Clinical Diagnosis of Common Overlapping Shoulder and Cervical Spine Disorders

Sakthivelnathan, Vishaal; Somerson, Jeremy S.; Alijanipour, Pouya

doi:10.2106/jbjs.rvw.23.00164

JBJS Reviews

2023

DOI: 10.2106/jbjs.rvw.23.00164

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Clinical Diagnosis of Common Overlapping Shoulder and Cervical Spine Disorders

Vishaal Sakthivelnathan,

Jeremy S. Somerson,

Pouya Alijanipour

Abstract: » Pain in the shoulder is a common orthopaedic complaint that can be caused by shoulder or neck pathologies.» Shoulder and neck pathologies often coexist, among which one may be a predisposing factor for the other.» History, physical examination, and diagnostic injections can be used to discern the cause of shoulder pain and guide treatment.

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2024

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Cited by 1 publication

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The Positive Side Effect of Anterior Cervical Decompression and Fusion on Axial Neck Pain

Redaelli,

Bellosta-López,

Langella

et al. 2024

Global Spine Journal

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Study Design Observational Cohort Study. Objectives This study aims to comprehensively assess the outcomes of anterior cervical spine surgery in patients who have undergone surgical intervention for radiculopathy or myelopathy, with a specific focus on the surgery’s impact on axial neck pain. Methods Data from an institutional spine surgery registry were analyzed for patients who underwent anterior cervical spine surgery between January 2016 and March 2022. Patient demographics, clinical variables, and outcome measures, including the Neck Disability Index (NDI), numeric rating scales for neck and arm pain (NRS-Neck and NRS-Arm), and 36-Item Short Form Health Survey (SF-36) scores, were collected. Statistical analysis included paired t-tests, chi-squared tests, and multivariate linear regression. Results Of 257 patients, 156 met the inclusion criteria. Patients showed significant improvement in NDI, NRS-Neck, NRS-Arm, SF-36 (Physical and Mental components), and all changes exceeded the minimum clinically important difference. Multivariate regression revealed that lower preoperative physical and mental component scores and higher preoperative NRS-Neck predicted worse NDI scores at follow-up. Conclusions This study underscores that anterior cervical fusion not only effectively alleviates arm pain and disability but also has a positive impact on axial neck pain, which may not be the primary target of surgery. Our findings emphasize the potential benefits of surgical intervention when neck pain coexists with neurologic compression. This contribution adds to the growing body of evidence emphasizing the importance of precise diagnosis and patient selection. Future research, ideally focusing on patients with isolated neck pain, should further explore alternative surgical approaches to enhance treatment options.

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The Positive Side Effect of Anterior Cervical Decompression and Fusion on Axial Neck Pain

Redaelli,

Bellosta-López,

Langella

et al. 2024

Global Spine Journal

View full text Add to dashboard Cite

show abstract

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Clinical Diagnosis of Common Overlapping Shoulder and Cervical Spine Disorders

Cited by 1 publication

References 55 publications

The Positive Side Effect of Anterior Cervical Decompression and Fusion on Axial Neck Pain

The Positive Side Effect of Anterior Cervical Decompression and Fusion on Axial Neck Pain

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