ACR Appropriateness Criteria® Cervical Neck Pain or Cervical Radiculopathy

Imaging, Expert Panel on Neurological; McDonald, Marin A.; Kirsch, Claudia; Amin, Beejal Y.; Aulino, Joseph M.; Bell, Angela M.; Cassidy, R. Carter; Chakraborty, Santanu; Choudhri, Asim F.; Gemme, Seth R.; Lee, Ryan K.; Luttrull, Michael D.; Metter, Darlene F; Moritani, Toshio; Reitman, Charles A.; Shah, Lubdha M.; Sharma, Aseem; Shih, Robert Y.; Snyder, Laura A.; Symko, Sophia C.; Thiele, Ralf; Bykowski, Julie

doi:10.1016/j.jacr.2019.02.023

Cited by 44 publications

(28 citation statements)

References 113 publications

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“…The front and rear edges of the dural sac are flat, generally appearing as thin slices, concave inward. [28][29][30][31] Segment T2 is weighted as a high-signal or low-signal change and cervical spinal cord signals are involved [32][33][34].…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Clinical Application of Evoked Potentials in the Operation of Cervical Spondylotic Myelopathy with Different Imaging

Ding

Zong

Zong-jun

et al. 2022

Contrast Media & Molecular Imaging

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Objective. To observe the effects of improvement of cervical spondylotic myelopathy with different imaging signals after cortical somatosensory-evoked potentials on the functional recovery of postoperative patients and the effect of surgery. Methods. A total of 60 patients with cervical spondylotic myelopathy who were hospitalized in our hospital from January 2020 to December 2020 were selected and divided into a case group (30 cases) with MRI-indicated changes in intramedullary signals and a control group (30 cases) with MRI-indicated spinal cord changes. Intragroup and intergroup control studies were conducted through general observation indexes, neurological evaluation indexes, imaging, and evoked potential observation indexes. Somatosensory-evoked potentials were performed before operation, 1 week after operation, and 24 weeks after operation, and the JOA score of each patient was obtained before operation, 1 week after operation, and 24 weeks after operation. Results. The JOA score of 1 week after operation of the case group is (16.25 ± 1.54) and the control group is (11.89 ± 1.63), and there is a statistically significant difference (P < 0.05). The JOA score of the case group 24 weeks after operation is (25.27 ± 1.03) and the control group is (13.28 ± 1.03), and the difference is statistically significant (P < 0.05). The improvement rate of 1 week after operation and 24 weeks after operation was statistically significant between the two groups (P < 0.05). The case group improvement rate is (70.5 ± 8.72)% and the control group is (40.5 ± 9.81)%, and the difference is statistically significant between the two groups (P < 0.05). Conclusion. The preoperative intramedullary signal changes can be used as an effective index for patients with cervical spondylotic myelopathy to use somatosensory-evoked potentials to assess the prognosis of patients after surgery.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Clinical Application of Evoked Potentials in the Operation of Cervical Spondylotic Myelopathy with Different Imaging

Ding

Zong

Zong-jun

et al. 2022

Contrast Media & Molecular Imaging

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“…The role of cervical spine MRI for evaluation of neck pain has been described in many literatures considering its excellent image contrast in demonstrating IVD, spinal cord, vertebral bone marrow, foraminal stenosis and other many aspects of anatomies such as ligamentous structures ( 9 , 11 , and 12 ). This study assessed cervical spine MRI examinations done for patients presented with neck pain and the result showed degenerative spine disease is the most common cause of neck pain, which is in consistent with previous teaching hospital based retrospective and prospective studies done in Nigeria and Dhaka respectively ( 13 – 15 ).…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Analysis on Cervical Spine Magnetic Resonance Imaging Findings in Patients with Neck Pain in a Tertiary Hospital, Addis Ababa, Ethiopia

Balcha

Getaneh

Woldeyohannes

2021

Ethiop J Health Sci

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BACKGROUND፡ Neck pain is a common health problem throughout the world causing significant individual disability and economic burden on health care facility. Many factors are mentioned as a cause or association in relation to neck pain, of which degenerative and posttraumatic cause are the main ones. The aim of this study is to assess cervical spine Magnetic Resonance Imaging (MRI) patterns in patients presented with neck pain.METHODS: A retrospective analysis of 160 patients who had cervical spine Magnetic Resonance Imaging (MRI) for evaluation of a neck pain was done. The study was conducted between February to August 2018 at Tikur Anbessa Specialized Hospital. The patients’ clinical history and magnetic resonance imaging reports were reviewed from their medical records. All patients who have cervical spine Magnetic Resonance Imaging (MRI) for a neck pain were included in the study. Those patients with acute traumatic neck pain were excluded.RESULTS: From a total of 160 patients, 71(44.4%) were males and 89(55.6%) were females. Degenerative cervical spine findings such as intervertebral disc degenerations were seen in 127(79.4%) patients. Non-degenerative imaging findings such as neoplasm and infection were seen in 10(6.3%) patients only. The MRI was normal in 23(14.4%) of them.CONCLUSION: The most common cause of neck pain from this study is degenerative changes of the cervical spine, which was predominant in the older age groups. Non-degenerative causes such as neoplasm and infection were less common findings.

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“…If MRI is not available or is contraindicated, CT with IV contrast should be performed (33,34). CT may show destructive endplate changes in VDO and may help identify paraspinal inflammatory changes or fluid collections (35).…”

Section: Selection Of Diagnostic Imaging Techniquementioning

confidence: 99%

Best Practices: CT-Guided Percutaneous Sampling of Vertebral Discitis-Osteomyelitis and Technical Factors Maximizing Biopsy Yield

Husseini

Habibollahi

Nelson

et al. 2021

American Journal of Roentgenology

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ACR Appropriateness Criteria® Cervical Neck Pain or Cervical Radiculopathy

Cited by 44 publications

References 113 publications

[Retracted] Clinical Application of Evoked Potentials in the Operation of Cervical Spondylotic Myelopathy with Different Imaging

[Retracted] Clinical Application of Evoked Potentials in the Operation of Cervical Spondylotic Myelopathy with Different Imaging

A Retrospective Analysis on Cervical Spine Magnetic Resonance Imaging Findings in Patients with Neck Pain in a Tertiary Hospital, Addis Ababa, Ethiopia

Best Practices: CT-Guided Percutaneous Sampling of Vertebral Discitis-Osteomyelitis and Technical Factors Maximizing Biopsy Yield

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