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Posterior cervical surgery
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
Dennis T. Lockney, Angela Wolfe, Daniel J. Hoh
Cervical spondylotic myelopathy is the most common cause of spinal cord dysfunction in adults older than 55 years (Steinmetz et al., 2012, p. 1801). As life expectancy of the population increases, diagnosis and management of cervical spine disorders will become increasingly important for health-care professionals. As up to 80% of patients have improved functional outcomes with surgery, surgical intervention represents one of the most effective treatments for this common, disabling condition.
Neurogenic thoracic outlet syndrome
Published in Sachinder Singh Hans, Alexander D Shepard, Mitchell R Weaver, Paul G Bove, Graham W Long, Endovascular and Open Vascular Reconstruction, 2017
Because of the nonspecific and diffuse nature of symptoms, the differential diagnosis for NTOS can be broad and includes a variety of upper extremity neurologic and musculoskeletal conditions. Various cervical spine disorders can produce similar neurologic symptoms, including: arthritis; degenerative disc disease; post-traumatic strain; and spinal stenosis. Several impingement syndromes, such as acromioclavicular impingement, ulnar nerve (cubital tunnel) entrapment, and median nerve (carpal tunnel) compression syndrome, are also frequently on the differential diagnosis. Shoulder tendinitis, epicondylitis, and fibromyalgia should also be considered.
The Shoulder
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
Pain from the shoulder or its surrounding tendons is felt anterolaterally and at the insertion of the deltoid; sometimes it radiates down the arm. Pain on top of the shoulder suggests acromioclavicular dysfunction or a cervical spine disorder. Beware the trap of referred pain – the shoulder is a common site of referred pain from the neck, heart, mediastinum and diaphragm.
The update on scales and questionnaires used to assess cervical spine disorders
Published in Physical Therapy Reviews, 2021
Łukasz Pulik, Nicola Dyrek, Aleksandra Piwowarczyk, Kaja Jaśkiewicz, Sylwia Sarzyńska, Paweł Łęgosz
The scales and questionnaires used to assess cervical spine disorders are a useful tool to determine the severity of pain in patients with different MSDs. They also provide an opportunity to link other complaints such as mobility difficulties, headaches and dizziness, and problems associated with reduced physical activity with cervical problems. The results of the measurements illustrate how much cervical pain limits the patient's ability to perform the necessary life functions, thus giving an idea of how cervical pain affects the quality of life. Due to the large variety of these scales, we can assess how much pain limits the ability to perform daily activities (NDI) but also to indicate the patient's perception of cervical pain and its change from week to week (NOOS). It also allows doctors to assess the severity of the pain and helps to measure the emotional impact of pain on the patient's functioning (NPAD) and determine the symptomatology of pain, as in the case of the NPQ questionnaire. Considering that cervical pain has recently become a serious problem of civilization, the use of the scales presented by us allows the clinicians to assess the results of surgical/pharmacological/rehabilitation/physiotherapeutic treatment. Therefore, with the help of properly used, neck-oriented outcome measures, effective treatment methods can be selected and applied.
Test – re-test reliability and concurrent validity of cervical active range of motion in young asymptomatic adults using a new inertial measurement unit device
Published in Expert Review of Medical Devices, 2021
A. Chalimourdas, Z. Dimitriadis, E. Kapreli, N. Strimpakos
Among the most common disorders of human body are cervical spine disorders. Cervical spine disorders have a significant impact on both patients and national health-care systems [1]. Patients with neck pain have reduced active range of motion (AROM) compared to the healthy population [2], and whiplash patients have reduced AROM compared to idiopathic neck pain patients [2,3]. Furthermore, AROM is reduced in other neck disorders like cervical disc disorders and cervical radiculopathy [4]. As a result, the range of motion (ROM) is one of the first things that is evaluated in neck disorders [5]. Cervical ROM is very important in the diagnosis of neck disorders, but also in evaluation of patient progress [6].
Cervical decompressive laminectomy and lateral mass screw-rod arthrodesis: surgical experience and analytical review of 4120 consecutive screws
Published in British Journal of Neurosurgery, 2021
Mohammed M. Al Barbarawi, Mohammed Z. Allouh, Suhair M. Qudsieh, Ala' Barbarawi
The surgical technique was implemented to deal with a wide range of cervical spine disorders. The indications for surgery included, in order of commonness, symptomatic cervical spondylotic myelopathy; cervical spine injuries; congenital anomalies including assimilation of C1, Platybasia with C2 incorporated into posterior fossa, Klippel–Feil syndrome, and achondroplasia; primary and secondary cervical spine neoplastic lesions; metabolic and inflammatory disorders such as rheumatoid arthritis with pannus; idiopathic calcification of the posterior longitudinal ligament; and simple laminectomy for cervical hyperlordosis. The numbers and percentages of all indications are summarized in Table 1.