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262,294 results
  • Cervical canal stenosis due to cervical spondylotic myelopathy C4-C5: A case report. [Journal Article]
  • IJInt J Surg Case Rep 2019 Jun 04; 60:82-86
  • Rahyussalim AJ, Saleh I, … Kurniawati T
  • CONCLUSIONS: Cervical spondylotic myelopathy is a complex disease that may lead to significant clinical morbidity. The management requires an extensive knowledge of the anatomy, biomechanics, and surgical options. The variable clinical findings, radiological evidence and scoring system, such as JOA, are important for preoperative evaluation and individualising surgical planning. The choice of the most appropriate technique is affected by patient's clinical condition and radiologic findings as well as surgeon's experience. It is demonstrated that the Kurokawa-type laminoplasty that involves splitting the spinous processes in the midline offers the advantage of reduced bleeding as the lateral epidural venous plexus is not disturbed in comparison to that with the former Hirabayashi's expansive open-door laminoplasty. Moreover, the body symmetry is preserved; therefore, this procedure may be considered more anatomical and physiological. However, differences in the outcomes between the two approaches remain unknown.These findings suggest that the decompression and posterior stabilisation method may help achieve good patient outcomes.
  • Characterizing Gait Abnormalities in Patients with Cervical Spondylotic Myelopathy: A Neuromuscular Analysis. [Journal Article]
  • SJSpine J 2019 Jun 14
  • Haddas R, Cox J, … Derman PB
  • CONCLUSIONS: The onset of muscle activity is not delayed in CSM patients, but many key muscles take longer to fully contract. This produces a situation in which patients with CSM are unable to fully fire their muscles with sufficient speed to maintain a normal gait. The core and lower extremity muscles do not contract with increased peak amplitude in response, but the deltoid and hamstring muscles are more active, suggesting compensatory activity as patients attempt to maintain balance. The end result is less efficient ambulation. These findings provide a more nuanced understanding of gait in individuals suffering from CSM and may have implications on rehabilitation protocols.
  • Which NDI Domains Best Predict Change in Physical Function in Patients Undergoing Cervical Spine Surgery? [Journal Article]
  • SJSpine J 2019 Jun 14
  • Steinhaus ME, Iyer S, … Kim HJ
  • CONCLUSIONS: All NDI domains improve significantly after cervical spine surgery and demonstrate significant correlation with changes in PROMIS PF and SF-36 PCS. The work, recreation, and pain intensity domains were the only independent predictors of physical function changes postoperatively. Considering physical function, our findings highlight the importance of presenting changes in individual NDI domains in addition to the total score.
  • Cervical Laminectomy With or Without Lateral Mass Instrumentation: A Comparison of Outcomes. [Journal Article]
  • CSClin Spine Surg 2019 Jun 14
  • Kim BS, Dhillon RS
  • CONCLUSIONS: In carefully selected patients with normal preoperative cervical sagittal alignment, stand-alone cervical laminectomy may offer acceptably low rates of postoperative kyphosis. In patients with preoperative loss of cervical lordosis and/or kyphosis, posterior fusion is recommended to reduce the risk of progression to postoperative kyphotic deformity, bearing in mind that radiologic evidence of kyphosis may not necessarily correlate with poorer clinical outcomes. Furthermore, the specific risks associated with posterior fusion (instrumentation failure, pseudarthrosis, infection, C5 nerve root palsy, and vertebral artery injury) need to be considered and weighed up against potential benefits.
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