Cases Of Cervical Spondylosis Research Articles

Efficacy of Marma Chikitsa in pain management of Cervical Spondylosis - A Single Case Study

Cervical spondylosis is a chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral discs of the neck as well as the contents of spinal canal. It is characterized by neck pain radiating to shoulders, arms, head and person is unable to perform daily routine work. Patient aged 47 years came to our institute with the complaint of headache, pain and stiffness in cervical region & pain is radiated to hand, tingling sensation in hand, restricted movement of cervical spine for 6 month. He was diagnosed as case of cervical spondylosis. MRI of cervical spine suggested protrusion at C5-C6 level causing anterior thecal sac compression & bilateral moderate neural foraminal narrowing with left exiting nerve compression. In this case study effect of Marma Chikitsa in pain management of cervical spondylosis is evaluated. This case study shows that pain in cervical spondylosis may be successfully managed by Marma Chikitsa.

Preliminary Clinical Outcome of One-level Mobi-C Total Disc Replacement in Japanese Population.

Introduction In 2018, the first Mobi-CⓇ total disk replacement (TDR) case was performed in Japan. In this study, we examined the preliminary clinical outcome of Mobi-CⓇ for degenerative cervical spine disease. Methods We examined 24 consecutive patients who underwent 1-level TDR after 2018 and followed up for more than 6 months after surgery. The evaluation criteria included age, gender, diagnosis, follow-up period, surgical level, implant size, surgery time, intraoperative bleeding volume, complications, revision surgery, imaging findings, JOA score, and various questionnaires. Results The mean age was 52.7 years, 13 males and 11 females. There were 15 cases of cervical disk herniation and 9 cases of cervical spondylosis. The mean follow-up period was 17.4 months. Surgical levels were C3/4 in 4 cases, C4/5 in 2 cases, C5/6 in 16 cases, and C6/7 in 2 cases. The mean operation time was 138.5 minutes, the amount of intraoperative bleeding was 32.1 ml, and there were no serious intraoperative complications. The range of motion of the affected level increased significantly, from 6.6 degrees preoperatively to 12.2 degrees at final follow-up. No patients required revision surgery at final follow-up, and there were no cases of heterotopic ossification or adjacent segment disease. One patient exhibited radiculopathy due to mild subsidence 1 year after surgery, and 1 had asymptomatic contact of device plates. Preoperative and final JOA scores improved from 11.7 to 15.8 points, and NRS improved from 4.3 to 1.3 points for neck pain and 4.3 to 1.7 points for arm pain. Preoperative and final NDI improved from 39.7% to 14.0%, and EQ-5D improved from 0.602 to 0.801. Conclusions The short-term treatment outcomes of Mobi-CⓇ TDR were generally favorable. Spine surgeons should comply with guidelines when introducing this procedure and strive to adopt this new technology in Japan.

Therapeutic Effect Observation of 60 Cases of Cervical Spondylosis Treated by Mongolian Medicine Warm Acupuncture and Noohalahuo

Therapeutic Effect Observation of 60 Cases of Cervical Spondylosis Treated by Mongolian Medicine Warm Acupuncture and Noohalahuo

Case Report: A 10 Weeks Diversional Therapy as an Adjunct to Managing Chronic Pain Associated with Depression

Background: Pain is the most common reason for physician consultation, it can interfere with the quality of life and general functioning. The Global Burden of Disease study (2016) states that pain and pain-related diseases are the leading cause of disability and disease burden globally. Chronic pain over time can affect our mental health and participation in daily activities viz our affecting general well-being. Documented evidence has shown that simple medications are useful in 20% to 70% of cases but psychological factors such as social support, hypnotic suggestion, diversions such as excitement, or distraction can significantly affect pain’s intensity. For holistic care, diversional therapy can be effective in managing chronic pain, as it is a safe and cheap adjunct in managing chronic conditions. Objective: To explore the effect of diversional therapy as an adjunct in managing chronic pain associated with depression. Methodology: This study involves a case report of two patients been managed as a case of cervical spondylosis with radiculopathy associated with depression. Both patients had diversional therapy as an adjunct to conventional physiotherapy. Activity log and chart were developed to monitor the compliance and pain was monitored using the numeric rating scale. Result: Diversional therapy has shown to be a safe adjunct in managing chronic pain associated with depression. Diversional therapy was successfully used as an intervention in decreasing pains of the patients, improving their functioning and participation in activities of daily living. Conclusion/Recommendation: Diversional therapy was found to be a safe adjunct for managing chronic pain-associated depression and consequently reduced the side effect of prolonged medication use. Therefore, diversional therapy should be explored in managing cervical spondylosis with radiculopathy and depression.

The influence of seasons on craniocerebral chronic vascular diseases, cervical spondylosis, herpes zoster, knee osteoarthritis, lumbar disc disease: a retrospective analysis

BackgroundThe distribution characteristics of gender, age, and season and the influence of season on the length of hospitalization stay (LOS) were analyzed based on the information of inpatients about various diseases.MethodsA total of 5575 patients’ basic information (gender, age, hospitalization time, season of onset) of five diseases was classified according to spring, summer, autumn, winter. Their distribution characteristics were analysed using T‐test, one‐way ANOVA, Chi‐square test. Then the data were incorporated into SPSS 21.0 for statistical analysis.ResultsMost cases of cranial chronic vascular disease (CCVD) were found in summer (53% of cases), less in spring, and no cases in winter. The LOS was longer for middle‐aged men, elderly men, and elderly women in the fall group than in the spring group (p < 0.05). The LOS was longer in the fall group than in the summer group for older men and older women (p < 0.05). Herpes zoster cases were more frequent in summer (43%) and autumn (56.30%), less frequent in spring (1.20%), and no cases in winter. Middle‐aged and elderly men in the summer group had longer LOS than the autumn group (p < 0.05). The most cases of cervical spondylosis were found in the spring (42.00%), the fewest were found in the fall (0.10%). Cases of knee osteoarthritis were the most in winter (53.40%) and fewer in summer (7%) and autumn (9.80%).ConclusionCCVD, herpes zoster, cervical spondylosis, and knee osteoarthritis have an obvious seasonal distribution, and seasons have a certain impact on the hospitalization time of patients with CCVD or herpes zoster, especially in older men.

Comparison of neck length, relative neck length and height with incidence of cervical spondylosis.

Objective:To compare the neck length, relative neck length and height between patients with cervical spondylosis and healthy subjects.Methods:This case control study was conducted at Patel hospital, Karachi after the ethical approval of Bahria University Medical and Dental College (BUMDC) and Patel hospital from September 2018 - February 2019. It enrolled eighty eight cases of cervical spondylosis and eighty eight healthy subjects. Radiographs were taken in the lateral view and neck length was measured as the distance from external occipital protuberance to seventh cervical vertebra spinous process. Then relative neck length was measured by dividing the neck length with height and multiplying it by 100. The Kellgren Lawrence grade scale was used to assess the severity of cervical spondylosis.Results:A total of 176 participants were analyzed. It was found that the height remains the significant determinant. The comparison of cases with control group was done using independent T-test which showed that the cases were significantly shorter than controls with a p-value < 0.05. The other variables such as neck length, and relative neck length were insignificant.Conclusion:Short height can be considered as a risk factor for cervical spondylosis. Short-statured individuals should be counseled to adopt measures for the prevention of cervical spondylosis.

Biomechanical comparison of percutaneous posterior endoscopic cervical discectomy and anterior cervical decompression and fusion on the treatment of cervical spondylotic radiculopathy

BackgroundCervical spondylotic radiculopathy is a common spinal disease. The traditional surgical treatment consists of anterior cervical decompression and fusion (ACDF), but it presents problems such as trauma and fusion complications. Percutaneous posterior endoscopic cervical discectomy (PPECD) is a new minimally invasive technology that has produced good clinical outcome, but further biomechanical comparisons are needed to guide the clinical work. The goal of this study was to compare the biomechanical characteristics of the two methods by finite element analysis.MethodOn the basis of the computed tomography scanning data of five cases of cervical spondylosis after PPECD surgery, five cases after ACDF surgery, and five non-surgical patients, software (Mimics 15.0, HyperMesh 12.0, and Abaqus 6.13) was adopted to establish a C1–C7 segment 3D finite element model. We also applied 50 N vertical load on the C1 surface and 1.5 Nm torque, simulated the anteflexion, rear protraction, and left and right lateral flexion and rotation, and observed the stability, stress distribution, and Cobb angular change of the surgical section of the cervical vertebra under different working conditions.ResultThe postoperative model under different working conditions demonstrated poorer stability than the non-surgical group, but the stability of the PPECD group was close to that of the non-surgical group. The stability of the ACDF group was the worst, especially when making lateral bending and posterior extension. The ACDF group also showed significant differences. The PPECD group showed uniform stress distribution, whereas the ACDF group was under large stress, which was primarily concentrated in the internal fixation system. In addition, the implant showed the potential for fracture. The Cobb angle of surgery section of the PPECD group was smaller than that of the ACDF group, and the stability of the section was good.ConclusionFrom the perspective of finite element analysis, the cervical vertebrae after PPECD treatment showed good biomechanical performance and stability.

Association between Cervical Spondylosis and Migraine: A Nationwide Retrospective Cohort Study.

Background: Few studies have investigated the longitudinal association between cervical spondylosis (CS) and migraine by using a nationwide population-based database. Methods: We conducted a retrospective cohort study from 2000 to 2011 identifying 27,930 cases of cervical spondylosis and 111,720 control subjects (those without cervical spondylosis) from a single database. The subjects were frequency-matched on the basis of sex, age, and diagnosis date. The non- cervical spondylosis cohort was four times the size of the cervical spondylosis cohort. To quantify the effects of cervical spondylosis on the risk of migraine, univariate and multivariate Cox proportional hazard regression analyses were used to calculate the hazard ratio (HR), and 95% confidence interval (CI). Results: After a 10-year follow-up controlling for potential confounding factors, overall migraine incidence was higher in the cervical spondylosis cohort than in the non-cervical spondylosis cohort (5.16 and 2.09 per 1000 people per year, respectively; crude hazard ratio = 2.48, 95% confidence interval = 2.28–2.69), with an adjusted hazard ratio of 2.03 (95% confidence interval = 1.86–2.22) after accounting for sex, age, comorbidities, and medication. Individuals with myelopathy in the cervical spondylosis cohort had a 2.19 times (95% confidence interval = 1.80–2.66) higher incidence of migraine when compared than did those in the non- cervical spondylosis cohort. Conclusions: Individuals with cervical spondylosis exhibited a higher risk of migraine than those without cervical spondylosis. The migraine incidence rate was even higher among individuals with cervical spondylotic myelopathy.

Clinical evaluation of Nasya Karma in cervical spondylosis: Case series

Introduction: Cervical spondylosis is one of the most common degenerative, neurological conditions of the cervical spine by which a major part of population is affected. In today's mobile era, for higher achievements and ambitions, man is moving faster to Mars life and is more prone to degenerative disorders. Apart from age, other risk factors for cervical spondylosis include occupations that may cause more stress on neck, certain neck injuries, incorrect posture while sitting or walking, smoking, sedentary lifestyle and genetic factors. Modern therapies such as analgesics, muscle relaxants, steroids, physiotherapies, and even operative procedures are not fulfilling the patients' goal of healthy life. Materials and Methods: In Ayurveda, Degenerative disorders come under the broad umbrella of Vata Vyadhi and Nasya (Nasal Medication) is specifically indicated in Urdhvajatrugata Vikaras. Keeping this view and the increasing incidence of the disease in modern society, a study was conducted on five clinically diagnosed cases of cervical spondylosis, selected from Outpatient / Inpatient departments of Panchakarma Department. The patients were treated with Anu taila Nasya for first 3 days followed by Avartita Kshirabala Taila Nasya for the next 4 days. Results: Satisfactory relief was seen in symptoms with improved quality of life after treatment and follow up. Conclusion: Nasya Karma can be considered as an effective management of cervical spondylosis

The incidence of cervical spondylosis decreases with aging in the elderly, and increases with aging in the young and adult population: a hospital-based clinical analysis.

Background and purposeCervical spondylosis is well accepted as a common degenerative change in the cervical spine. Compelling evidence has shown that the incidence of cervical spondylosis increases with age. However, the relationship between age and the incidence of cervical spondylosis remains obscure. It is essential to note the relationship between age and the incidence of cervical spondylosis through more and more clinical data.MethodsIn the case-controlled study reported here, retrospective clinical analysis of 1,276 cases of cervical spondylosis has been conducted. We analyzed the general clinical data, the relationship between age and the incidence of cervical spondylosis, and the relationship between age-related risk factors and the incidence of cervical spondylosis. A chi-square test was used to analyze the associations between different variables. Statistical significance was defined as a P-value of less than 0.05.ResultsThe imaging examination demonstrated the most prominent characteristic features of cervical spondylosis: bulge or herniation at C3-C4, C4-C5, and C5-C6. The incidence of cervical spondylosis increased with aging before age 50 years and decreased with aging after age 50 years, especially in the elderly after 60 years old. The occurrence rate of bulge or herniation at C3-C4, C4-C5, C5-C6, and C6-C7 increased with aging before age 50 years and decreased with aging after age 50 years, especially after 60 years. Moreover, the incidence of hyperosteogeny and spinal stenosis increased with aging before age 60 years and decreased with aging after age 60 years, although there was no obvious change in calcification. The age-related risk factors, such as hypertension, hyperlipidemia, diabetes, cerebral infarct, cardiovascular diseases, smoking, and drinking, have no relationship with the incidence of cervical spondylosis.ConclusionA decreasing proportion of cervical spondylosis with aging occurs in the elderly, while the proportion of cervical spondylosis increases with aging in the young and the adults. This investigation implicates that aging is not only a contributor to the clinical performance of cervical spondylosis in the elderly, although the incidence of cervical spondylosis is proportional to the progress of age.

Syncope: A rare presentation of Cervical spondylosis

Cervical spondylosis commonly presents with its classical symptoms of intermittent neck & shoulder pain, headache with or without neurological deficit. Syncope has been reported in a very few cases of cervical spondylosis. Although rare, syncope and vertigo whenever present in Cervical spondylosis is usually preceded by its classical symptoms. When a patient presents with syncope and vertigo in the absence of other classical symptoms of cervical spondylosis, it is difficult to consider the possibility of cervical spondylosis which may result in delayed diagnosis and further progression of disease. Here, we report a case of 55 years old man who presented to us with syncope and recurrent episodes of vertigo only which on work up was diagnosed as a case of cervical spondylosis.

Cervical spondylosis in South West Nigerian farmers and female traders

Neck pain is a common pain syndrome in the clinical practice. It may or may not be associated with the radiculopathy or myelopathy. Load carrying on the head is believed to be associated with an increased incidence of cervical spondylosis. Radiographic spondylosis is noticeable in 25-50% of people of 50 years of age and in 75-90% by the age of 65 years. Plain cervical radiograph were obtained in all farmers and female traders above 45 years of age who complained of neck pain. Those who met the radiological diagnostic criteria were enlisted in the study. The study was carried out over a 3 year period (July 2009-June 2012) in a private rheumatology clinic. Thirty six cases of cervical spondylosis were seen, representing 10.7% of a total rheumatology cases seen over the study period. There were 23 males (63.9%) and 13 females (36.1%), giving a male : female ratio of 1.8:1. There were 18 male farmers, 5 female farmers, and 5 female traders. Eight males and 6 females showed severe degenerative changes in the cervical spine. Mostly affected were C4-C7 cervical spine levels. Load carrying, as earlier documented in literature may be a significant contributory factor to the degenerative process of the cervical spine.

種々の疾患にともなう首下がり症候群の病態生理学的分析―表面筋電図所見と理学療法の効果から―

Dropped head syndrome is seen in various diseases. We investigated its pathophysiological mechanisms with physical and radiological examination, surface EMG and responses to physiotherapy. Subjects had dropped head as a complaint, but their primary diagnoses were various. We investigated 16 cases: 5 cases of Parkinson disease, 5 cases of multiple system atrophy predominant parkinsonism, 3 cases of cervical spondylosis and 3 cases with other diagnoses. We found that patients had common findings such as bulging of cervical muscles, and tonic EMG activities mainly in the extensors in the sitting and standing position, but in the flexors of the neck only in the supine position. Of the 16 cases, 14 were treated with physiotherapy to improve the alignment of the pelvis and whole vertebral column; 6 of the 14 cases (63%) showed remarkable improvement. We conclude that the primary reason of dropped head syndrome is unknown in Parkinson disease and cervical spondylosis, but also that many of the patients have secondary changes in alignment of the skeletomuscular system which could be treated with physiotherapy.

A case of cervical spondylosis caused by amyloid bone cyst of the axis in hemodialysis patient

A case of cervical spondylosis caused by amyloid bone cyst of the axis in hemodialysis patient

Mean displacement map of spine and spinal cord disorders using high b-value q-space imaging-feasibility study

Q-space analysis is a new metric that uses multiple, high b-value, diffusion-weighted magnetic resonance (MR) data. This technique shows promising results as a tool to provide information complementary to that of other imaging techniques used on biological tissue in vivo. To investigate the use of a mean displacement (MDP) map of high b-value, q-space imaging (QSI) to characterize spinal and spinal cord lesions in vivo. Eight patients with spine or spinal cord disorders (two neurinomas, one myeloma, three cases of syringohydromyelia, and two cases of cervical spondylosis) were included. The MR imaging protocol consisted of conventional MR sequences, conventional diffusion-weighted imaging (DWI; b = 1000), and high b-value QSI with a maximum q value of 836.9 cm(-1). Apparent diffusion coefficient (ADC) maps of conventional DWI and MDP maps of QSI data were obtained and region-of-interest analyses for the lesions were performed. MDP values of normal spinal cord, cerebrospinal fluid (CSF), and tumor parenchyma were 6.57 ± 0.52, 17.6 ± 2.75, and 8.49 ± 2.09, respectively (µm, mean ± standard deviation). In general, MDP maps were not well correlated with the corresponding ADC maps at the pathologic lesions. Spondylotic lesions tended to have higher MDP values than normal spinal cord, whereas syringohydromyelia produced MDP values slightly lower than those of CSF. The heterogeneous MDP values were probably due to differences in tissues and pathologic structures. This technique has potential to provide additional clinical information to that obtained with conventional MR imaging.

Application of traditional Chinese medicine clinical nursing pathway on cervical spondylosis patients

Objective To explore the application effects of traditional Chinese medicine (TCM) clinical nursing pathway on cervical spondylosis patients of vertebroarterial. Methods 100 cases of cervical spondylosis from July 2008 to July 2010 were selected and randomly divided into control group and observation group, with 50 cases for each group. Both groups were treated based on cervical spondylosis conventional care. TCM clinical nursing pathway was used in the observation group, TCM sentiment and dietary regulating were also fully used, combined with TCM characteristic treatment measures such as internal and external therapy. The length of hospital stay, hospital charge,nursing adverse events occurrence rate, degree of satisfaction, and the understanding level of cervical health care knowledge were all compared in both groups. Results The length of hospital stay and hospital expenses were less than those in control group (P＜0.05). The rate of nursing adverse events was also less than that in the control group (P＜0.01),the degree of satisfaction and understanding level of cervical health care knowledge were higher than those in the control group (P＜0.05). Conclusion The application of TCM clinical nursing pathway on cervicai spndylosis patients of vertebroarterial can reduce the length of hospital stay, hospital expenses and the rate of nursing adverse events, improve degree of satisfaction and understanding level of cervical health care knowledge. Key words: Cervical spondylopathy of vertebroarterial; Traditional Chinese medicine nursing; Clinical pathway

Ootside the cervical vertebra hard membrane sets at the tube injection ozone and guarantees the pine treatment cervical vertebra to get sick 130 example clinical analyses

Objective Discusses outside the hard membrane to set at the tube injection ozone and guarantees the clinical curative effect which the pine treatment cervical vertebra gets sick. Methods The use of epidural external pipe injection of ozone and drug treatment patients with cervical spondylosis, of which 130 cases of Cervical Radiculopathy 24 cases,cervical spondylosis,34 cases of cervical spondylosis 18 cases,sympathetic ,20 cases of cervical spondylotic myelopathy in 5 patients,mixing of 28 cases of cervical spondylosis. Divides into 2 groups stochastically, A group of 65 examples: Outside the cervical vertebra hard membrane injects the ozone (density 20 mg/L) 5 ml and guarantees loose inoculation fluid 1mg,daily one time, a 7 day of treatment course; B group of 65 examples, outside the cervical vertebra hard membrane inject guarantee loose inoculation fluid 1mng,daily one time,a 7 day of treatment course,observes 2 group of patient symptom improvement situation. Results Before treating the latter two group of patient symptom to treat the distinct improvement,A group of treatment result surpasses B group obviously. A group has statistics significance with B group of curative effect comparison difference ( P ＜ 0. 05 ). Conclusion Outside the cervical vertebra hard membrane injects the ozone and guarantees the pine treatment to be able to alleviate the cervical vertebra sickness patient symptom effectively. Key words: Cervical spondylosis; Ozone; Diprospan

Treatment of 56 cases of cervical spondylosis by embedding method

@@ In supporting Xinj iang Uygur Autonomous Region from August of 2008 to January of 2009,the authors treated 56 cases of cervical spondylosis by embedding method.Now,the report is given as follows.

Treatment of 157 cases of cervical spondylosis of vertebral artery type by tuina therapy

Objective To observe the clinical efficacy of tuina therapy in the treatment of cervical spondylosis of vertebral artery type.

Clinical Study of the treatment of cervical spondylosts with percutaneous laser disc decompression combined with ozone injecaon

Objective To study the clinical effect of percutaneous laser disc decompression(PLDD) combined with ozone injection in the treatment of cervical spondylosis.Methods 183 cases of cervical spondylosis were randomly divided into two groups.One group of 80 cases with 118 cervical discs herniation were treated with PLDDonly.while the other group of 103 cases with 142 cervical discs herniation were treated with PLDD combined with ozone injectlon.The patients were followed up for 3 to18 months(mean 7 months).The clinical effects were assessed according to the Japanese Orthopaedic Association scoring system(JOA score)and the improvement rates of the two groups were compared.Results 167 cases were followed up.The average point of the group treated with PLDD is 15.2 and the improvement rate is 74.7%.The average point of the group treated with PLDD combined with ozone injection is 16.3 and the improvement rate is 91.3%.The difference between two groups has statistical significance(P＜0.05).Conclusion The treatment of cervical spondylosis with PLDD combined with ozone injection is safe.painless and minimally invasive.The clinical effect is impmved tremendously and much better than monotherapy. Key words: Laser surgery; Ozone; Cervical spondylosis