Cervical Radiculopathy

Rhee, John M.; Yoon, Tim; Riew, K. Daniel

doi:10.5435/00124635-200708000-00005

Cited by 152 publications

(102 citation statements)

References 35 publications

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“…18 As for the evaluation of pain, intense-moderate pain had transitioned to mild pain at 6 months following surgery, similar to the results found in the literature. [1][2][3] We observed a reduction of the Nurick scale score of the patients, thus increasing the number of patients rated Nurick 0. Only one patient, classified as Nurick 5, did not improve.…”

Section: Discussionmentioning

confidence: 99%

“…2 Ferguson and Caplan divided myelopathy into medial, lateral, and combined syndromes, and vascular syndrome. The physical examination may reveal hyperreflexia below the compromised level, clonus, Babinski and Hoffman pathological reflexes, and abnormal gait.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Cervical pain has a lifetime prevalence of 66% and is usually associated with episodes of headache and low back pain. 1,3,4 Cervical myelopathy is a spinal cord dysfunction syndrome caused by the compression of the soft tissues and the bony structures in the cervical canal of congenital, degenerative, tumoral, or traumatic causes, which produces progressive neurological symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Selective nerve blocks are also an option, however, cases with poor response to conservative orthopedic treatment may be candidates for surgical management. 2,[13][14][15][16][17] Anterior approach cervical discectomy is a procedure for the decompression of the neurological elements that may increase or produce instability. [13][14][15][16][17][18] C5-C6 discectomy significantly increases the mobility of the segment in flexion (66.6%), extension (69.5%), lateral inclination (41.3%), and axial rotation (37.9%).…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

2017

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Objective: To determine the efficacy of PEEK (Poly-ether-ether-ketone) cage without plate for the treatment of single-level cervical spondylosis. Methods: Ten patients with cervical myelopathy data, with a single-level root condition, seen at the outpatient clinic of the Neurosurgery Service, operated in 2016, mean age 53 years, 6 (60%) female, 4 (40%) obese, 3 (30%) smokers. The Cloward technique was used by anterior approach, discectomy, and PEEK cage placement. Results: At six months of surgery, 100% of the patients had increased intervertebral space, with a 100% reduction in osteophytes; only one patient had dysphagia, no patient had lesion of the adjacent segment and 10% had persistent root pathology. Cervical lordosis was observed in 90% of the patients and arthrodesis in 100% of the cases. Conclusions: Anterior approach arthrodesis using PEEK cage without cervical plate is effective as a treatment of cervical myelopathy in a single level.Keywords: Cervical vertebrae; Arthrodesis; Cervical; Cervical spondylosis. RESUMO Objetivo: Determinar a eficácia da do uso de cage em PEEK (poli-éter-éter-cetona), sem placa para o tratamento de espondilose cervical em um único nível. Métodos: Dez pacientes com dados de mielopatia cervical com afecção radicular em um só nível, atendidos no ambulatório do Serviço de

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

2017

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“…[6] For example, specific sensory, motor and reflex changes frequently accompany pain in the neck and upper limbs if someone has a cervical radiculopathy. [7] It is not clear what proportion of people with neck pain in the general population experience associated upper limb disability, but among people with neck pain, upper limb function is often impaired. [8,9] Neck pain and its association with upper limb disability has comparatively well documented.…”

Section: Introductionmentioning

confidence: 99%

The association between self-reported low back pain and lower limb disability as well as the association between neck pain and upper limb disability

Kahraman¹,

Göz²,

Genç

2016

Agri

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Characteristics of carpal tunnel syndrome in patients with cervical radiculopathy: A cross‐sectional study

Teymouri,

Emami Razavi,

Azadvari

et al. 2023

Health Science Reports

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Background and AimsCervical radiculopathy (CR) is a group of signs and symptoms caused by cervical root dysfunction. Patients with this condition may also have carpal tunnel syndrome (CTS), which is caused by compression of the median nerve in the carpal tunnel. This coexistent condition is referred to as double crush syndrome (DCS) which is explained by proximal disruption in axoplasmic flow that may result in nerve dysfunction. Yet, the accuracy of this hypothesis remains controversial.Materials and MethodsPatients with confirmed CR according to electromyography were included in this retrospective study. However, we omitted patients with overt diabetic neuropathy, prior spinal or hand surgery and/or fractures, and rheumatoid arthritis. Patients underwent electrodiagnostic studies, and the results were used to determine CTS severity. We used Pearson's χ2 test to assess the correlation between the severity of CTS and CR. Descriptive analysis was used to report patient characteristics and the prevalence of CTS in CR patients.ResultsWe included 291 participants, 59% of whom were women. Although insignificant, DCS was observed more in women (n = 110) compared to men (n = 71). However, we found that patients with DCS (54.81 ± 13.3) were older than non‐DCS patients (43.71 ± 12.94) which was statistically significant (p < 0.05). There was statistically no correlation between the severity of CR and CTS, ipsilaterlly (p > 0.05). In total, CTS was observed in 62.2% (n = 181) patients.ConclusionIn summary, we found a relatively high prevalence of DCS in the present study. In patients with and without DCS, gender did not seem to play a role but the growing age seemed to contribute to DCS. The severity of CTS was not related to CR severity at any cervical level, which negates a causal relation between the pre‐existing CR and newly diagnosed CTS.

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Cervical Radiculopathy

Cited by 152 publications

References 35 publications

Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

The association between self-reported low back pain and lower limb disability as well as the association between neck pain and upper limb disability

Characteristics of carpal tunnel syndrome in patients with cervical radiculopathy: A cross‐sectional study

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