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Spondylosis

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281. Is extensive cervical laminoplasty an effective treatment for spinal cord sarcoidosis combined with cervical spondylosis? (PubMed)

Is extensive cervical laminoplasty an effective treatment for spinal cord sarcoidosis combined with cervical spondylosis? Patients with neurosarcoidosis are usually initially treated with steroid administration even when they have concomitant cord compression on magnetic resonance imaging (MRI). Operative intervention may be indicated in patients with spinal cord sarcoidosis requiring either tissue biopsy for diagnosis or associated with progressive neurologic symptoms. However, there have been

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2009 European Spine Journal

282. [Logistic regression analysis on therapeutic effect of acupuncture on neck pain caused by cervical spondylosis and factors influencing therapeutic effect]. (PubMed)

[Logistic regression analysis on therapeutic effect of acupuncture on neck pain caused by cervical spondylosis and factors influencing therapeutic effect]. To explore the main factors influencing the therapeutic effect of acupuncture on neck pain caused by cervical spondylosis, so as to provide references for further increasing the therapeutic effect of acupuncture.One hundred and six cases were randomly divided into an observation group and a control group, 53 cases in each group (...) therapeutic effect on neck pain caused by cervical spondylosis, and patient's clinical history about attack frequency and duration of neck pain are factors influencing clinical therapeutic effect.

2009 Zhongguo zhen jiu = Chinese acupuncture & moxibustion Controlled trial quality: uncertain

283. [Observation on therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis]. (PubMed)

[Observation on therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis]. To observe the therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis.Four hundred cases were randomly divided into a digital acupoint pressure group (DAP group) and a medicine group, 200 cases in each group. Acupoints of Quepen (ST 12), Jianjing (GB 21) and Tianzong (ST 11) etc. were used for digital pressing (...) type of cervical spondylosis, which is better than Chinese herb medicine of Gentongping.

2009 Zhongguo zhen jiu = Chinese acupuncture & moxibustion Controlled trial quality: uncertain

284. [Influence of needle-pricking bleeding combined with pulling-rotating manipulation on blood rheology in patients with vertebral artery type cervical spondylosis]. (PubMed)

[Influence of needle-pricking bleeding combined with pulling-rotating manipulation on blood rheology in patients with vertebral artery type cervical spondylosis]. To observe the effect of needle-pricking bleeding combined with pulling-rotating manipulation and simple manipulation on blood rheology in vertebral artery type cervical spondylosis (VATCS) patients, so as to analyze their mechanisms in relieving VATCS.A total of 198 VATCS patients were randomly divided into treatment group (n=101

2009 Zhen ci yan jiu = Acupuncture research / [Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji] Controlled trial quality: uncertain

285. Analysis on the effect of acupuncture in treating cervical spondylosis with different syndrome types. (PubMed)

Analysis on the effect of acupuncture in treating cervical spondylosis with different syndrome types. To observe the clinical effect of acupuncture in treating cervical spondylosis with different syndrome types.One hundred and seventeen patients were randomized into the treated group: (59 cases), treated with normal acupuncture, and the control group (58 cases), treated with sham acupuncture, operated once every other day, 9 times in total (in 18 days) as one therapeutic course (...) in the 3rd month of follow-up. Multivariate analysis showed the difference was of statistical significance (P<0.05). However, the analysis through lead-in of syndrome type as an individual influencing factor showed that syndrome type exerts a significant influence on VAS score (P<0.05), but has insignificant influence on the NPQ score (P>0.05).Acupuncture shows: good immediate effect in treating cervical spondylosis, but its long-term effect is not satisfactory. The difference in syndrome type may have

2009 Chinese journal of integrative medicine Controlled trial quality: uncertain

286. Clinical research on treatment of vertebroarterial type of cervical spondylosis with 5-step manipulation and traction. (PubMed)

Clinical research on treatment of vertebroarterial type of cervical spondylosis with 5-step manipulation and traction. To observe the therapeutic effect of 5-step manipulation and traction of cervical vertebrae on vertebroarterial type of cervical spondylosis and probe its mechanism.The 120 patients were randomly divided into a treatment group (manipulation group) and a control group (traction group) with 60 cases in each. The curative effects in the two groups were evaluated after (...) treatment.The curative rate and the total effective rate is 26.7% and 93.4% respectively in the treatment group, and 13.3% and 86.7% respectively in the control group, with statistical significance in the total effective rate of the two groups (P < 0.05).Manipulation and traction of cervical vertebrae can effectively improve the clinical symptoms of vetebroarterical type of cervical spondylosis with a good therapeutic effect.

2009 Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan / sponsored by All-China Association of Traditional Chinese Medicine, Academy of Traditional Chinese Medicine Controlled trial quality: uncertain

287. Acupuncture plus acupoint-injection for treatment of cervical spondylosis of vertebroarterial type. (PubMed)

Acupuncture plus acupoint-injection for treatment of cervical spondylosis of vertebroarterial type. 19226889 2009 04 14 2016 10 20 0255-2922 28 4 2008 Dec Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan J Tradit Chin Med Acupuncture plus acupoint-injection for treatment of cervical spondylosis of vertebroarterial type. 243-4 Li Kai K Hubei College of Traditional Chinese Medicine, Wuhan 430061, China. Wei Dan D Li Jia-kang JK eng Journal Article Randomized Controlled (...) Trial Research Support, Non-U.S. Gov't China J Tradit Chin Med 8211546 0255-2922 0 Drugs, Chinese Herbal IM Acupuncture Points Acupuncture Therapy Adult Aged Combined Modality Therapy Drugs, Chinese Herbal administration & dosage Female Humans Injections Male Middle Aged Spondylosis diagnosis drug therapy therapy Vertebral Artery drug effects 2009 2 21 9 0 2009 2 21 9 0 2009 4 15 9 0 ppublish 19226889

2009 Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan Controlled trial quality: uncertain

288. 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

289. The Epley manoeuvre for vertigo

after approximately 30 to 40 seconds. The nystagmus is rotatory with the fast phase beating towards the lower ear (geotropic) and adapts with repeated testing. Optic fixation (when the eyes are fixed on a specific object) may reduce the severity of the nystagmus. See the video in Training below. Precautions Special care should be taken with both the Dix–Hallpike test and the Epley manoevre in patients with neck pain, stiffness or discomfort and in those with: neck injury severe cervical spondylosis

2013 Handbook of Non-Drug interventions (HANDI)

290. 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

291. Management of degenerative lumbar spinal stenosis: an evidence-based review (PubMed)

Management of degenerative lumbar spinal stenosis: an evidence-based review Lumbar spinal stenosis has become one of the most disabling pathologies in the elderly population.Some additional conditions such as foraminal stenosis or degenerative spondylosis with a history of back pain and leg pain must be considered before treatment.A completely appropriate protocol and unified management of spinal stenosis have not yet been well defined.The objective of this literature review is to provide

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2016 EFORT open reviews

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

clinical settings, the procedure itself may expose the epidural space to multiple traumatic processes, as there may be multiple needle and lead insertions as well as multiple attempts to steer and redirect the leads. Patients with neck or back pain undergoing ESIs or other spinal interventions may have significant spinal abnormalities including spinal stenosis, ligamentum flavum hypertrophy, spondylolisthesis, or spondylosis which may compact the epidural venous plexus within tight epidural spaces

2015 American Society of Regional Anesthesia and Pain Medicine

293. Myelopathy

; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Painful. Radiologic Procedure Rating Comments RRL* MRI spine without IV contrast 8 O MRI spine without and with IV contrast 7 This procedure can be used if infection or neoplastic disorder is suspected. O CT spine without IV contrast 7 This procedure is most useful for spondylosis. ??? X-ray myelography and post myelography CT spine 5 This procedure can be used for problem solving or if MRI is unavailable (...) by computed tomography (CT) and CT myelography, and then magnetic resonance imaging (MRI) became the mainstay in the evaluation of myelopathy [2]. Newer investigations of spinal cord diffusion tensor imaging in the setting of myelopathy from trauma, demyelination, and spondylosis appear promising to further interrogate spinal cord injury [7-16]. Despite the wide variety of causes of myelopathy, diagnosis and treatment rest on demonstration of mechanical stability of the spine, particularly in the cervical

2015 American College of Radiology

294. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 12: Pedicle screw fixation as an adjunct to posterolateral fusion

There is a wealth of literature demonstrating the positive impact of pedicle screw fixation on fusion rates in patients treated with PLF. Although a small number of papers report an improvement in functional outcomes with pedicle screw fixation, the quality of these data is low from an evidence-based medicine perspective. 9,13 The results of the articles reviewed indicates that pedi- cle screw fixation for degenerative spondylosis has little if any impact on functional outcome. 5,6,9,11 This conclu - sion (...) that patients with “primary degenerative instability” ex- perienced a greater improvement on the DPQ with instru- mentation as compared with the noninstrumented cohort. Andersen et al. performed a prospective nonrandom- ized study evaluating the role of pedicle screw fixation in patients over 60 years of age undergoing a posterolateral fusion with fresh-frozen allograft for degenerative lumbar spondylosis. 1 Pedicle screw stabilization was performed at the discretion of the operating surgeon. The authors

2014 Congress of Neurological Surgeons

295. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: Interbody techniques for lumbar fusion

that the standalone anterior lumbar interbody fusion (ALIF) has better clinical outcomes than the ALIF plus instrumented, open PLF. With regard to type of interbody spacer used, frozen allograft is associated with lower pseudarthrosis rates compared with freeze-dried allograft; however, this was not associated with a difference in clinical outcome. (http://thejns.org/doi/abs/10.3171/2014.4.SPINE14276) k ey WorDS • fusion • lumbar spine • bone graft • spondylosis • practice guidelines Abbreviations used (...) to achieve lumbar fusion in pts w/ severe c h r o n i c l o w - b a c k p a i n d u e t o d i s c d e g e n e r a - tion or spondylosis. All surgical techniques (PLF, PLF combined w / ped ic le scre w fix a tion , & P L F c ombi ned w/ pedicle screw placement & interbody fu- sion using ALIF or PLIF) were found to re- duce pain & decrease disability substantially. All fusion techniques used in the study could reduce pain & improve function in pts w/ s e v e r e c h r o n i c l o w - b a c k p a i n . F u

2014 Congress of Neurological Surgeons

296. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: Assessment of functional outcome following lumbar fusion

/ r a d i c u l a r pain, lumbar spinal stenosis w/o deformity, degenerative spondylolisthesis, & painful disc degeneration/ spondylosis were all associated w/ negative impact on all 8 subscales of the SF-36. Y o u n g e r p t s ( a g e < 6 0 y r s ) & p t s w / l u m b a r d i s c herniation w/ radicular pain had the greatest nega- tive impact on physical health measured using SF-36. Svensson et al., 2009 II 101 pts were evaluated using the BIS, SF-36, EQ-5D, & ODI, before undergoing surgery. BIS

2014 Congress of Neurological Surgeons

297. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis

of these studies preclude the ability to present the most robust recommendation in support of lumbar fusion. A number of lesser-quality studies, primarily case series, also support the use of lumbar fusion in this patient population. (http://thejns.org/doi/abs/10.3171/2014.4.SPINE14270) k Ey w orDs • low-back pain • lumbar fusion • lumbar spondylosis • practice guidelines • lumbar spine Abbreviations used in this paper: ODI = Oswestry Disability Index; SF-36 = 36-Item Short Form Health Survey; VAS = visual (...) treatment alternative. The high costs, risk of serious complications, and lack of consis - tent supporting evidence raise questions as to whether fu- sion for lumbar spondylosis is cost-effective and will lead to functional recovery. The purpose of this review is to evalu - ate the published literature regarding the use of lumbar fu- sion for the treatment of patients with intractable low-back pain without stenosis or spondylolisthesis. Literature Search The database of the National Library of Medicine

2014 Congress of Neurological Surgeons

298. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 6: Discography for patient selection

of the degenerative process be included as there is evidence to suggest an as- sociation between advanced degenerative spondylosis and a history of undergoing provocative discography. Rationale Surgical intervention for the treatment of chronic low- back pain has demonstrated inconsistent and less favorable results than procedures performed for other degenerative spine disorders. This is in part due to an inability to ac- Guideline update for the performance of fusion procedures for degenerative disease

2014 Congress of Neurological Surgeons

299. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion

g h b ot h g r o u p s h a d s i g n i fi c a n t i m p r o v e m e n t o v e r their baseline. No differences were noted for fusion rates or postop c o m p l i c a t i o n s . B r a c i n g w / a s e m i - r i g i d b r a c e o f f e r e d n o b e n e fi t s a t 1 o r 2 yrs over no brace. Johnsson et a l . , 1 9 9 2 III Comparison of 11 pts w/ rigid external orthosis for 6 mos (Group I) & 11 w/ orthosis for 3 mos (Group II). All pts had a PLF for Grade I or II spondylosis/spondylolisthesis

2014 Congress of Neurological Surgeons

300. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 16: Bone graft extenders and substitutes as an adjunct for lumbar fusion

. Grade I There is insufficient evidence to formulate a recom - mendation regarding the use of rhBMP-2/local bone as a substitute for AICB when performing revision postero- lateral fusions (single Level III study) or the use of rh- BMP-2/calcium-based extenders for single level postero- lateral fusions in patients who smoke and elect to undergo surgery for lumbar spondylosis (single Level III study). rhBMP-2: Complications Grade C (Multiple Level IV and V Studies) The use of rhBMP-2 as a graft option

2014 Congress of Neurological Surgeons

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