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Spondylosis

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261. Trends of Opioid Use Disorder Among Hospitalized Patients With Chronic Pain. (Abstract)

 = 0.01) and spondylosis (1.32% to 1.81%; P < 0.001).These findings suggest that the prevalence of OUD increased substantially from 2011 to 2015. Disparities of OUD with increasing opioid use among vulnerable populations including women, those with Medicare insurance, tobacco use disorder, and low annual income should be explored further.© 2019 World Institute of Pain.

2019 Pain Practice

262. Spinal cord swelling in patients with cervical compression myelopathy. Full Text available with Trip Pro

Spinal cord swelling in patients with cervical compression myelopathy. Intramedullary hyperintense lesions associated with spinal cord edema on T2-weighted MR images (T2WI) are rare findings in patients with cervical spondylosis and are poorly characterized. We investigated the clinical characteristics of spinal cord edema due to cervical spondylosis (SCECS).In total, 214 patients with cervical spondylotic myelopathy who underwent surgery between April 2007 and March 2017 were divided

2019 BMC Musculoskeletal Disorders

263. A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. (Abstract)

present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent

2019 Journal of Emergency Medicine

264. Complications Associated With Minimally Invasive Anterior to the Psoas (ATP) Fusion of the Lumbosacral Spine. (Abstract)

(LLIF), and oblique lateral interbody fusion (OLIF).A detailed retrospective chart review of patients who had underwent MIS-ATP approach for lumbar fusion between T12-S1 was performed. Available electronic data from surgeries performed between January 2008 and March 2017 was carefully screened for surgical patients treated for spondylolisthesis, spondylosis, stenosis, sagittal and/or coronal deformity. Detailed review of electronic medical records including operative notes, progress notes, discharge

2019 Spine

265. Transforaminal Epidural Injection of Local Anaesthetic and Dorsal Root Ganglion Pulsed Radiofrequency Treatment in Lumbosacral Radicular Pain: A Randomized, Triple-blind, Active-control Trial. (Abstract)

to absenteeism from the workplace. Lumbar radicular pain (LRP) is one of the most prevalent types of low back pain. It results from inflammation and irritation of lumbar spinal nerves and dorsal root ganglion (DRG). It is characterized by a sharp, shooting, lancinating pain in one or more lumbar or sacral dermatomes1,2 . Herniation of intervertebral disc, degenerative spondylolisthesis and foraminal or lateral recess stenosis secondary to spondylosis are common types of lumbar radicular pain3,4

2019 Pain Practice

266. Chronic myelitis associated with zoster sine herpete: A case report. Full Text available with Trip Pro

VZV infections.A 65-year-old Japanese man felt heaviness and a throbbing pain on the ulnar side of the right forearm. He was previously diagnosed with cervical spondylosis, and received nonsteroidal anti-inflammatory drugs with little improvement. Contrast cervical magnetic resonance imaging showed a swelling and an increased signal intensity of the spinal cord, and an enhancing lesion, all of which were suggestive of myelitis.We found no evidence for diagnoses of sarcoidosis, Behçet disease

2019 Medicine

267. Effect and Safety of CX-DZ-II Intelligent Electroacupuncture Therapeutic Instrument for Neck Pain Caused by Cervical Spondylos: Study Protocol for A Randomized Controlled Trial. (Abstract)

Effect and Safety of CX-DZ-II Intelligent Electroacupuncture Therapeutic Instrument for Neck Pain Caused by Cervical Spondylos: Study Protocol for A Randomized Controlled Trial. Neck pain caused by cervical spondylosis (CS) is a chronic pain condition, with an increasingly high incidence in the general population. Electroacupuncture is a common analgesic modality that has been widely applied in neck pain treatment. However, current electroacupuncture instruments used in the clinic have low

2019 Chinese journal of integrative medicine Controlled trial quality: uncertain

268. Reoperation rate after anterior cervical discectomy and fusion using standalone cages in degenerative disease: a study of 2,078 cases. (Abstract)

Reoperation rate after anterior cervical discectomy and fusion using standalone cages in degenerative disease: a study of 2,078 cases. Over the last two decades, there has been a rapid increase in the use of cervical spine interbody fusion cages. Reoperation rate remains an important determinant of procedural efficacy and safety.To evaluate the rate and reasons for reoperations in cervical spondylosis patients undergoing anterior decompression and fusion using stand-alone cervical interbody

2019 The Spine Journal

269. Surgical outcomes for distal-type cervical spondylotic amyotrophy: a multicenter retrospective analysis of 43 cases. (Abstract)

Surgical outcomes for distal-type cervical spondylotic amyotrophy: a multicenter retrospective analysis of 43 cases. Distal-type cervical spondylotic amyotrophy (CSA) is a rare form of cervical spondylosis that causes muscle weakness of upper extremities. The pathophysiology and appropriate surgical method for the treatment of CSA are still controversial. We investigated clinical outcomes in surgically treated distal-type CSA.The authors executed an analysis of the outcomes of 43 consecutive

2019 European Spine Journal

270. Adjacent segment motion following multi-level ACDF: a kinematic and clinical study in patients with zero-profile anchored spacer or plate. (Abstract)

kinematics, although both procedures obtained satisfactory clinical results in the treatment of cervical spondylosis. After both ACDF-Z and ACDF-P, C2-C7 ROM decreased significantly, while adjacent segment ROMs were preserved. ACDF-Z and ACDF-P impact the location of adjacent segment IAR-SI in similar way, while impact the location of adjacent segment IAR-AP in diverse ways. These slides can be retrieved under Electronic Supplementary Material.

2019 European Spine Journal

271. Post-surgical thoracic spinal cord herniation following an unrepaired dural defect: a rare complication. (Abstract)

Post-surgical thoracic spinal cord herniation following an unrepaired dural defect: a rare complication. Surgery for ossification of the ligamentum flavum (OLF) comes with a relatively high risk of dural tear. We report a 50-year-old woman, who presented with symptomatic spinal stenosis from OLF at T11-T12 and lower lumbar spondylosis for which a single stage posterior decompression and instrumented fusion of both sites was done. Removal of the OLF resulted in a small dural tear with intact

2019 British Journal of Neurosurgery

272. Facet joint cyst haematoma: a rare cause of cauda equina syndrome. (Abstract)

Facet joint cyst haematoma: a rare cause of cauda equina syndrome. Facet joint cysts are a feature of lumbar spondylosis and are an uncommon cause of radiculopathy. Facet joint cyst haematoma is a very rare entity and has previously been reported as a subacute cause of leg pain, back pain, sensory deficit and lower limb weakness. We present the unique case of facet joint cyst haematoma presenting as cauda equina syndrome. An 81 year old lady presented with a 7 day history of back pain and left

2019 British Journal of Neurosurgery

273. Clinical effectiveness and safety of acupotomy: An overview of systematic reviews. (Abstract)

randomized controlled trials were included, and the methodological quality was medium-to-high in AMSTAR. All the included studies reviewed musculoskeletal disorders and reported a significantly higher total effective and cure rates in the acupotomy group for frozen shoulder, cervical spondylosis, third lumbar vertebrae transverse process syndrome, trigger finger, knee osteoarthritis, and lumbar spinal stenosis, compared to the other active control groups.Acupotomy showed promising results for some

2019 Complementary Therapies in Clinical Practice

274. Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report. Full Text available with Trip Pro

Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report. Thoracic outlet syndrome (TOS) is a rare disease that presents with neurogenic and vascular symptoms similar to those of cervical spondylosis. However, making the diagnosis of TOS can be challenging due to a lack of standardized objective confirmatory tests.A 66-year-old man presented with neck, supraclavicular, and right shoulder pain as well as numbness and weakness in the right arm after

2019 Medicine

275. Platelet-rich plasma enhances bone union in posterolateral lumbar fusion: A prospective randomized controlled trial. (Abstract)

patient sample included a total 62 patients (31 patients in the PRP group or 31 patients in the control group).The outcome measures included the bone fusion rate, the area of bone fusion mass, the duration of bone fusion, and the clinical score using the visual analog scale (VAS).We randomized 62 patients who underwent one- or two-level instrumented PLF for lumbar degenerative spondylosis with instability to either the PRP (31 patients) or the control (31 patients) groups. Platelet-rich plasma-treated

2017 EvidenceUpdates

276. Association between rainfall and diagnoses of joint or back pain: retrospective claims analysis. Full Text available with Trip Pro

related conditions (rheumatoid arthritis, osteoarthritis, spondylosis, intervertebral disc disorders, and other non-traumatic joint disorders) was compared between rainy days and non-rainy days, adjusting for patient characteristics, chronic conditions, and geographic fixed effects (thereby comparing rates of joint or back pain related outpatient visits on rainy days versus non-rainy days within the same area).Of the 11 673 392 outpatient visits by Medicare beneficiaries, 2 095 761 (18.0%) occurred

2017 BMJ

277. The Dynamic Functional Nucleus is a Potential Biomarker for Structural Degeneration in Cervical Spine Discs. (Abstract)

, that is, the disc region that underwent little to no additional compression during dynamic movements. The size and location of the dynamic functional nucleus was determined for 10 C5/C6 spondylosis patients, 10 C5/C6/C7 spondylosis patients, and 10 asymptomatic controls. The dynamic functional nucleus size was sensitive (significantly smaller than controls in 5 of 6 measurements at the diseased disc) and specific (no difference from controls in 9 of 10 measurements at non-diseased discs) to pathologic disc

2019 Journal of Orthopaedic Research

278. Cost-Effectiveness of Jingshu Granules Compared to Placebo for the Treatment of Patients with Cervical Radiculopathy in China: A Decision-Tree Model Based on Randomized Controlled Trial. (Abstract)

Cost-Effectiveness of Jingshu Granules Compared to Placebo for the Treatment of Patients with Cervical Radiculopathy in China: A Decision-Tree Model Based on Randomized Controlled Trial. Objective: Traditional Chinese Medicines (TCMs), as well as physiotherapy and chemical drugs, are recommended for the treatment of cervical spondylosis by Chinese guidelines for cervical spondylosis diagnosis and treatment. The aim of this study was to evaluate whether TCM Jingshu Granules are cost-effective

2019 Journal of Alternative and Complementary Medicine

279. Bone Morphogenetic Proteins for use in Spinal Surgery and Long Bone Trauma Surgery

symptomatic single-level degenerative disc disease (DJD), 11 adult ideopathic scoliosis, 13 adult spinal deformity, 16 lumbar spondylosis and lumbar spondylolisthesis. 17 Most studies combined Bone Morphogenetic Proteins 4 populations with various spinal pathologies or do not refer to specific pathologies leaving the interventions and outcomes examined consistent. Interventions and comparators All included studies examined the use of rhBMP-2 and/or rhBMP-7. No studies examined other BMPs for use in spinal

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

280. Chest pain

, or arrhythmias. Respiratory causes of chest pain include: Pulmonary embolus, pneumothorax or tension pneumothorax, community-acquired pneumonia, asthma, or pleural effusion. Other causes of chest pain include: Gastroenterological causes, such as acute pancreatitis, oesophageal rupture, peptic ulcer disease, gastro-oesophageal reflux, oesophageal spasm, or oesophagitis. Musculoskeletal causes, such as rib fracture, costochondritis, spinal disorders (disc prolapse, cervical spondylosis, facet joint dysfunction (...) ). Abdomen — check for tenderness (gallstones, pancreatitis, or peptic ulceration). Neck — check for localized tenderness and stiffness (cervical spondylosis or osteoarthritis). Legs — check for swelling or tenderness (deep vein thrombosis). Skin — check for rashes (shingles) and bruising (rib fracture). Temperature — check for raised temperature, especially over 38.5ºC (infection, pericarditis, or pancreatitis). Basis for recommendation Basis for recommendation These recommendations are based

2017 NICE Clinical Knowledge Summaries

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