Pathobiology of Cervical Radiculopathy and Myelopathy

Hartman, Cory; Hoh, Daniel J.

doi:10.1007/978-3-319-97952-6_5

Cited by 3 publications

(1 citation statement)

References 55 publications

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“…Patients with this condition often present with radicular neck and arm pain, numbness, or muscle weakness. 4,5 Surgery may be indicated in selected patients. 5,6 Norway has a government-funded healthcare system with universal cover.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes after surgery for cervical radiculopathy performed in public and private hospitals

Danielsen

Gulati

Salvesen

et al. 2023

The Bone & Joint Journal

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Aims The number of patients undergoing surgery for degenerative cervical radiculopathy has increased. In many countries, public hospitals have limited capacity. This has resulted in long waiting times for elective treatment and a need for supplementary private healthcare. It is uncertain whether the management of patients and the outcome of treatment are equivalent in public and private hospitals. The aim of this study was to compare the management and patient-reported outcomes among patients who underwent surgery for degenerative cervical radiculopathy in public and private hospitals in Norway, and to assess whether the effectiveness of the treatment was equivalent. Methods This was a comparative study using prospectively collected data from the Norwegian Registry for Spine Surgery. A total of 4,750 consecutive patients who underwent surgery for degenerative cervical radiculopathy and were followed for 12 months were included. Case-mix adjustment between those managed in public and private hospitals was performed using propensity score matching. The primary outcome measure was the change in the Neck Disability Index (NDI) between baseline and 12 months postoperatively. A mean difference in improvement of the NDI score between public and private hospitals of ≤ 15 points was considered equivalent. Secondary outcome measures were a numerical rating scale for neck and arm pain and the EuroQol five-dimension three-level health questionnaire. The duration of surgery, length of hospital stay, and complications were also recorded. Results The mean improvement from baseline to 12 months postoperatively of patients who underwent surgery in public and private hospitals was equivalent, both in the unmatched cohort (mean NDI difference between groups 3.9 points (95% confidence interval (CI) 2.2 to 5.6); p < 0.001) and in the matched cohort (4.0 points (95% CI 2.3 to 5.7); p < 0.001). Secondary outcomes showed similar results. The duration of surgery and length of hospital stay were significantly longer in public hospitals. Those treated in private hospitals reported significantly fewer complications in the unmatched cohort, but not in the matched cohort. Conclusion The clinical effectiveness of surgery for degenerative cervical radiculopathy performed in public and private hospitals was equivalent 12 months after surgery. Cite this article: Bone Joint J 2023;105-B(1):64–71.

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Section: Introductionmentioning

confidence: 99%

Clinical outcomes after surgery for cervical radiculopathy performed in public and private hospitals

Danielsen

Gulati

Salvesen

et al. 2023

The Bone & Joint Journal

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Specific plasma biomarker signatures associated with patients undergoing surgery for back pain

Coquelet,

Da Cal,

El Hage

et al. 2025

The Spine Journal

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Comparative Effects of Manual Cervical Traction and Natural Apophyseal Glides on Pain and Disability among Patients with Cervical Radiculopathy

Ghazanfar

Ahmad

Rafiq

et al. 2022

PBMJ

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Cervical radiculopathy is a clinical condition that affects the nerve roots and is frequently brought on by inflammatory or compressive disease. Although many alternative techniques have been proposed for reducing patients' pain and disabilities, manual therapy has been proven to be an efficient method. The goal of the current study was to compare how well the Manual Cervical Traction and Natural Apophyseal Glides treated individuals with cervical radiculopathy for pain and impairment. Methods: The physiotherapy department of Mayo Hospital Lahore conducted a parallel design, randomized controlled experiment on 72 patients. Following baseline testing, participants were divided into two groups randomly. Natural apophyseal glides and baseline therapy were given to group A, whereas manual cervical traction and baseline treatment were given to group B. Three weeks of treatment were spent receiving three weekly sessions on a rotating basis. A neck disability index and a numeric pain rating scale were used for assessment at the baseline and second and third weeks of therapy. The data was examined using SPSS version 25. Results: Data was analyzed for 72 participants. Mean and standard deviation scores for pain in group A were 3.14 ± 0.601 and of group B were 3.34 ± 0.482 before treatment. The post treatment score for group A were 1.57 ± 0.502 and of group B were 1.63 ± 0.490 with P value 0.632. P value for disability was 0.11. Conclusion: Natural Apophyseal Glides is equally effective to manual cervical traction for relieving pain but found to be more effective for improving functional mobility.

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Pathobiology of Cervical Radiculopathy and Myelopathy

Cited by 3 publications

References 55 publications

Clinical outcomes after surgery for cervical radiculopathy performed in public and private hospitals

Clinical outcomes after surgery for cervical radiculopathy performed in public and private hospitals

Specific plasma biomarker signatures associated with patients undergoing surgery for back pain

Comparative Effects of Manual Cervical Traction and Natural Apophyseal Glides on Pain and Disability among Patients with Cervical Radiculopathy

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