Imaging Modalities for Cervical Spondylotic Stenosis and Myelopathy

Green, C.; Butler, Joseph S.; Eustace, S; Poynton, Ashley R.; O’Byrne, J.

doi:10.1155/2012/908324

Cited by 13 publications

(11 citation statements)

References 36 publications

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“…Proper size of the cage should be used as a larger cage size will increase the possibility of subsidence. Also, avoidance of overdistraction and forceful implantation reduces the risk of subsidence [17].…”

Section: Discussionmentioning

confidence: 99%

Fixation of multiple level anterior cervical disc using cages versus cages and plating

Elsayed

Sakr

2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Cervical disc herniation is a common cause of neck, upper limb, and upper back pain. In severe cases, neurological deficit might occur. It is surgically treated anteriorly or posteriorly, anteriorly through both cervical discectomy and fusion (ACDF) using cages alone or using cages plus plating. Objectives: We aimed to evaluate the fusion rate and the clinical outcome of multiple level anterior cervical discectomy followed by cage fusion alone and cage fusion with plate insertion. Materials and methods: In this prospective comparative study, 33 patients were included. Patients were divided into 2 groups: group A: 19 cases received ACDF and group B: 14 patients had ACDF plus plate fixation. Fusion rate was assessed by radiographs. Clinical outcome was assessed by the visual analog scale (VAS). Overall patients' satisfaction postoperatively was graded according to Odom's criteria. Results: The rate of fusion was 78.9% of patients in group A and 85.7% of patients in group B. Clinical outcomes were similar in both groups. Patient satisfaction according to Odom's criteria of outcome grading showed 36.8% of patients had excellent recovery and 31.6% had good recovery in group A. While in group B, 42.9% of patients had excellent recovery and 21.4% had good recovery. The differences between both groups were not statistically significant (P = 0.19). Conclusions: ACDF with or without plate fixation in more than two-level cervical discectomies achieves good stability and functional outcome. Addition of anterior cervical plate fixation resulted in a higher fusion rate and reduced cage subsidence than that of cage alone.

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Section: Discussionmentioning

confidence: 99%

Fixation of multiple level anterior cervical disc using cages versus cages and plating

Elsayed

Sakr

2019

Egypt J Neurol Psychiatry Neurosurg

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“…If a timely decompression of the cervical spinal cord is performed in the acute phase, the pathological changes can be completely reversed. In contrast, myelomalacia and necrosis rarely resolve even if late surgery is performed. Fehlings et al .…”

Section: Discussionmentioning

confidence: 99%

Role of Intraoperative Disc Contrast Injection in Determining the Segment Responsible for Cervical Spinal Cord Injury without Radiographic Abnormalities

Zhang

Xiang

2015

Orthopaedic Surgery

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“…Radiological assessment is key, as it assists differentiation of diskrelated neck pain, radiculopathy, and myelopathy. Imaging, in the context of pre-operative planning, also aids localization of the site-specific disease [26] . Compared with other radiological studies MRI provides an overview of both bony and soft tissue architecture including intervertebral discs, supporting ligaments, and neural structures.…”

Section: Static Mechanical Factorsmentioning

confidence: 99%

Mechanical and cellular processes driving cervical myelopathy

Dolan

Butler

O’Byrne

et al. 2016

WJO

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Cervical myelopathy is a well-described clinical syndrome that may evolve from a combination of etiological mechanisms. It is traditionally classified by cervical spinal cord and/or nerve root compression which varies in severity and number of levels involved. The vast array of clinical manifestations of cervical myelopathy cannot fully be explained by the simple concept that a narrowed spinal canal causes compression of the cord, local tissue ischemia, injury and neurological impairment. Despite advances in surgical technology and treatment innovations, there are limited neuro-protective treatments for cervical myelopathy, which reflects an incomplete understanding of the pathophysiological processes involved in this disease. The aim of this review is to provide a comprehensive overview of the key pathophysiological processes at play in the development of cervical myelopathy.

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Imaging Modalities for Cervical Spondylotic Stenosis and Myelopathy

Cited by 13 publications

References 36 publications

Fixation of multiple level anterior cervical disc using cages versus cages and plating

Fixation of multiple level anterior cervical disc using cages versus cages and plating

Role of Intraoperative Disc Contrast Injection in Determining the Segment Responsible for Cervical Spinal Cord Injury without Radiographic Abnormalities

Mechanical and cellular processes driving cervical myelopathy

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