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Spondylosis

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1221. Surgery for degenerative lumbar spondylosis. (PubMed)

Surgery for degenerative lumbar spondylosis. Surgical investigations and interventions account for large health care utilisation and costs, but the scientific evidence for most procedures is still limited.Degenerative conditions affecting the lumbar spine are variously described as lumbar spondylosis or degenerative disc disease (which we regarded as one entity) and may be associated with back pain and associated leg symptoms, instability, spinal stenosis and/or degenerative spondylolisthesis (...) papers. Additional information was sought from the authors if necessary.Thirty-one published RCTs of all forms of surgical treatment for degenerative lumbar spondylosis were identified. The trials varied in quality: only the more recent trials used appropriate methods of randomization, blinding and independent assessment of outcome. Most of the earlier published results were of technical surgical outcomes with some crude ratings of clinical outcome. More of the recent trials also reported patient

2005 Cochrane database of systematic reviews (Online)

1222. [Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis]. (PubMed)

[Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis]. To compare therapeutic effects of needle-knife therapy and acupuncture on cervical spondylosis.Multi-central clinical randomized controlled trial was adopted. The patients were divided into a needle-knife treatment group treated with needle-knife therapy at the upper and lower interspinal ligaments of the affected vertebral body and bilateral posterior joint capsules; and the acupuncture control group (...) < 0.01).The needle-knife treatment in the therapeutic effect on cervical spondylosis is superior to acupuncture treatment.

2006 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1223. Effect of cervical traction on cardiovascular and selected ECG variables of cervical spondylosis patients using various weights. (PubMed)

Effect of cervical traction on cardiovascular and selected ECG variables of cervical spondylosis patients using various weights. There is currently no consensus among the clinicians regarding the tractive force to be employed during cervical traction (CT) that will correlate precisely with the percentage body weight of the patient and reduce the side effects associated with CT therapy.This study therefore aimed to investigate the response of cervical spondylosis (CS) patients to different CT (...) weights and to establish the effect of CT on the cardiovascular system of patients with cervical spondylosis (CS).Sixty out of 78 subjects participated in the study. They were randomly assigned into three experimental groups A, B and C. Their systolic and diastolic blood pressures (SBP and DBP) and heart rates (HR) were measured. Rate pressure product (RPP) was calculated using standard equation18 and ECG recorded using the KENZ, 201 machine. Subjects' cardiovascular and ECG responses were monitored

2006 The Nigerian postgraduate medical journal

1224. Cage containing a biphasic calcium phosphate ceramic (Triosite) for the treatment of cervical spondylosis. (PubMed)

Cage containing a biphasic calcium phosphate ceramic (Triosite) for the treatment of cervical spondylosis. We evaluated the fusion efficacy and clinical outcomes of a cage containing a biphasic calcium phosphate ceramic (Triosite) in treating cervical spondylosis.We randomly divided 100 patients with cervical spondylosis undergoing anterior discectomy with interbody polyetheretherketone (PEEK) fusion into 2 groups in the past 2 years: group A (n = 50), PEEK cage containing a biphasic calcium

2005 Surgical neurology

1225. [Effect of vertebral manipulation therapy on vertebro-basilar artery blood flow in cervical spondylosis of vertebral artery type]. (PubMed)

[Effect of vertebral manipulation therapy on vertebro-basilar artery blood flow in cervical spondylosis of vertebral artery type]. To observe the effect of vertebral manipulation (VM) therapy on vertebro-basilar artery (VBA) blood flow in patients with cervical spondylosis of vertebral artery type (CS-VAT) by transcranial Doppler (TCD) ultrasonic examination.One hundred and fifty patients with CS-VAT were randomized into the VM group (n = 100) and the acupuncture group (n = 50), and treated

2005 Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban

1226. [Randomized controlled study on picking therapy for treatment of cervical spondylosis]. (PubMed)

[Randomized controlled study on picking therapy for treatment of cervical spondylosis]. To use randomized controlled clinical research method to assess therapeutic effect of picking therapy on cervical spondylosis.One hundred and fifty-eight cases were randomly divided into a picking therapy group (n=56), a routine acupuncture group (n=55) and a local anesthesia group (n=47). They were treated respectively with picking therapy, routine acupuncture and local anesthesia at Jing bailao (EX HN 15 (...) ), Dazhui (GV 14), Jianjing (GB 21), etc. Brief McGill Pain Questionaire was used for score, which was combined with clinical symptoms and signs to analyze the therapeutic effect.The cured rate was 57.1% in the picking therapy group, better than 23.6% in the acupuncture group and 14.9% in the local anesthesia group (P < 0.01), and adverse reaction was basically not found in the picking therapy group.Picking therapy is a highly effective and safe therapy for cervical spondylosis.

2005 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1227. [Multicenter controlled study on abdominal acupuncture for treatment of nerve root type cervical spondylosis]. (PubMed)

[Multicenter controlled study on abdominal acupuncture for treatment of nerve root type cervical spondylosis]. To observe the therapeutic effect of abdominal acupuncture on nerve root cervical spondylosis.Three hundred cases were randomly assigned to a treatment group and a traction control group. The treatment group were treated with abdominal acupuncture at an acupoint prescription, i.e. Zhongwan (CV 12), Guanyuan (CV 4) and others were selected. The control group were treated with suspended

2005 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1228. [Multicenter randomized controlled study on acupuncture-massage comprehensive program for treatment of cervical spondylosis of arterial type]. (PubMed)

[Multicenter randomized controlled study on acupuncture-massage comprehensive program for treatment of cervical spondylosis of arterial type]. To probe into clinical value of the acupuncture-massage comprehensive program for treatment of cervical spondylosis of arterial type (CSA).By using three-center, single-blind, randomized, controlled method, the eligible subjects were randomly divided into an acupuncture-massage group, an acupuncture group, a massage group, 60 cases in each group

2005 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1229. Effects of a self-efficacy intervention on initiation of recommended exercises in patients with spondylosis. (PubMed)

Effects of a self-efficacy intervention on initiation of recommended exercises in patients with spondylosis. An intervention designed to enhance preaction self-efficacy beliefs (i.e., beliefs about ability to initiate behavior despite anticipated barriers during the initiation period) was tested in patients with spondylosis in relation to initiation of exercises recommended by a consultant in orthopedic rehabilitation. Sixty patients (age 28-83 years; 44% men) with spondylosis who had

2007 Journal of aging and physical activity

1230. [Anterior cervical corpectomy and fusion with preserved posterior vertebral wall for multi-level cervical spondylosis: a prospective random study of 84 cases]. (PubMed)

[Anterior cervical corpectomy and fusion with preserved posterior vertebral wall for multi-level cervical spondylosis: a prospective random study of 84 cases]. To compare the results of anterior cervical corpectomy and fusion with preserved posterior vertebral wall (PWCF) with the classical anterior cervical corpectomy with fusion (ACF).Eighty-four patients with multi-level cervical spondylosis were randomized to ACF (n = 42) or PWCF (n = 42). Postoperative JOA score were evaluated

2006 Zhonghua wai ke za zhi [Chinese journal of surgery]

1231. [Clinically randomized controlled study on abdominal acupuncture for treatment of cervical spondylosis]. (PubMed)

[Clinically randomized controlled study on abdominal acupuncture for treatment of cervical spondylosis]. To compare clinical therapeutic effects of abdominal acupuncture and traditional acupuncture on cervical spondylosis (CS).Sixty-two cases of neck or nerve-root type CS were randomly divided into an observation group (n=32) treated by abdominal acupuncture at Zhongwan (CV 12), Guanyuan (CV 4) and others, and a control group (n=30) treated by traditional acupuncture at Fengchi (GB 20

2007 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1232. [Treatment of cervical spondylosis of vertebroarterial type with acupuncture regulating the governor vessel]. (PubMed)

[Treatment of cervical spondylosis of vertebroarterial type with acupuncture regulating the governor vessel]. To explore an effective therapy for vertigo due to cervical spondylosis of vertebroarterial type.Ninety-eight cases were randomly divided into a treatment group (n = 50) and a control group (n = 48). In the control group, C3 - C7 Jiaji points (EX-B 2) and Fengchi (GB 20) were selected, and in the treatment group, Fengfu (GV 16), Dazhui (GV 14), Baihui (GV 20), etc. on the Governor (...) Vessel were added besides the acupoints selected in the control group. Their clinical therapeutic effects were observed.The cured rate and the total effective rate were 56.0% and 98.0% in the treatment group, and 33.3% and 79.1% in the control group, respectively, with significant differences between the two groups in the cured rate (P < 0.05) and in the total effective rate (P < 0.01).The therapeutic effect of acupuncture regulating the Governor vessel on vertigo due to cervical spondylosis

2007 Zhongguo zhen jiu = Chinese acupuncture & moxibustion

1233. Angiogenesis in osteoarthritis and spondylosis: successful repair with undesirable outcomes. (PubMed)

Angiogenesis in osteoarthritis and spondylosis: successful repair with undesirable outcomes. Osteoarthritis and spondylosis are frequently described as "wear-and-tear" arthritis, apparently contradicting modern management, which focuses on continuing and progressive exercise. Laboratory findings, including the growth of new blood vessels, encourage comparisons with repair processes. This review aims to place recent evidence in the context of previous work emphasizing the dynamic nature (...) in osteophytes and at the osteochondral junction, thereby contributing to radiologic disease progression. Innervation of new blood vessels may contribute importantly to chronic pain.Reconceptualizing osteoarthritis and spondylosis as reparative processes provides a pathologic model consistent with current advice to exercise, when exercise facilitates repair. Repair does not, however, lead to normal tissue, and understanding the mechanisms by which changes in joint innervation may occur as a consequence

2004 Current Opinion in Rheumatology

1234. Distinct association of gene polymorphisms of estrogen receptor and vitamin D receptor with lumbar spondylosis in post-menopausal women. (PubMed)

Distinct association of gene polymorphisms of estrogen receptor and vitamin D receptor with lumbar spondylosis in post-menopausal women. Contribution of genetic backgrounds to the etiology of lumbar spondylosis has been suggested by epidemiological studies. This study was designed to determine the association of restriction fragment length polymorphisms (RFLPs) of estrogen receptor (ER), vitamin D receptor (VDR), parathyroid hormone (PTH) and interleukin-1beta (IL-1beta) genes (...) with the radiological severity of lumbar spondylosis at the disk level from L1/2 to L5/S1 in Japanese post-menopausal women. ER and VDR RFLP haplotypes were associated with the severity of spondylosis in the upper levels (L1/2 and L2/3) more than in the lower levels. Association of ER genotype was more pronounced in the group younger than average than in the older group, while that of VDR genotype was more significant in the older group. Neither PTH nor IL1-beta RFLP was associated with the severity at any levels

2006 European Spine Journal

1235. Correlation of nerve root pain with dermatomal sensory threshold and back pain with spinal movement in single level lumbar spondylosis. (PubMed)

Correlation of nerve root pain with dermatomal sensory threshold and back pain with spinal movement in single level lumbar spondylosis. We studied 27 patients with low back pain and unilateral L5 or S1 spinal nerve root pain. Significant radiological changes were restricted to the symptomatic root level, when compared with controls. Low back and leg pain were graded on a visual analogue scale. Dermatomal quantitative sensory tests revealed significant elevations of warm, cool and touch

2004 The Journal of Bone and Joint Surgery British Volume

1236. The Bryan cervical disc prosthesis as an alternative to arthrodesis in the treatment of cervical spondylosis: 46 consecutive cases. (PubMed)

The Bryan cervical disc prosthesis as an alternative to arthrodesis in the treatment of cervical spondylosis: 46 consecutive cases. We present data relating to the Bryan disc arthroplasty for the treatment of cervical spondylosis in 46 patients. Patients with either radiculopathy or myelopathy had a cervical discectomy followed by implantation of a cervical disc prosthesis. Patients were reviewed at six weeks, six months and one year and assessment included three outcome measures, a visual (...) ), SF-36 (physical component) (Z = -5.00, p < 0.0001) and NDI (Z = 7.03, p < 0.0001). The Bryan cervical disc prosthesis seems reliable and safe in the treatment of patients with cervical spondylosis.

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2005 The Journal of Bone and Joint Surgery British Volume

1237. Partial corpectomy for cervical spondylosis. (PubMed)

Partial corpectomy for cervical spondylosis. A retrospective review was performed of a single surgeon's experience with partial corpectomy over a 9-year period. The measures evaluated included fusion rate, complications, and neurologic symptoms.To demonstrate the safety and efficacy of partial corpectomy for multilevel cervical spondylosis.Strategies for the surgical management of cervical spondylosis have included laminectomy, multilevel corpectomy, and multilevel discectomy. All have (...) for multilevel cervical spondylosis from 1991 to June 1999 were reviewed for the number of levels decompressed, graft source, use of plating, fusion success, and neurologic status.Most of the patients (n = 97) were managed with two-level discectomies, with 42 requiring treatment of three levels and 5 requiring treatment of four or more levels. Allograft was used in 60%. The remainder received iliac crest bone graft. The majority (81%) were plated. Of the cases with 2-year follow-up evaluation, the fusion

2003 Spine

1238. Inverse relation between osteoporosis and spondylosis in postmenopausal women as evaluated by bone mineral density and semiquantitative scoring of spinal degeneration. (PubMed)

Inverse relation between osteoporosis and spondylosis in postmenopausal women as evaluated by bone mineral density and semiquantitative scoring of spinal degeneration. The relation between bone mineral density and severity of spondylosis was evaluated in postmenopausal women.To examine the possible inverse relation between osteoporosis and spondylosis by evaluating the association between bone mineral density and osteophyte formation or intervertebral disc narrowing using a semiquantitative (...) scoring system.The literature contains studies demonstrating an inverse relation between osteoporosis and spondylosis as well as those documenting insufficient support for such a relation. However, in these studies, only limited-range grading systems (e.g., Grades 1-4) were used to evaluate the severity of spondylosis.In this study, 104 postmenopausal women older than 60 years underwent bone mineral density measurement of the lumbar spine (anteroposterior, lateral, and midlateral) and proximal femur

2003 Spine

1239. Pathomechanism of myelopathy and surgical results of laminoplasty in elderly patients with cervical spondylosis. (PubMed)

Pathomechanism of myelopathy and surgical results of laminoplasty in elderly patients with cervical spondylosis. Clinical and radiologic analyses in elderly patients with cervical myelopathy.To investigate the pathomechanism of cervical myelopathy and the surgical results of laminoplasty in elderly patients older than 70 years old.To date, there have been no reports on the pathomechanism of cervical myelopathy in elderly patients. Further, the surgical results and postoperative complications

2003 Spine

1240. Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis. (PubMed)

Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis. Cost-effectiveness analysis with retrospective cost analysis and literature review.To determine the relative cost-effectiveness of anterior cervical discectomy and fusion (ACDF) with autograft, allograft, and allograft with plating for single-level anterior cervical spondylosis.There are several accepted methods of surgically treating single-level cervical spondylosis anteriorly. No study has

2005 Spine

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