scholarly journals The Natural History and Clinical Syndromes of Degenerative Cervical Spondylosis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
John C. Kelly ◽  
Patrick J. Groarke ◽  
Joseph S. Butler ◽  
Ashley R. Poynton ◽  
John M. O'Byrne

Cervical spondylosis is a broad term which describes the age related chronic disc degeneration, which can also affect the cervical vertebrae, the facet and other joints and their associated soft tissue supports. Evidence of spondylitic change is frequently found in many asymptomatic adults. Radiculopathy is a result of intervertebral foramina narrowing. Narrowing of the spinal canal can result in spinal cord compression, ultimately resulting in cervical spondylosis myelopathy. This review article examines the current literature in relation to the cervical spondylosis and describes the three clinical syndromes of axial neck pain, cervical radiculopathy and cervical myelopathy

2017 ◽  
Author(s):  
Robert B Bolash ◽  
Pavan Tankha

Cervical radiculopathy refers to injury or compression to the cervical nerve root(s) that results in pain and/or numbness distribution of the nerve. Clinically, patients present with neck and/or arm pain and numbness in the concordant dermatomes or myotomes. In the absence of “red flag” symptoms, treatment consists of conservative, medical, and interventional therapies. This review covers the epidemiology and etiology, pathophysiology and pathogenesis, diagnosis, treatment, and prognosis of cervical radiculopathy. The figure shows the cervical vertebrae and associated neural elements. Tables list the “red flag” symptoms suggesting prompt evaluation, clinical correlates among patients with cervical radiculopathy, and the differential diagnosis of cervical radiculopathy. This review contains 1 figure, 3 tables, and 33 references. Key words: C7 nerve root, cervical nerve compression, cervical nerve injury, cervical nerve root, cervical radiculopathy, cervical spondylosis, neck pain 


Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-21-S1-27 ◽  
Author(s):  
Nicholas U. Ahn ◽  
Uri M. Ahn ◽  
Brian Ipsen ◽  
Howard S. An

Abstract MECHANICAL NECK PAIN is a very common symptom that may occur with cervical spondylosis. It can be associated with cervical radiculopathy and myelopathy or can occur in isolation. Neck pain can result from a variety of causes, including trauma, tumor, infection, and degeneration. The presentation of axial neck pain varies. This article highlights the presentation, differential diagnosis, and appropriate work-up for the patient who presents with mechanical neck pain.


2018 ◽  
Author(s):  
Robert B Bolash ◽  
Pavan Tankha

Cervical radiculopathy refers to injury or compression to the cervical nerve root(s) that results in pain and/or numbness distribution of the nerve. Clinically, patients present with neck and/or arm pain and numbness in the concordant dermatomes or myotomes. In the absence of “red flag” symptoms, treatment consists of conservative, medical, and interventional therapies. This review covers the epidemiology and etiology, pathophysiology and pathogenesis, diagnosis, treatment, and prognosis of cervical radiculopathy. The figure shows the cervical vertebrae and associated neural elements. Tables list the “red flag” symptoms suggesting prompt evaluation, clinical correlates among patients with cervical radiculopathy, and the differential diagnosis of cervical radiculopathy. This review contains 1 figure, 3 tables, and 33 references. Key words: C7 nerve root, cervical nerve compression, cervical nerve injury, cervical nerve root, cervical radiculopathy, cervical spondylosis, neck pain 


1997 ◽  
Vol 86 (6) ◽  
pp. 1022-1026 ◽  
Author(s):  
Jeffrey G. Ojemann ◽  
Robert L. Grubb ◽  
Michael Kyriakos ◽  
Kim B. Baker

✓ This 52-year-old woman developed crystal deposition disease involving the cervical vertebrae. She presented with symptomatic spinal cord compression secondary to extensive calcified lesions in the posterior elements of the cervical spine. Surgical decompression with posterior fusion was performed. Histological examination showed hardened deposits of calcium carbonate involving the soft tissue, and dissolution of the vertebral bone trabeculae. There was no inflammatory response to these deposits. One year postoperatively the patient developed severe pulmonary disease associated with the collagen-vascular disorder, scleroderma (calcinosis, Raynaud's phenomenon, esophageal hypomotility, sclerodactyly, and telangiectasia [CREST] syndrome). Calcium carbonate deposition disease represents an unusual clinical entity that is possibly associated with scleroderma or other collagen-vascular diseases, and it is distinct from ligamentum flavum calcification, calcium pyrophosphate deposition disease, and hydroxyapatite deposition disease.


2019 ◽  
Vol 30 (1) ◽  
pp. 357-369 ◽  
Author(s):  
Ángela Bernabéu-Sanz ◽  
José Vicente Mollá-Torró ◽  
Susana López-Celada ◽  
Pedro Moreno López ◽  
Eduardo Fernández-Jover

2019 ◽  
Vol 116 (11) ◽  
pp. 4923-4927 ◽  
Author(s):  
Martin Haeusler ◽  
Erik Trinkaus ◽  
Cinzia Fornai ◽  
Jonas Müller ◽  
Noémie Bonneau ◽  
...  

Although the early postural reconstructions of the Neandertals as incompletely erect were rejected half a century ago, recent studies of Neandertal vertebral remains have inferred a hypolordotic, flat lower back and spinal imbalance for them, including the La Chapelle-aux-Saints 1 skeleton. These studies form part of a persistent trend to view the Neandertals as less “human” than ourselves despite growing evidence for little if any differences in basic functional anatomy and behavioral capabilities. We have therefore reassessed the spinal posture of La Chapelle-aux-Saints 1 using a new pelvic reconstruction to infer lumbar lordosis, interarticulation of lower lumbar (L4-S1) and cervical (C4-T2) vertebrae, and consideration of his widespread age-related osteoarthritis. La Chapelle-aux-Saints 1 exhibits a pelvic incidence (and hence lumbar lordosis) similar to modern humans, articulation of lumbar and cervical vertebrae indicating pronounced lordosis, and Baastrup disease as a product of his advanced age, osteoarthritis, and lordosis. Our findings challenge the view of generally small spinal curvatures in Neandertals. Setting aside the developmentally abnormal Kebara 2 vertebral column, La Chapelle-aux-Saints 1 is joined by other Neandertals with sufficient vertebral remains in providing them with a fully upright (and human) axial posture.


1987 ◽  
Vol 96 (2) ◽  
pp. 178-181 ◽  
Author(s):  
Jack Sidi ◽  
Gady Har-El ◽  
Tuvia Hadar ◽  
Shoshana Matz ◽  
Jacob Shvero ◽  
...  

Cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae are common findings. Although these hypertrophic changes can be completely asymptomatic, it is known that dysphagia may occur occasionally in the presence of massive cervical hyperostosis. Laryngotracheal symptoms due to cervical hyperostosis are less frequent and may be managed initially as tumors of the esophagus, trachea, or thyroid gland. The management of two severe cases of dyspnea due to cervical ankylosing hyperostosis are discussed.


2006 ◽  
Vol 244 (1-2) ◽  
pp. 17-21 ◽  
Author(s):  
Y.L. Lo ◽  
L.L. Chan ◽  
W. Lim ◽  
S.B. Tan ◽  
C.T. Tan ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
C. Moran ◽  
C. Bolger

The surgical treatment of cervical spondylosis and resulting cervical radiculopathy or myelopathy has evolved over the past century. Surgical options for dorsal decompression of the cervical spine includes the traditional laminectomy and laminoplasty, first described in Asia in the 1970's. More recently the dorsal approch has been explored in terms of minimally invasive options including foraminotomies for nerve root descompression. Ventral decompression and fusion techniques are also described in the article, including traditional anterior cervical discectomy and fusion, strut grafting and cervical disc arthroplasty. Overall, the outcome from surgery is determined by choosing the correct surgery for the correct patient and pathology and this is what we hope to explain in this brief review.


2008 ◽  
Vol 19 (4) ◽  
pp. 425-429
Author(s):  
Paul D Kim ◽  
Steven C Ludwig ◽  
Daniel Gelb ◽  
Kornelis Poelstra

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