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Spondylosis

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242. 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

243. 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

246. The role of cervical collar in functional restoration and fusion after anterior cervical discectomy and fusion without plating on single or double levels: a systematic review and meta-analysis. (Abstract)

displacement has not been clarified yet.This study was conducted according to the PRISMA statement. Six different online medical databases were screened. Papers reporting the neck disability index (NDI), cervical range of motion (RoM) and fusion rate after ACDF without plating, on single or multiple levels, for cervical spondylosis were considered for eligibility.There were no significant differences in terms of NDI scores at 2 weeks (WMD = 4.502; 95% CI - 5.953, 14.957; p = 0.399; I2 = 65.14%; p = 0.090 (...) ) and 1-year (WMD = 2.052; 95% CI - 1.386, 5.490 p = 0.242; I2 = 0%; p = 0.793), RoM reduction at 1-year (WMD = 1.597; 95% CI - 5.886, 9.079; p = 0.676; I2 = 0%; p = 0.326) or fusion rate (OR = 1.127; 95% CI 0.387, 3.282; p = 0.827; I2 = 2.166%; p = 0.360).The use of a CC after ACDF without plating on single or double levels for cervical spondylosis seems not supported by scientific evidence. These slides can be retrieved under Electronic Supplementary Material.

2020 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

247. Cervical disc arthroplasty versus anterior cervical discectomy and fusion: a meta-analysis of rates of adjacent-level surgery to 7-year follow-up. (Full text)

Cervical disc arthroplasty versus anterior cervical discectomy and fusion: a meta-analysis of rates of adjacent-level surgery to 7-year follow-up. Anterior cervical discectomy and fusion (ACDF) is an effective treatment for cervical spondylosis. A limitation of ACDF is the risk of adjacent-segment degeneration (ASD), owing to arthrodesis of a motion segment. Cervical disc arthroplasty (CDA) has hence garnered significant attention; yet, compelling evidence of reduction in ASD requiring surgery (...) is lacking. This systematic review and meta-analysis sought to compare long-term longitudinal adjacent-level operation rates with CDA versus ACDF.An electronic literature search was conducted. Eligible studies were multi-center randomized controlled trials (RCTs) comparing CDA with ACDF for one- or two-level symptomatic cervical spondylosis. The primary outcome was adjacent-level operation. Index-level reoperation was a secondary outcome. Outcomes were evaluated at 1-year intervals from the index

2020 Journal of spine surgery (Hong Kong) PubMed abstract

248. 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

250. The PediGuard for placing pedicle screws in spinal surgery

of 10 adults aged 65 years or older (NHS Choices 2013a). Spinal fractures, which happen most frequently in people with osteoporosis and as a result of trauma. Approximately 120,000 cases of vertebral fractures happen each year in the UK (van Staa et al. 2001). Age-related degenerative diseases of the spine, including osteoarthritis (spondylosis), spinal stenosis and degenerative spondylolisthesis. In the UK approximately 8.5 million people have radiologic evidence of osteoarthritis of the spine

2015 National Institute for Health and Clinical Excellence - Advice

251. 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

253. 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

254. 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

255. 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

256. 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

258. 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

259. Urinary incontinence in neurological disease: assessment and management

cord conditions cord conditions Spinal dysraphism (such as myelomeningocoele) Spinal cord injury Multiple sclerosis Cervical spondylosis with myelopathy Sacr Sacral spinal cord or al spinal cord or peripher peripheral nerv al nerve e conditions conditions Spinal dysraphism Sacral agenesis Anorectal anomalies Cauda equina syndrome Spinal cord injury Peripheral nerve injury from radical pelvic surgery Peripheral neuropathy Urinary incontinence in neurological disease: assessment and management (CG148

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

260. Cerebral palsy

, adults with CP are more likely to have bone and joint disorders. Refer to a specialist orthopaedic or musculoskeletal service if a bone or joint disorder is suspected and causing pain or affecting posture or function. These may include osteoarthritis, cervical instability or spondylosis (including athetosis), spinal deformity (including scoliosis, kyphosis and lordosis), subluxation of the hips, wrist and shoulders, biomechanical knee problems, and abnormalities of the foot structure. Be aware

2019 NICE Clinical Knowledge Summaries

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