scholarly journals Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis

2020 ◽  
Vol Volume 13 ◽  
pp. 2783-2789
Author(s):  
Xiaodong Pang ◽  
Chunyu Liu ◽  
Baogan Peng
Keyword(s):  
Cervical Spondylosis ◽  
Cervicogenic Headache ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

The effectiveness of anterior cervical decompression and fusion for the relief of dizziness in patients with cervical spondylosis

2018 ◽  
Vol 100-B (1) ◽  
pp. 81-87 ◽  
Author(s):  
B. Peng ◽  
L. Yang ◽  
C. Yang ◽  
X. Pang ◽  
X. Chen ◽  
...  
Keyword(s):  
Cervical Spondylosis ◽  
Japanese Orthopaedic Association ◽  
Cervical Disc ◽  
Conservative Group ◽  
Anterior Cervical Decompression ◽  
Cervical Surgery ◽  
One Year ◽  
Anterior Cervical Surgery ◽  
Cervicogenic Dizziness ◽  
Surgical Group

Aims Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. Patients and Methods Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment. All were followed up for one year. The primary outcomes were measures of the intensity and frequency of dizziness. Secondary outcomes were changes in the modified Japanese Orthopaedic Association (mJOA) score and a visual analogue scale score for neck pain. Results There were significantly lower scores for the intensity and frequency of dizziness in the surgical group compared with the conservative group at different time points during the one-year follow-up period (p = 0.001). There was a significant improvement in mJOA scores in the surgical group. Conclusion This study indicates that anterior cervical surgery can relieve dizziness in patients with cervical spondylosis and that dizziness is an accompanying manifestation of cervical spondylosis. Cite this article: Bone Joint J 2018;100-B:81–7.

scholarly journals Intelligent Three-Dimensional Reconstruction Algorithm-Based X-Ray Film for Analysis of the Changes in Sagittal Parameters and Curative Effect of Anterior Cervical Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Zhengyu Liu ◽  
Qingming Zhang ◽  
Juyong Wang ◽  
Shibao Lu
Keyword(s):  
Cervical Spondylosis ◽  
Three Dimensional ◽  
Three Dimensional Reconstruction ◽  
Curative Effect ◽  
Improvement Rate ◽  
X Ray ◽  
Cervical Surgery ◽  
Dimensional Reconstruction ◽  
Sagittal Parameters ◽  
Anterior Cervical Surgery

In this paper, the change characteristics of sagittal parameters of the patient’s body before and after anterior cervical surgery and rehabilitation effect were analyzed. The rotation transformation and perspective projection transformation were applied to construct a positive and lateral position (PLP) matching-based three-dimensional reconstruction (PLP-3DR) algorithm, which was compared with the marching cubes (MC) algorithm and gravity point (GP) algorithm. PLP-3DR was adopted in X-ray image diagnosis of 124 cervical spondylosis patients. Results showed that sensitivity, specificity, and accuracy of PLP-3DR were markedly higher than those of MC and GP ( P < 0.05 ). The postoperative C2-7 Cobbs’s angle (C2-7Cobb) (11.27 ± 8.41°) was smaller than that before the surgery (15.03 ± 7.39°) ( P < 0.05 ), while the postoperative cervical sagittal vertical axis (cSVA) (21.33 ± 10.38 mm) and Japanese Orthopaedic Association (JOA) scores (16.95 ± 6.07 points) were greater than those before the surgery (14.66 ± 9.68 mm and 11.39 ± 4.28 points) ( P < 0.05 ). Besides, the improvement rate of patients from the cSVA >25 mm group (68.31%) was greater than the rate of the cSVA <15 mm group (45.88%) and the cSVA within 15–25 mm group (47.29%) ( P < 0.05 ). In conclusion, PLP-3DR could effectively improve the diagnostic effect of spine X-ray film images, with high sensitivity and specificity. Anterior cervical surgery had a good curative effect for patients with cervical spondylosis and was closely related to cervical parameters (cSVA, T1 slope, and C2-7Cobb). In addition, patients with cSVA>25 mm could have the best postoperative rehabilitation effect.

scholarly journals Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo

2015 ◽  
Vol 18;4 (4;18) ◽  
pp. E583-E595
Author(s):  
Baogan Peng
Keyword(s):  
Vertebral Artery ◽  
Manual Therapy ◽  
Cervical Spondylosis ◽  
Scientific Evidence ◽  
Vertebrobasilar Insufficiency ◽  
Clinical Experiences ◽  
Laser Disc ◽  
Cervical Vertigo ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Cervical vertigo is characterized by vertigo from the cervical spine. However, whether cervical vertigo is an independent entity still remains controversial. In this narrative review, we outline the basic science and clinical evidence for cervical vertigo according to the current literature. So far, there are 4 different hypotheses explaining the vertigo of a cervical origin, including proprioceptive cervical vertigo, Barré-Lieou syndrome, rotational vertebral artery vertigo, and migraine-associated cervicogenic vertigo. Proprioceptive cervical vertigo and rotational vertebral artery vertigo have survived with time. Barré-Lieou syndrome once was discredited, but it has been resurrected recently by increased scientific evidence. Diagnosis depends mostly on patients’ subjective feelings, lacking positive signs, specific laboratory examinations and clinical trials, and often relies on limited clinical experiences of clinicians. Neurological, vestibular, and psychosomatic disorders must first be excluded before the dizziness and unsteadiness in cervical pain syndromes can be attributed to a cervical origin. Treatment for cervical vertigo is challenging. Manual therapy is recommended for treatment of proprioceptive cervical vertigo. Anterior cervical surgery and percutaneous laser disc decompression are effective for the cervical spondylosis patients accompanied with BarréLiéou syndrome. As to rotational vertebral artery vertigo, a rare entity, when the exact area of the arterial compression is identified through appropriate tests such as magnetic resonance angiography (MRA), computed tomography angiography (CTA) or digital subtraction angiography (DSA) decompressive surgery should be the chosen treatment. Key words: Cervical vertigo, dizziness, whiplash injury, neck pain, cervical spondylosis, manual therapy, vestibular rehabilitation, vertebrobasilar insufficiency

scholarly journals Intraoperative O-arm Navigation Guided Anterior Cervical Surgery; A technical note and case series

2021 ◽  
pp. 101288
Author(s):  
Masato Tanaka ◽  
Hardik Suthar ◽  
Yoshihiro Fujiwara ◽  
Yoshiaki Oda ◽  
Koji Uotani ◽  
...  
Keyword(s):  
Case Series ◽  
Technical Note ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

254. Pain catastrophizing impacts outcome scores but not recovery kinetics after 1-2 level anterior cervical surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S131
Author(s):  
Sohrab Virk ◽  
Avani S. Vaishnav ◽  
Hikari Urakawa ◽  
Jung Mok ◽  
Marcel Dupont ◽  
...  
Keyword(s):  
Pain Catastrophizing ◽  
Cervical Surgery ◽  
Outcome Scores ◽  
Anterior Cervical Surgery

Prolonged and severe dysphagia following anterior cervical surgery

2004 ◽  
Vol 11 (4) ◽  
pp. 424-427 ◽  
Author(s):  
Sunny King Shun Lee ◽  
Gabriel Yin Foo Lee ◽  
George Tse Hwai Wong
Keyword(s):  
Severe Dysphagia ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

scholarly journals Anterior cervical spine surgical complications: Safety comparison between teacher and student

2021 ◽  
Vol 12 ◽  
pp. 43
Author(s):  
Edvin Zekaj ◽  
Guglielmo Iess ◽  
Domenico Servello
Keyword(s):  
Critical Factor ◽  
Anterior Cervical Discectomy ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Complication Rates ◽  
Years Of Experience ◽  
Cervical Discectomy ◽  
Phone Calls ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Background: Anterior cervical surgery has a widespread use. Despite its popularity, this surgery can lead to serious and life-threatening complications, and warrants the attention of skilled attending spinal surgeons with many years of experience. Methods: We retrospectively evaluated postoperative complications occurring in 110 patients who underwent anterior cervical surgery (anterior cervical discectomy without fusion, anterior cervical discectomy and fusion, and anterior cervical disc arthroplasty) between 2013 and 2020. These operations were performed by an either an attending surgeon with 30 years’ experience versus a novice neurosurgeon (NN) with <5 years of training with the former surgeon. Complications were variously identified utilizing admission/discharge notes, surgical reports, follow-up visits, and phone calls. Complications for the two groups were compared for total and specific complication rates (using the Pearson’s Chi-square and Fisher’s test). Results: The total cumulative complication rate was 15.4% and was not significantly different between the two cohorts. The most frequent postoperative complication was dysphagia. Notably, there were no significant differences in total number of postoperative instances of dysphagia, dysphonia, unintended durotomy, hypoasthenia, and hypoesthesia; the only difference was the longer operative times for NNs. Conclusion: Surgeons’ years of experience proved not to be a critical factor in determining complication rates following anterior cervical surgery.

Complications associated with anterior cervical surgery

2016 ◽  
Vol 28 (2) ◽  
pp. 118-122
Author(s):  
Jesse E. Bible ◽  
Joon Y. Lee
Keyword(s):  
Cervical Surgery ◽  
Anterior Cervical Surgery
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