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

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 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

Intracranial Vertebral Endarterectomy

Neurosurgery ◽  
1990 ◽  
Vol 26 (3) ◽  
pp. 465-471 ◽  
Author(s):  
James I. Ausman ◽  
Fernando G. Diaz ◽  
Balaji Sadasivan ◽  
Manuel Dujovny
Keyword(s):  
Vertebral Artery ◽  
Medical Therapy ◽  
Superficial Temporal Artery ◽  
Posterior Inferior Cerebellar Artery ◽  
Temporal Artery ◽  
Superior Cerebellar Artery ◽  
Focal Lesion ◽  
Cerebellar Infarction ◽  
Vertebrobasilar Insufficiency ◽  
Cerebellar Artery

Abstract Intracranial vertebral endarterectomy was performed on six patients with vertebrobasilar insufficiency in whom medical therapy failed. The patients underwent operations for stenotic plaque in the intracranial vertebral artery with the opposite vertebral artery being occluded, hypoplastic, or severely stenosed. In four of the patients, the stenosis was mainly proximal to the posterior inferior cerebellar artery (PICA). In this group, after endarterectomy, the vertebral artery was patent in two patients, and their symptoms resolved: in one patient the endarterectomy occluded, but the patient's symptoms improved; and in one patient the endarterectomy was unsuccessful, and he continued to have symptoms. In one patient, the plaque was at the origin of the PICA. The operation appeared technically to be successful, but the patient developed a cerebellar infarction and died. In one patient the stenosis was distal to the PICA. During endarterectomy, the plaque was found to invade the posterior wall of the vertebral artery. The vertebral artery was ligated, and the patient developed a Wallenburg syndrome. The results of superficial temporal artery to superior cerebellar artery anastomosis are better than those for intracranial vertebral endarterectomy for patients with symptomatic intracranial vertebral artery stenosis. The use of intracranial vertebral endarterectomy should be limited to patients who have disabling symptoms despite medical therapy, a focal lesion proximal to the PICA, and a patent posterior circulation collateral or bypass.

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