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Spondylosis

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221. 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

222. 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

223. 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

224. 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

225. 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

226. 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

227. 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

228. 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

231. Spine Surgery

. ? 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°) has been associated with unfavorable outcomes following posterior-only surgery ? Posterior laminoplasty - osteoplastic enlargement of the spinal canal (for example, by one sided laminectomy and hinge opening of the contralateral side) Copyright © 2018. AIM Specialty Health. All Rights Reserved. Spine

2018 AIM Specialty Health

232. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

, ligamentum flavum hypertrophy, spondylolisthesis, or spondylosis, which may compress the epidural venous plexus within tight epidural spaces. Moreover, patients, after various spine surgeries, may develop fibrous adhesions and scar tissue, thus further compromising the capacity of the epidural space and distorting the anatomy of the epidural vessels. The risk of bleeding is further increased in pain patients taking several concomitant medications with antiplatelet effects including NSAIDs, ASA

2018 American Society of Regional Anesthesia and Pain Medicine

235. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

pain: a pilot randomised controlled study. Complement Ther Med 19 Suppl 1: S26–32. doi: 10.1016/j.ctim.2010.11.005 PMID: 21195292 Sahin N, Ozcan E, Sezen K, Karatas O, Issever H (2010) Efficacy of acupunture in patients with chronic neck pain—a randomised, sham controlled trial. Acupunct Electrother Res 35: 17–27. PMID: 20578644 Fu WB, Liang ZH, Zhu XP, Yu P, Zhang JF (2009) Analysis on the effect of acupuncture in treating cervical spondylosis with different syndrome types. Chin J Integr Med 15

2017 California Technology Assessment Forum

236. CRACKCast E103 – Headache Disorders

, lacrimation, rhinorrhea. Injected eye. Nasal congestion. Normal neuro exam. Normal vital signs. The most common disorders mimicking tension headache are migraine, IIH, oromandibular dysfunction, cervical spondylosis, sinus or eye disease, and intracranial masses. Subtle indolent infections (such as, cryptococcal meningitis) should be considered in the immunocompromised. Treatment: ● High flow O2 via NRB at 12 L/min ○ Most resolve in 15 mins ● Sumatriptan 6 mg ● Octreotide 100 mcg SC Prventative therapy

2017 CandiEM

237. Tiny Tip: Back Pain Differential Mnemonic

, and worse at night. Weight loss, night sweats, and history of cancer can also indicate a neoplastic cause. Metastatic disease (ex. prostate cancer) Hematologic (ex. multiple myeloma) P rimary bone tumours O ther Other causes of back pain to consider are: Degenerative: osteoarthritis / spondylosis Chronic pain syndrome Conversion disorder Malingering Developmental – Most of the time this will not present for the first time in the emergency department but it can be a contributing factor to those

2017 CandiEM

238. CIRSE Guidelines on Percutaneous Vertebral Augmentation

) should come to a consensus which patients should undergo this procedure and they should ensure appropriate adjuvant therapy and the follow-up. A detailed clinical history and examination with emphasis on neurological signs and symptoms should be performed to con?rm that the VCF is the cause of debili- tating back pain and to rule out other causes, like degen- erative spondylosis, radiculopathy and neurological compromise. The typical patient suffering from VCF has midline non-radiating back pain

2017 Cardiovascular and Interventional Radiological Society of Europe

239. AIUM Practice Parameter for the Performance of a Transcranial Doppler Ultrasound Examination for Adults and Children

? ?Bull ? ??2008; ? ?24:387–394. 20. Kirsch ? ?JD, ? ?Mathur ? ?M, ? ?Johnson ? ?MH, ? ?Gowthaman ? ?G, ? ?Scoutt ? ?LM. ? ?Advances ? ?in ? ?transcranial Doppler ? ?US: ? ?imaging ? ?ahead. ? ??Radiographics ? ??2013; ? ?33:E1–E14. 21. Machaly ? ?SA, ? ?Senna ? ?MK, ? ?Sadek ? ?AG. ? ?Vertigo ? ?is ? ?associated ? ?with ? ?advanced ? ?degenerative changes ? ?in ? ?patients ? ?with ? ?cervical ? ?spondylosis. ? ??Clin ? ?Rheumatol ? ??2011; ? ?30:1527–1534. 22. de ? ?Oliveira ? ?RS, ? ?Machado ? ?HR

2017 American Institute of Ultrasound in Medicine

240. AIM Clinical Appropriateness Guidelines for Spine Surgery

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 (...) ., resection or debridement) ? Tumor of the spine or spinal canal ? Infection (osteomyelitis, discitis, or spinal abscess) ? Fracture or dislocation; may be traumatic or pathologic ? Symptomatic, non-traumatic cervical spondylosis as demonstrated by either of the following radiographic findings: o Sagittal plane angulation of greater than 11 degrees between adjacent segments o Subluxation or translation of greater than 3 mm on static lateral views or dynamic radiographs Spondylotic cervical myelopathy when

2017 AIM Specialty Health

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