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Spondylosis

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223. Overview of sport-related injuries

. Non-specific neck pain is pain with a postural or mechanical basis (cervical spondylosis), but excludes fibromyalgia pain. Non-specific neck pain may include some patients with a traumatic basis for their symptoms, but does not include people for whom pain is specifically stated to have followed sudden acceleration-deceleration injuries to the neck (whiplash). Whiplash is commonly seen in sport-related injuries and road traffic accidents. Acute spinal cord trauma is a medical emergency

2018 BMJ Best Practice

224. Assessment of balance disorders

syndrome) Spinal cord trauma Guillain-Barre syndrome (GBS), polyradiculopathy Spinal spondylosis Spinal cord tumour Neuromyelitis optica (NMO) Subacute combined degeneration of the cord Syphilis, tabes dorsalis TB (Pott's disease) HIV infectious myelopathy Human T-lymphotrophic virus (HTLV)-1 infectious myelopathy SLE inflammatory myelopathy Anxiety disorder Drug toxicity Contributors Authors Instructor in Otology and Laryngology Harvard Medical School Boston MA Disclosures AP declares that he has

2018 BMJ Best Practice

225. Degenerative cervical spine disease

is particularly noticeable as hand clumsiness or loss of fine motor function. Treatments differ radically depending on patient presentation, specific symptoms, and which arthritis-related or neurological complications predominate. Neurological complications may respond to surgical decompression if symptoms do not abate after treatment with conservative measures, depending on their longevity and severity. Definition Cervical spondylosis is the specific term for osteoarthritis of the spine, which includes

2018 BMJ Best Practice

226. Bursitis

rheumatoid arthritis gout or pseudogout penetrating injury osteoarthritis of the hip infection in a nearby joint lower limb length discrepancy iliotibial band contracture lumbar spondylosis valgus knee deformity low-riding shoes anatomical or functional impingement within the coracoacromial arch Diagnostic investigations clinical diagnosis Gram stain and culture of fluid aspirate crystal analysis x-ray of affected region MRI Treatment algorithm ACUTE Contributors Authors Centre Lead and Professor

2018 BMJ Best Practice

227. Overview of occupational overuse syndromes

and cumulative stresses to the spinal anatomy. Shelerud RA. Epidemiology of occupational low back pain. Clin Occup Environ Med. 2006;5:501-528. http://www.ncbi.nlm.nih.gov/pubmed/16963373?tool=bestpractice.com The aetiology of cervical spondylosis is underlying spontaneous joint degeneration. It is related to age, and to wear and tear. Binder AI. Cervical spondylosis and neck pain. BMJ. 2007;334:527-531. http://www.ncbi.nlm.nih.gov/pubmed/17347239?tool=bestpractice.com Rao RD, Currier BL, Albert TJ, et al (...) . Degenerative cervical spondylosis: clinical syndromes, pathogenesis and management. J Bone Joint Surg Am. 2007;89:1360-1378. http://www.ncbi.nlm.nih.gov/pubmed/17575617?tool=bestpractice.com However, concordant twin studies note a significant genetic predisposition to development of cervical degeneration, in addition to occupational and activity-related factors. Williams FM, Sambrook PN. Neck and back pain and intervertebral disc degeneration: role of occupational factors. Best Pract Res Clin Rheumatol

2018 BMJ Best Practice

228. Spinal stenosis

if there is degenerative spondylolisthesis or degenerative scoliosis. Neurological deficit including sensory or motor loss occurs in up to 30% of patients, and patients may experience severe morbidity from reduction in the ability to walk. Definition Lumbar spondylosis refers to degenerative conditions of the lumbar spine that narrow the spinal canal, lateral recesses, and neural foramina. Facet joint and ligamentous hypertrophy, intervertebral disc protrusion, and spondylolisthesis may all contribute to the stenosis

2018 BMJ Best Practice

229. Spinal stenosis

if there is degenerative spondylolisthesis or degenerative scoliosis. Neurological deficit including sensory or motor loss occurs in up to 30% of patients, and patients may experience severe morbidity from reduction in the ability to walk. Definition Lumbar spondylosis refers to degenerative conditions of the lumbar spine that narrow the spinal canal, lateral recesses, and neural foramina. Facet joint and ligamentous hypertrophy, intervertebral disc protrusion, and spondylolisthesis may all contribute to the stenosis

2018 BMJ Best Practice

230. In adults with neural leg pain (sciatica), is a cauda epidural as effective as physiotherapy in reducing pain, return to work and restoring function?

informed treatment choices. Search timeframe: Initial Search 2005-2015 Updated search 2006-2016 Inclusion Criteria Description Search terms (In the final document this should be a combination of your clinical and librarian search terms) Population and Setting Adults with neural leg pain (sciatica) Adults, leg pain, sciatica, spinal stenosis, arthritis, disc herniation, spondylosis, spondylitis, nerve root pain, acute, chronic Intervention or Exposure Caudal epidural injection Caudal, epidural

2018 Public Health England

231. AIM Clinical Appropriateness Guidelines for Spine Surgery

addresses the following interventions when performed as an elective, non-emergent procedure and not as part of the care of an acute or traumatic event. ? Anterior cervical corpectomy and fusion (ACCF) - for long anterior compression of the spinal cord from spondylosis, large disc extrusions, or OPLL ? Anterior cervical discectomy/fusion/internal fixation (ACDF) - decompression of the nerve roots or spinal cord by disc or osteophyte removal, with or without a fusion ? Posterior cervical foraminotomy (...) - for nerve root decompression in cases of soft posterolateral disc herniation or bony foraminal stenosis ? Posterior laminectomy with or without fusion - for congenital stenosis, multilevel central stenosis from spondylosis, or multiple discontinuous levels where fusion is recommended to prevent kyphotic deformity. Note that a regional kyphosis (greater than 13 degrees) has been associated with unfavorable outcomes following posterior-only surgery ? Posterior laminoplasty - osteoplastic enlargement

2019 AIM Specialty Health

232. Ankylosing spondylitis: What else might it be?

Ankylosing spondylitis: What else might it be? Differential diagnosis | Diagnosis | Ankylosing spondylitis | CKS | NICE Search CKS… Menu Differential diagnosis Ankylosing spondylitis: What else might it be? Last revised in May 2019 What else might it be? Differential diagnoses of axial spondyloarthritis include: Degenerative or mechanical problems (most common) — for example degenerative disc disease, spondylosis, congenital vertebral anomalies, degenerative changes in the intevertebral (facet

2019 NICE Clinical Knowledge Summaries

233. Neck pain - cervical radiculopathy

which corresponds to the dermatome of the involved cervical nerve root. It often occurs alongside neck pain which is secondary to compression, or irritation of nerve roots in the cervical spine. The most common causes of cervical radiculopathy are degenerative changes, including cervical disc herniation and spondylosis. Cervical radiculopathy is most prevalent in people aged 50 to 54 years, and the annual incidence in: Men is 107 per 100,000. Women is 64 per 100,000. Most people with cervical

2019 NICE Clinical Knowledge Summaries

234. Neck pain - acute torticollis: What are the signs and symptoms of acute torticollis?

in the diagnosis and management of neck pain [ ], Cervical spondylosis and neck pain [ ], The diagnosis and treatment of nonspecific neck pain and whiplash [ ], and a chapter on neck pain in the Oxford textbook of primary medical care [ ]. Red flags The negative predictive value of these red flags is high. If no red flags are present, then it is unlikely that a serious spinal abnormality has been missed. Individual positive findings must be interpreted with care, as their positive predictive value

2019 NICE Clinical Knowledge Summaries

235. Thoracic Outlet Syndrome.

or first rib bony spurs) and electrodiagnostic tests such as brachial plexus neurography are typically performed [11] prior to further imaging. The goal of further imaging is to confirm the diagnosis of TOS, exclude mimics such as cervical spondylosis or shoulder joint or lung apex pathology, allow accurate classification into nTOS versus venous (Paget-Schroetter) versus arterial TOS, and guide treatment selection to minimize morbidity and mortality. Complications of vascular involvement include (...) hypertrophy. ? The goal of further imaging is to confirm the diagnosis of TOS, exclude mimics such as cervical spondylosis or shoulder joint or lung apex pathology, allow accurate classification into neurogenic TOS versus venous (Paget-Schroetter) versus arterial TOS, and guide treatment selection to minimize morbidity and mortality. ? Abduction of the upper limb has been shown to be relevant in diagnosing TOS and thus is the postural maneuver of choice for cross-sectional imaging. ? Digital subtraction

2019 American College of Radiology

237. Mobi-C for cervical disc replacement

of cervical myelopathy or radiculopathy, associated with cervical disc degeneration. Cervical myelopathy is a narrowing of the spinal canal and can cause pressure on the spinal cord (Coughlin et al. 2012). It may occur as a result of age-related wear and tear of the cervical spine. T o compensate for damage to the joints, extra bone may develop within the spine, leading to the symptoms of spondylosis (NHS Choices 2014). Cervical radiculopathy is defined as pain caused by pressure on spinal nerves which (...) and intended use Setting and intended use Mobi-C is designed to be used to replace cervical spine discs in adults who need cervical disc replacement because of radiculopathy or myelopathy. For people with myelopathy, the presence of at least 1 of the following conditions should be confirmed by radiographic imaging before the procedure: spondylosis, herniated nucleus pulposus or visible loss of disc height compared with adjacent levels. Cervical discs C3 to C7 can be replaced using Mobi-C, and 1 or 2 discs

2016 National Institute for Health and Clinical Excellence - Advice

238. Effectiveness and Safety of Polydioxanone Thread Embedding Acupuncture Compared to Physical Therapy in the Treatment of Patients with Non-Specific Chronic Neck Pain: An Assessor-Blinded, Randomized, Controlled, Clinical Trial Full Text available with Trip Pro

, Santaguida L, Cherkin D, Gagnier J, Ammendolia C, Ansari MT, Ostermann T, Dryden T, Doucette S, Skidmore B, Daniel R, Tsouros S, Weeks L, Galipeau J. Furlan AD, et al. Evid Rep Technol Assess (Full Rep). 2010 Oct;(194):1-764. Evid Rep Technol Assess (Full Rep). 2010. PMID: 23126534 Free PMC article. Review. References Binder AI. Cervical spondylosis and neck pain. BMJ. 2007;334:527–531. doi:10.1136/bmj.39127.608299.80 - - - Brattberg G, Thorslund M, Wikman A. The prevalence of pain in a general

2021 EvidenceUpdates

239. Polymyalgia rheumatica: What else might it be?

treatment). These include: Cervical and lumbar spondylosis — neck and back pain. For more information, see the CKS topics on and . Osteoarthritis — commonly involves hands, hips, knees, and spine. Pain improves with rest and increases with joint use and at the end of the day. For more information, see the CKS topic on . Bilateral adhesive capsulitis (frozen shoulder) and rotator cuff disorders — pain, stiffness, and limitation of active and passive movement with frozen shoulder. Painful arc of movement

2018 NICE Clinical Knowledge Summaries

240. Neck pain - cervical radiculopathy: How should I assess someone with suspected cervical radiculopathy?

spondylosis and neck pain [ ], The diagnosis and treatment of nonspecific neck pain and whiplash [ ], a chapter on neck pain in the Oxford textbook of primary medical care [ ], and a systematic review Value of physical tests in diagnosing cervical radiculopathy [ ]. Physical examination tests for cervical radiculopathy There is limited evidence for accuracy of physical examination tests for the diagnosis of cervical radiculopathy. A systematic review of five studies which looked at the accuracy

2018 NICE Clinical Knowledge Summaries

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