformity, and stability. (medscape.com)
- OBJECTIVE: Only a few studies have investigated the gap range of motion (gROM) in cervical myelopathy or deformity caused by ossification of the posterior longitudinal ligament (OPLL). (bvsalud.org)
- 2019. Comparison of Best Versus Worst Clinical Outcomes for Adult Cervical Deformity Surgery. . (cornell.edu)
- 2017. Cervical Spine Deformity-Part 1: Biomechanics, Radiographic Parameters, and Classification. . (cornell.edu)
- 2017. Cervical Spine Deformity-Part 2: Management Algorithm and Anterior Techniques. . (cornell.edu)
- 2017. Cervical Spine Deformity-Part 3: Posterior Techniques, Clinical Outcome, and Complications. . (cornell.edu)
- Cervicothoracic deformity encompasses a variety of pathologies that afflict the subaxial cervical spine and/or upper thoracic spine and result in considerable functional distress and morbidity [ 1 , 2 ]. (e-neurospine.org)
- Subaxial cervical kyphosis can be corrected via anterior, posterior, or a combination of anterior and posterior approaches while deformity stemming from the upper thoracic spine is addressed primarily with posteriorly-based surgical techniques. (e-neurospine.org)
Degenerative9
- Cervical disc disorders encountered in physiatric practice include herniated nucleus pulposus (HNP), degenerative disc disease (DDD), and internal disc disruption (IDD). (medscape.com)
- Cervical , lumbar and thoracic degenerative disc disease , as well as bulging and herniated discs, are some of the disc-related conditions our specialists are experienced in treating. (hopkinsmedicine.org)
- Asymptomatic degenerative findings (such as disc herniation, osteophyte formation, and mild stenosis) are common on thoracic magnetic resonance imaging (MRI). (medmastery.com)
- A Comparison of Various Surgical Treatments for Degenerative Cervical Myelopathy: A Propensity Score Matched Analysis. (cornell.edu)
- 2017. A Clinical Practice Guideline for the Management of Degenerative Cervical Myelopathy: Introduction, Rationale, and Scope. . (cornell.edu)
- Background: Cervical spine degenerative conditions effect up to two-thirds of the population and are the most common cause of acquired disability in patients over the age of 50. (edu.au)
- Relevant studies reporting the rate of dysphagia or recurrent laryngeal nerve injury as an endpoint for patients undergoing ACDF for degenerative disease, myelopathy, cervical canal stenosis or ossification of the posterior longitudinal ligament were identified according to prior inclusion and exclusion criteria. (edu.au)
- It is utilized for the treatment of a range of cervical spinal ailments, such as compressive myelopathy, herniated discs, degenerative disease, and trauma. (fortuneonline.org)
- Conclusion Hybrid surgery, combined dynamic stabilization system and fusion, can be effective surgical treatment for multilevel degenerative lumbosacral spinal disease, maintaining lumbar motion and delaying disc degeneration. (ijssurgery.com)
Spondylolisthesis6
- Cervical Spondylolisthesis is a condition involving a vertebra in the spinal column that is not properly aligned with its neighbor. (wascherspineinstitute.com)
- Some people with spondylolisthesis have a congenital defect in their cervical spine called spina bifida occulta. (wascherspineinstitute.com)
- Cervical spondylolisthesis characteristically causes neck pain and stiffness that radiates into the shoulders. (wascherspineinstitute.com)
- In severe cases, cervical spondylolisthesis can cause weakness, difficulty walking, or bowel/bladder incontinence. (wascherspineinstitute.com)
- Cervical spine X-rays and MRIs are usually not adequate for making the diagnosis of cervical spondylolisthesis. (wascherspineinstitute.com)
- Mild cases of cervical spondylolisthesis may respond to conservative treatments such as anti-inflammatory medications, muscle relaxants, and physical therapy. (wascherspineinstitute.com)
Instability1
- As to the anterior cervical corpectomy decompression and fusion (ACCF), although its effect of decompression is significant, the instability of cervical spine and the high risk of complications cannot be ignored[6]. (researchsquare.com)
Discectomy15
- For single-level compression, anterior cervical discectomy and fusion (ACDF) is the "gold standard" for surgical treatment[4, 5]. (researchsquare.com)
- Anterior cervical discectomy and instrumented fusion at C5 - C6 adjacent to previous C6 - C7 ACDF for adjacent segment disease. (neurostructures.com)
- It was recommended that she undergo removal of the anterior hardware at C6 - C7, as this level was fused, coupled with an anterior cervical discectomy and instrumented fusion at C5 - C6. (neurostructures.com)
- Having failed conservative measures consisting of physical therapy, medications, and spinal injections, it was recommended that the patient undergo removal of the C6 - C7 hardware followed with an anterior cervical discectomy and instrumented fusion at C5 - C6 with the goal of alleviating her neck pain and radicular symptoms utilizing the Cavetto Phusion Metal Cage. (neurostructures.com)
- 2021. Comparison of adverse events between cervical disc arthroplasty and anterior cervical discectomy and fusion: a 10-year follow-up. . (cornell.edu)
- Anterior cervical discectomy and fusion (ACDF) is an effective option. (edu.au)
- Anterior cervical discectomy (ACD) was described in the mid-20th century as a treatment for lateral cervical disc syndrome. (medscape.com)
- With the advent of ACD, anterior cervical discectomy and fusion (ACDF) techniques were simultaneously and independently popularized by Cloward[6] and Smith and Robinson. (medscape.com)
- The anterior cervical discectomy and fusion with instrumentation (ACDFI) technique involves the additional stabilization of the cervical spine with instrumentation. (medscape.com)
- The objective of this study is to examine the short and long term impact of subsidence after anterior cervical discectomy and fusion for compressive cervical disc disease, utilizing solely non-locking stand-alone titanium cage and to analyze the fusion rates. (fortuneonline.org)
- The single-center retrospective study included one and two-level Anterior cervical discectomy and fusion (ACDF) cases from July 2014 to June 2019. (fortuneonline.org)
- Anterior cervical discectomy and fusion (ACDF) is a frequently utilized surgical intervention for addressing compressive pathologies of the disc that result in neurological symptoms, whether they be single, double, or multi-level in nature. (fortuneonline.org)
- In comparison to contemporary times, owing to technological progressions and enhanced surgical education, Anterior Cervical Discectomy and Fusion (ACDF) has displayed a reduced frequency of adverse events and has exhibited positive outcomes of fusion during the postoperative phase[4,5]. (fortuneonline.org)
- The objective of anterior cervical discectomy and fusion (ACDF) is to alleviate radicular pain and halt the advancement of myelopathy, which may result from the compression of neural structures. (fortuneonline.org)
- The utilization of iliac crest bone grafts in anterior cervical discectomy and fusion (ACDF) procedures was previously established as the standard of care, with the Smith and Robinson approach being widely acknowledged[3]. (fortuneonline.org)
Upper extremity1
- Thoracic myelopathy will present very similarly to cervical myelopathy, but without upper extremity involvement. (medmastery.com)
Views of the cervical spine1
- X-rays taken and reviewed, included the AP and lateral views of the cervical spine. (neurostructures.com)
Kyphosis2
- Prospective randomized controlled trials have been performed that demonstrate similar clinical outcomes between the 3 groups, with a decreased rate of cervical fusion and increased incidence of kyphosis in the ACD group. (medscape.com)
- Postoperatively, radiographs demonstrated excellent restoration of and normalization of cervical sagittal alignment, thoracic kyphosis, focal T3-5 kyphosis (7°), and global sagittal alignment. (e-neurospine.org)
Symptoms2
- Surgery plays a vital treatment part because of the progressive feature of MCSMSS, especially for patients with intolerable symptoms and suspected neurological damage[2], but considering the multilevel and severe compression, the choice of surgery is controversial[3]. (researchsquare.com)
- Right) MRI, T2 Sequence, Axial T2 sequence, demonstrating a central disk herniation causing compression and deformation of the spinal cord, causing symptoms of cervical myelopathy. (medscape.com)
Radiographs1
- Correlation and differences in cervical sagittal alignment parameters between cervical radiographs and magnetic resonance images. (cornell.edu)
Vertebrae5
- Cervical laminotomy is performed on cervical vertebrae, the ones closest to the head. (wikipedia.org)
- Osteoarthritis can impact one single vertebra, or it can be multilevel-that is, impacting multiple vertebrae at once. (beck-chiro.com)
- Posterior cervical decompression is a surgical procedure performed through the back of the neck to relieve pressure over compressed nerves in the cervical spine region caused by inflamed spinal tissue or nerves, by removing portions of the cervical vertebrae. (dallasspinesurgery.com)
- Injury or wear-and-tear can cause parts of the cervical vertebrae to compress the nerves of the spinal cord, leading to pain, numbness, or tingling in the part of the body that the nerve supplies. (dallasspinesurgery.com)
- The cervical spine is comprised of the first 7 vertebrae (C1-C7) and supports the neck and the head. (dallasspinesurgery.com)
Severe2
- MRI shows severe cervical stenosis at C5 - C6 with a large left-sided disc herniation at C6 - C7. (neurostructures.com)
- Severe stenosis requiring excessive bone removal for adequate decompression. (mumbaispineclinic.com)
Posterior3
- Crossing the Cervico-Thoracic Junction in Long Posterior Cervical Fusions Reduces Caudal Adjacent Segment Pathology. (cornell.edu)
- Posterior cervical decompression can be performed through a minimal invasive approach. (dallasspinesurgery.com)
- Posterior cervical decompression is usually indicated for herniated discs, spinal stenosis, bone spurs, bulging discs, spinal injury, spinal tumors and when conservative treatment options do not provide relief. (dallasspinesurgery.com)
ACDF4
- However, it is difficult for ACDF to achieve complete compression when faced with multilevel lesions. (researchsquare.com)
- Although cervical disc arthroplasty (CDA) has become, in the past decade, a viable alternative to ACDF in selected patients, the differences among patients with CSM treated with CDA and ACDF remain elusive. (bvsalud.org)
- 7] ACDF similarly involves removing the symptomatic cervical disc with an added step of placing bone graft to encourage bony fusion of the upper and lower vertebral body. (medscape.com)
- As mentioned above, ACD, ACDF, and ACDFI are different but very similar techniques for the surgical treatment of cervical spine disease. (medscape.com)
Surgeries3
- This allows us to provide full-spectrum care from routine cervical and lumbar surgery to complex spinal reconstruction and revision surgeries. (hopkinsmedicine.org)
- He has performed over 4,000+ cervical spine surgeries during his career and wants to see that you receive the best treatment possible. (wascherspineinstitute.com)
- Among multilevel surgeries, patients with surgery at two segments were included. (ijssurgery.com)
Foraminal stenosis2
- This added step has been argued to further encourage cervical fusion to maximize stability and maintain disc space height to decrease the likelihood of foraminal stenosis. (medscape.com)
- Argued benefits of plate instrumentation include reduced graft dislodgements, increased fusion rates, and decreased foraminal stenosis. (medscape.com)
Common in the cervical2
- This condition may occur in any of the sections of the spine but is most common in the cervical (neck) and lumbar (lower back) sections. (beck-chiro.com)
- It is less common in the cervical or neck region. (wascherspineinstitute.com)
Discs2
- Auto Accident - Our client suffered multiple herniated cervical discs and bony hypertrophic changes with spinal cord impingement. (autoaccident.com)
- Dr. Aaron Clark is a neurosurgeon specializing in minimally invasive outpatient procedures for lumbar and cervical herniated discs and stenosis, as well as minimally invasive lumbar fusion surgery. (ucsf.edu)
Anterior cervical fusion2
- A disc replacement surgery scar for cervical spine is on the front-side of the neck as is the case with anterior cervical fusion surgery . (mumbaispineclinic.com)
- But with Dr. Wascher's quick and timely intervention that included multiple viewings of MRIs, muscle and nerve tests, followed by a 3-Level Anterior Cervical Fusion, she is now happy without any neck issues. (wascherspineinstitute.com)
Fusion3
- Cervical Spinal Fusion in Adult Patients With Rheumatoid Arthritis: A National Analysis of Complications and 90-day Readmissions. (cornell.edu)
- Following a series of conservative care with her primary care doctor, the Plaintiff, who was in their mid-20s, was designated a pain management patient and, later, a surgical candidate who would require a spine fusion at the cervical level. (autoaccident.com)
- Rear-end Auto Accident - Our client suffered herniated cervical disks at C5-6 and C6-7 that required cervical fusion surgery. (autoaccident.com)
Surgical3
- CONCLUSIONS: Simultaneous circumferential decompression and fixation is an effective surgical option for patients with cervical myelopathy caused by OPLL. (bvsalud.org)
- Surgical intervention is generally indicated in with failure of conservative management or with evidence of cord compression or myelopathy. (edu.au)
- The purpose of this article is not to compare and contrast these different surgical techniques or plate technologies but to highlight the role of these 3 procedures for treatment of cervical spine disease. (medscape.com)
Arthroplasty1
- Cervical Disc Arthroplasty: A Comprehensive Review of Single-Level, Multilevel, and Hybrid Procedures. (cornell.edu)
Decompression3
- Compared with HDF, ACAF has the advantages of significant decompression, increasing cervical curvature, and reducing the incidences of complications. (researchsquare.com)
- Because myelopathy is a result of the spinal cord being squeezed inside the spinal column, spine decompression surgery may be necessary to treat it. (hopkinsmedicine.org)
- Full recovery from cervical decompression surgery can take an average of 5 weeks. (dallasspinesurgery.com)
Injury3
- He sustained an injury to his cervical spine in a bridge collapse accident that occurred in December of 2012, where his truck fell into a creek bed. (neurostructures.com)
- Carotid Artery Injury in Anterior Cervical Spine Surgery: Multicenter Cohort Study and Literature Review. (cornell.edu)
- When it occurs, it is usually secondary to a neck injury, arthritis, infection, or degeneration of the cervical spine due to aging. (wascherspineinstitute.com)
Trauma1
- Computed tomography (CT) scans delineate cervical spine fracture and are used extensively in trauma cases. (medscape.com)
Herniation2
- Left) MRI, Sagittal T2 sequence, demonstrating a central cervical disk herniation causing cervical myelopathy. (medscape.com)
- A younger patient with cervical disc herniation is ideal case. (mumbaispineclinic.com)
Nerve3
- A myelogram followed by a CT scan may be obtained prior to cervical decompressive spinal cord or nerve root surgery. (medscape.com)
- However, spasticity and hyperreflexia may be absent when there is concomitant peripheral nerve disease (e.g. cervical or lumbar nerve root compression, spinal stenosis, diabetes). (jomi.com)
- Center) MRI, Axial T2 sequence, demonstrating a normal cervical disk that does not cause compression of the spinal cord or the exiting nerve roots. (medscape.com)
Surgery8
- 2017. C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases. . (cornell.edu)
- He also is experienced in cervical spinal surgery and the treatment of tumors and traumatic spine injuries. (munishguptaspine.com)
- I am 68 years old and this was my fourth surgery on my lower back because of spinal stenosis. (mcfarlandclinic.com)
- Results of cervical artificial disc replacement surgery are very good with predictable outcome. (mumbaispineclinic.com)
- An artificial disc replacement surgery of cervical disc is a very common procedure. (mumbaispineclinic.com)
- However, lumbar disc replacement surgery success rate is not as high as cervical disc replacement surgery success rate. (mumbaispineclinic.com)
- It is not a commonly done procedure now a days due to unpredictable outcomes and difficulty in doing a multilevel lumbar disc replacement surgery. (mumbaispineclinic.com)
- Disc replacement surgery of cervical and lumbar spine is usually done using a minimally invasive spine surgery approach. (mumbaispineclinic.com)
Procedure1
- Discomfort and invasiveness render this procedure less desirable than cervical MRI, which provides much of the anatomical information that provocative discography does. (medscape.com)
Radicular2
- Cervical radicular pain most commonly radiates to the interscapular region, although pain can be referred to the occiput, shoulder, or arm as well. (medscape.com)
- If the patient has a radicular pattern of pain and no evidence of myelopathy, consider other pathologies. (medmastery.com)
Disc5
- For most cervical disc disorders, studies support conservative treatment, such as the McKenzie approach and cervicothoracic stabilization programs, combined with aerobic conditioning. (medscape.com)
- Sagittal magnetic resonance imaging (MRI) scan demonstrating cervical intervertebral disc protrusions at C3-C4 and C7-T1. (medscape.com)
- Understanding cervical disc disease requires basic knowledge of anatomy and biomechanics. (medscape.com)
- Cervical disc replacement can be combined at the end of construct in a multilevel cervical disc disease instrumentation. (mumbaispineclinic.com)
- A multilevel disc replacement can also be done in cervical spine. (mumbaispineclinic.com)
Patients3
- METHODS: Consecutive patients of cervical myelopathy caused by OPLL were analyzed retrospectively. (bvsalud.org)
- Over a 20-month period, prospectively, 437 patients with cervical or lumbar complaints were evaluated. (surgicalneurologyint.com)
- However, a multilevel instrumentation can significantly affect patients mobility, especially in lumbar spine. (mumbaispineclinic.com)
Curvature1
- The operation time, intraoperative bleeding volume, postoperative complications, Japanese Orthopaedic Association (JOA) score, Neck Disability Index (NDI) score, Computed Tomography (CT) transverse measurement, cervical curvature and Kang's grade were compared between two groups. (researchsquare.com)
Stabilization2
- In the cervical spine, a halo offers the greatest amount of stabilization. (medscape.com)
- Rigid cervical collars (eg, Philadelphia collar, Miami collar) and various cervicothoracic orthoses provide intermediate amounts of stabilization, while soft collars provide little stabilizing benefit. (medscape.com)
Evaluating neurologic1
- Electrodiagnostic studies continue to be standard for evaluating neurologic function of the cervical spine. (medscape.com)
Neck pain1
- Cervical mobility is inhibited secondary to axial neck pain. (neurostructures.com)
Lordosis2
- Radiological measurements included flexion ROM (fROM), which was defined as the difference of cervical lordosis in flexion and neutral positions, extension ROM (eROM), defined as the difference between neutral and extension positions, and gROM, defined as the difference between fROM and eROM. (bvsalud.org)
- Clinically, VAS score for neck and arm, mJOA score for myelopathy, C2-C7 cobb angle for lordosis improvement were analyzed. (fortuneonline.org)
Paraspinal1
- Cervical paraspinal muscle compartment pressure after laminoplasty: A cadaveric study. (cornell.edu)
Laminoplasty1
- 1 The video accompanying the article demonstrates a classic open-door cervical laminoplasty. (jomi.com)