Prevalence of cervical spondylotic radiculopathy: a door-to-door survey in a Sicilian municipality

Salemi, Giuseppe; Savettieri, Giovanni; Meneghini, Francesca; Benedetto, Massimo; Ragonese, Paolo; Morgante, Francesca; Reggio, A.; Patti, Francesco; Grigoletto, Francesco; Perri, R. Di

doi:10.1111/j.1600-0404.1996.tb00196.x

Cited by 100 publications

(75 citation statements)

References 15 publications

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“…We found the highest percentage of male patients with sole cases of CR, and highest percentage of female patients with sole cases of CTS, in comparison with the other diagnoses. This Wnding is compatible with previous reports, which suggest that men are more susceptible to cervical radiculopathy and women are more susceptible to carpal tunnel syndrome [8][9][10][11][12][13]. Patients with sole cases of CTS, sole cases of CR, and DCS had similar likelihood of having upper limb pain or paresthesia, suggesting that the diVerential diagnosis of these conditions cannot rely on these symptoms, which are nonspeciWc in these conditions.…”

Section: Discussionsupporting

confidence: 92%

“…From our reviewed data in Table 1, we found that the average ages of the patients with neck and upper limb symptoms were similar and within the range of 50-55 years, which is the peak age range of patients with CR and CTS found in previous studies [8][9][10]. One study found the prevalence of symptomatic and electrodiagnostically conWrmed CTS in about 2% among men and 3% among women in the general population [11].…”

Section: Discussionmentioning

confidence: 68%

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Clinical characteristics and electrodiagnostic features in patients with carpal tunnel syndrome, double crush syndrome, and cervical radiculopathy

Chou

Meng

et al. 2011

Rheumatol Int

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Similar unilateral neck and upper limb symptoms are often due to various entrapment neuropathies; carpal tunnel syndrome (CTS) and cervical radiculopathy (CR) are common causes among them. Therefore, we investigated the clinical characteristics and electrodiagnostic features of patients with carpal tunnel syndrome, cervical radiculopathy, and both conditions, called double crush syndrome (DCS). The medical records and electrodiagnostic reports of 866 patients with suspected CTS and CR visited a tertiary-care hospital were retrospectively analyzed. After excluding 101 patients with confounding conditions, 151 (20%) patients were diagnosed to have sole cases of CTS; 362 (47%) patients were diagnosed to have sole cases of CR; 198 (26%) patients were diagnosed to have DCS, while 54 (7%) patients had mere symptoms. Sole cases of CR had the highest incidences of neck pain, upper back pain, wrist and hand weakness. Female patients had the highest incidences of all the diseases in their sixth decade. Male patients had comparably distinguished high occurrence of all the diseases in their fifth to sixth decades. Although comparison of nerve conduction studies between patients with mere symptoms and patients with sole cases of CTS or DCS showed statistical differences, comparison between the latter two revealed no difference. We found most patients referred for electrodiagnostic studies had cervical radiculopathy. High concomitant occurrence of CTS and CR suggests cautious evaluation of patients with upper limb symptoms is important, because the management of these conditions is quite different.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 68%

Clinical characteristics and electrodiagnostic features in patients with carpal tunnel syndrome, double crush syndrome, and cervical radiculopathy

Chou

Meng

et al. 2011

Rheumatol Int

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“…The incidence of cervical radiculopathy is much lower. Point prevalence has been placed at 3.5/1,000 while the annual incidence has been reported at 83/100,000 population [5,6].…”

Section: Introductionmentioning

confidence: 99%

Cervical spine: degenerative conditions

Todd

2011

Curr Rev Musculoskelet Med

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Degenerative cervical spine disorders will affect up to two-thirds of the population in their lifetime. While often benign and episodic in nature, cervical disorders may become debilitating resulting in severe pain and possibly neurologic sequelae. Non-operative treatment continues to play an important role in treating these patients, with medications, therapy and interventional pain injections playing increasing roles in treatment. Surgical treatment including anterior and posterior decompression and fusion have been effective treatments of many cervical disorders, but may lead to significant problems including adjacent level disease. Laminotomy/foraminotomy and total disc arthroplasty may avoid some of these problems while providing similar clinical results. Ongoing clinical trials and studies are helping to define the role of these new technologies in treatment of patients with degenerative cervical disorders, although their greater benefit has yet to be proven.

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“…Cervical radiculopathy is a relatively common ailment that accompanies severe pain, and its morbidity rate is reportedly about 0.3% [2]. The most common cause of Corresponding author: GeonMok Lee, Ph.D., president of association, research field: acupuncture.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Widening of the Facet Joints in Cervical Radiculopathy by Modified Needles: Technical Report

Lee¹,

Lee²,

Kim³

et al. 2015

JPP

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Surgical treatment and ESI (epidural steroid injection) are widely used forms of treatment for cervical radiculopathy but they are controversial and burdensome for patients. To relief pain fast without side effects, we devised a new minimally invasive treatment method that widens the facet joints to decompress nerve roots and release the muscle spasm in cervical radiculopathy with acupuncture needles with blunt tip and mini-scalpel, and named it modified acupuncture procedure. MAP (Modified acupuncture procedure) was administered for 37 patients (mean age = 53.1 years, follow-up = 14.2 months) with cervical radiculopathy who did not recover from 4 weeks of nonsurgical treatment. We analyzed clinical outcomes of patients before and after the procedure through VAS (Visual Analogue Scale) and NDI (Neck Disability Index). On average, patients received 1.4 MAP (modified acupuncture procedures). The VAS score difference on the day after procedure and at 1 year follow-up was 36.8 ± 26.5 (from 60.1 ± 25.3 at the baseline to 25.3 ± 17.8 at the reading) (P < 0.01) and 31.0 ± 30.4 (29.0 ± 21.8 at the reading) respectively. The NDI value dropped by 19.9 ± 18.3 (from 37.2 ± 19.7 at the baseline to 17.2 ± 15.0 at the reading) (P < 0.01) on 1 year follow up. MAP was found to have clinical efficacy for cervical radiculopathy.

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Prevalence of cervical spondylotic radiculopathy: a door-to-door survey in a Sicilian municipality

Cited by 100 publications

References 15 publications

Clinical characteristics and electrodiagnostic features in patients with carpal tunnel syndrome, double crush syndrome, and cervical radiculopathy

Clinical characteristics and electrodiagnostic features in patients with carpal tunnel syndrome, double crush syndrome, and cervical radiculopathy

Cervical spine: degenerative conditions

Minimally Invasive Widening of the Facet Joints in Cervical Radiculopathy by Modified Needles: Technical Report

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