scholarly journals Imaging Modalities for Cervical Spondylotic Stenosis and Myelopathy

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
C. Green ◽  
J. Butler ◽  
S. Eustace ◽  
A. Poynton ◽  
J. M. O'Byrne
Keyword(s):  
Diagnostic Imaging ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Preoperative Planning ◽  
Imaging Modalities

Cervical spondylosis is a spectrum of pathology presenting as neck pain, radiculopathy, and myelopathy or all in combination. Diagnostic imaging is essential to diagnosis and preoperative planning. We discuss the modalities of imaging in common practice. We examine the use of imaging to differentiate among central, subarticular, and lateral stenosis and in the assessment of myelopathy.

Effectiveness of Kinaesthetic Exercise program on Position Sense, Pain, and Disability in Chronic Neck Pain Patients with Cervical Spondylosis – A Randomized Comparative Trial

2020 ◽  
Author(s):  
Ravi Shankar Yerragonda Reddy ◽  
Arun G Maiya ◽  
Sharath Kumar Rao ◽  
Khalid A Alahmari ◽  
Jaya Shanker Tedla ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Cervical Spondylosis ◽  
Chronic Neck Pain ◽  
Position Sense ◽  
Study Group ◽  
Position Errors ◽  
Flexion Extension ◽  
Comparative Group ◽  
Neck Disability

Abstract Background Chronic neck pain (CNP) is a significant health problem with only a few evidence-based treatment options. There is growing evidence for the effectiveness of kinaesthetic rehabilitation in musculoskeletal disorders. This study aims to assess kinaesthetic exercise programs' efficacy on cervical position sense, pain, and disability in subjects with cervical spondylosis (CS). Methods CNP subjects (>3 months) with a diagnosis of CS were randomly assigned to either a study group (n=125) who received kinesthetic exercises or to a comparative group (n=125) who received isometric neck exercises and deep cervical flexor (DCF) strengthening exercises. Both group subjects participated in the individualized training program for 24 sessions in 6 weeks. The outcome measures were cervical joint position errors (JPE’s) in flexion, extension, rotation left and right, pain intensity, and neck disability. Results All outcomes were improved significantly from baseline to post 24 sessions of intervention. When compared between groups, there was a significant reduction in JPE’s in flexion (mean difference [MD]= 071, CI=0.22–1.20, p=0.001), extension (MD=1.26, CI=0.70–1.81, p< 0.001) and right rotation (MD=1.08, CI=0.58–1.58, p<0.001), pain intensity (MD=1.58, CI=1.09–2.08, p<0.001), and neck disability (MD=10.27, CI=7.42–13.12, p<0.001) after 24 sessions of intervention favoring the study group. Conclusion Study group subjects who received kinesthetic rehabilitation showed more significant improvements in terms of improved proprioception, decreased pain intensity and disability following 24 sessions of interventions compared with the comparative group.

scholarly journals The accuracy of diagnostic Imaging techniques in patients with a suspected Fracture-related Infection (IFI) trial: study protocol for a prospective multicenter cohort study.

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027772 ◽  
Author(s):  
GAM Govaert ◽  
MGG Hobbelink ◽  
IHF Reininga ◽  
P Bosch ◽  
TC Kwee ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Diagnostic Imaging ◽  
Fdg Pet ◽  
Imaging Techniques ◽  
Time Frame ◽  
Imaging Modalities ◽  
Multicenter Cohort Study ◽  
Discriminative Ability ◽  
Imaging Strategy

IntroductionThe optimal diagnostic imaging strategy for fracture-related infection (FRI) remains to be established. In this prospective study, the three commonly used advanced imaging techniques for diagnosing FRI will be compared. Primary endpoints are (1) determining the overall diagnostic performances of white blood cell (WBC) scintigraphy, fluorodeoxyglucose positron emission tomography (FDG-PET) and magnetic resonance imaging (MRI) in patients with suspected FRI and (2) establishing the most accurate imaging strategy for diagnosing FRI.Methods and analysisThis study is a non-randomised, partially blinded, prospective cohort study involving two level 1 trauma centres in The Netherlands. All adult patients who require advanced medical imaging for suspected FRI are eligible for inclusion. Patients will undergo all three investigational imaging procedures (WBC scintigraphy, FDG-PET and MRI) within a time frame of 14 days after inclusion. The reference standard will be the result of at least five intraoperative sampled microbiology cultures, or, in case of no surgery, the clinical presence or absence of infection at 1 year follow-up. Initially, the results of all three imaging modalities will be available to the treating team as per local protocol. At a later time point, all scans will be centrally reassessed by nuclear medicine physicians and radiologists who are blinded for the identity of the patients and their clinical outcome. The discriminative ability of the imaging modalities will be quantified by several measures of diagnostic accuracy.Ethics and disseminationApproval of the study by the Institutional Review Board has been obtained prior to the start of this study. The results of this trial will be disseminated by publication of peer-reviewed manuscripts, presentation in abstract form at scientific meetings and data sharing with other investigators through academically established means.Trial registration numberThe IFI trial is registered in the Netherlands Trial Register (NTR7490).

scholarly journals Alterations in Cortical Thickness and Subcortical Volume are Associated With Neurological Symptoms and Neck Pain in Patients With Cervical Spondylosis

Neurosurgery ◽  
2018 ◽  
Vol 84 (3) ◽  
pp. 588-598 ◽  
Author(s):  
Davis C Woodworth ◽  
Langston T Holly ◽  
Emeran A Mayer ◽  
Noriko Salamon ◽  
Benjamin M Ellingson
Keyword(s):  
Neck Pain ◽  
Cortical Thickness ◽  
Cervical Spondylosis ◽  
Neurological Symptoms ◽  
Subcortical Volume

Jefferson fractures of the immature spine

2009 ◽  
Vol 3 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Nicholas AuYong ◽  
Joseph Piatt
Keyword(s):  
Cervical Spine ◽  
Head Injury ◽  
Young Children ◽  
Diagnostic Imaging ◽  
Neck Pain ◽  
Muscle Spasm ◽  
Spinal Trauma ◽  
Posterior Arch ◽  
Jefferson Fracture ◽  
Immature Spine

Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be considered for any child presenting with neck pain, cervical muscle spasm, or torticollis following a head injury, despite a seemingly normal cervical spine study. Jefferson fractures in young children are probably much more common than previously recognized.

Diagnostic Imaging Modalities: Technical Comments

1987 ◽  
pp. 19-38 ◽  
Author(s):  
Holger Pettersson ◽  
Dempsey S. Springfield ◽  
William F. Enneking
Keyword(s):  
Diagnostic Imaging ◽  
Imaging Modalities

scholarly journals Evaluation of the knowledge and application of diagnostic imaging modalities among veterinary surgeons in Nigerian veterinary medical schools

2020 ◽  
Vol 17 (4) ◽  
pp. 51-61
Author(s):  
C.S. Ibe ◽  
A.A. James ◽  
J.O. Nzalak
Keyword(s):  
Diagnostic Imaging ◽  
Practical Knowledge ◽  
Imaging Modalities ◽  
Years Of Experience ◽  
Research Experience ◽  
Veterinary Practice ◽  
Veterinary Surgeons ◽  
Veterinary School ◽  
Group A ◽  
Group D

The awareness, theoretical and practical knowledge of radiography, ultrasonography, magnetic resonance imaging (MRI), computed tomography (CT), nuclear medical imaging (NMI) and thermography were accessed among veterinary surgeons teaching in veterinary schools in Nigeria, using a structured questionnaire. Respondents were grouped into five depending on their years of experience post-graduation. These were Group A (0-5 years), Group B (6-10 years), Group C (11-15 years) Group D (16-20 years) and Group E (> 20 years). The result of the awareness of radiography as a diagnostic imaging modality in veterinary practice was not dependent on the years of research experience. A 100 % of respondents in Group A were aware that ultrasonography is indicated in veterinary practice; while only 96.67 % were aware that radiography is so indicated. There was a gradual decline in the awareness of CT compared to radiography and ultrasonography. There was low awareness of the application of MRI, NMI and thermography in veterinary practice by all respondents irrespective of their years of experience. There was a decline in the degree of theoretical knowledge with advancement in the technique. The variation in the mere observation of the practical demonstration of radiography was related to years of research experience, with the exception of Group D. Group E recorded the highest positive response to practical knowledge of all the diagnostic imaging modalities. There was a remarkable drop in the practical knowledge of CT, MRI, NMI and thermography, compared to radiography and ultrasonography in each of the study groups. Only 1 veterinary school had a CT scanning machine, and none had an MRI unit, a gamma camera or a thermographic camera. Only 4 veterinary schools taught MRI. No veterinary school taught NMI and thermography. Appropriate recommendations were made. Keywords: CT, MRI, NMI, Radiography, Thermography, Ultrasonography

scholarly journals Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ravi Shankar Reddy ◽  
Jaya Shanker Tedla ◽  
Snehil Dixit ◽  
Mohammed Abohashrh
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Cervical Spondylosis ◽  
Target Position ◽  
Absolute Error ◽  
Healthy Control Group ◽  
Control Group ◽  
Cross Sectional ◽  
Control Subjects ◽  
Healthy Control

Abstract Background Cervical proprioception is critical in the maintenance of posture and movements, so its assessment in different cervical conditions has gained importance in recent clinical practice. Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated. The goals of the study are (1) comparison of joint position error (JPE) in subjects with CS to healthy control group. (2) Correlation of neck pain intensity to cervical proprioception in patients with CS. Methods In a Cross-sectional study, 132 subjects with CS and 132 healthy age-matched control subjects were evaluated for cervical JPE with the cervical range of motion device. The subjects were blindfolded and repositioned their heads to a target position, which was determined by the examiner previously and their repositioning accuracy (absolute error in degrees) was measured in the frontal (flexion and extension) and transverse planes (left rotation and right rotation). The CS subjects resting neck pain intensity was assessed using visual analog scale (VAS). Results CS subjects showed statistically significantly larger JPEs compared to healthy control subjects in all the directions tested (flexion - 95% CI = 2.38–3.55, p < 0.001, extension - 95% CI =3.26–4.33, p < 0.001, left rotation - 95% CI = 2.64 - 3.83, p < 0.001, right rotation − 95% CI = 3.77–4.76, p < 0.001). The mean JPE errors in the CS group ranged from 6.27° to 8.28° and in the control group ranged from 2.36° to 4.48°. Pearson’s correlation coefficient showed a significant and positive relationship between neck pain intensity and cervical proprioception (p ≤ 0.001). Conclusions Proprioception is impaired in subjects with CS when compared to healthy control group. Higher pain intensity was associated with greater cervical JPE in patients with CS.

Diagnostic Imaging Modalities

1985 ◽  
pp. 15-22 ◽  
Author(s):  
Holger Pettersson ◽  
Marvin S. Gilbert
Keyword(s):  
Diagnostic Imaging ◽  
Imaging Modalities
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