Incidence Of Cervical Spondylosis Research Articles

Diagnosis and treatment of 11 patients with cevical spondylotic amyotrophy

To explore clinical features, treatment methods and clinical effects of cervical spondylosis with proximal muscular atrophy. Eleven patients with proximal-type cervical spondylotic amyotrophy were retrospectively studied from September 2016 to November 2020, including 7 males and 4 females, aged 38 to 68 years old. Clinical symptoms, MRI and neuroelectrophysiological manifestations were analyzed, and patients were treated with conservative treatment or anterior cervical decompression fusion surgery, respectively. The efficacy was evaluated by manual muscle test (MMT) before and after treatment, and patients' satisfaction was followed up at the same time. All patients were followed up for 6 to 19 months. All 11 patients were unilateral, mainly manifested by atrophy of deltoid muscle, supraspinatus muscle and infraspinatus muscle, and may be accompanied by ipsilateral neck and shoulder pain at early stage. MRI showed lesions at C4,5, C5,6 segments were more common. Electrophysiological examination showed the affected muscle was denervated, and amplitude of compound muscle action potential (CMAP) of innervated nerve on the affected side was lower than that on the healthy side. All patients were obtained bone fusion. One patient who were underwent anterior cervical corpectomy and fusion (ACCF) occurred developed contralateral C5 nerve root paralysis after operation, which recovered completely after 10 weeks of symptomatic treatment. At 12 months after operation, the efficacy was evaluated according to MMT, 3 patients were treated conservatively, 2 patients excellent and 1 good;in 8 patients treated by operation, 3 patients were excellent, 4 good, and 1 moderate. The incidence of cervical spondylosis with proximal muscular atrophy is low, which is manifested as unilateral proximal muscle atrophy and may be accompanied by ipsilateral neck and shoulder pain in the early stage. Combined with MRI and neuroelectrophysiological examination, misdiagnosis could be reduced. In the early stage of disease, especially in the case of nucleus pulposus protrusion leading to nerve compression, conservative treatment could be taken. When the conservative treatment is ineffective or the pain cannot be tolerated, anterior decompression surgery is recommended, and the overall effect is satisfactory.

Intelligent Evaluation Method of Human Cervical Vertebra Rehabilitation Based on Computer Vision.

With the changes in human work and lifestyle, the incidence of cervical spondylosis is increasing substantially, especially for adolescents. Cervical spine exercises are an important means to prevent and rehabilitate cervical spine diseases, but no mature unmanned evaluating and monitoring system for cervical spine rehabilitation training has been proposed. Patients often lack the guidance of a physician and are at risk of injury during the exercise process. In this paper, we first propose a cervical spine exercise assessment method based on a multi-task computer vision algorithm, which can replace physicians to guide patients to perform rehabilitation exercises and evaluations. The model based on the Mediapipe framework is set up to construct a face mesh and extract features to calculate the head pose angles in 3-DOF (three degrees of freedom). Then, the sequential angular velocity in 3-DOF is calculated based on the angle data acquired by the computer vision algorithm mentioned above. After that, the cervical vertebra rehabilitation evaluation system and index parameters are analyzed by data acquisition and experimental analysis of cervical vertebra exercises. A privacy encryption algorithm combining YOLOv5 and mosaic noise mixing with head posture information is proposed to protect the privacy of the patient's face. The results show that our algorithm has good repeatability and can effectively reflect the health status of the patient's cervical spine.

A critical review on Manyasthambha according to Ayurveda.

Manyasthambha is a vataja nanatmaja vyadhi. Incidence of Cervical spondylosis is increasing which hampers the quality of life. Cervical spondylosis is a degenerative condition of the cervical spine, it can be correlated with Manyastabha in Ayurveda, this condition affects the vertebral bodies and intervertebral disc of the neck. Spondylosis progresses with age and often develops at multiple interspaces. Acharya Charaka has mentioned about Manyasthambha in Trimarmeeya chapter of Siddhi Sthana. The Vata Dosha along with Kapha Dosha gets vitiated and takes ashraya at Manyapradesha affecting the Manya siras causing stambhana and ruja of neck. Preventive measures and nidan parivarjan helpful in reducing the signs and symptoms of Manyastmabha.

Incidence of Cervical Spondylosis as Cause of Vertigo in a Tertiary Care Hospital in Malwa region of Punjab

Background: Vertigo or giddiness is a common symptom seen in patients attending ENT OPD. Vestibularand neurological pathologies being the known common causes. Cervical spondylosis is being established asa common condition leading to vertigo. Our aim is to evaluate the significance of cervical spondylosis as acause in patients with vertigo.Methods: Hundred patients of either sex, between the age group of 23-64 years, with vertigo were evaluatedwith complete history and clinical examination followed by PTA and impedance audiometry. All commoncauses of vertigo were ruled out and these patients were screened with digital x-ray cervical spine in lateralview to rule out cervical spondylosis. The results were analysed statistically using Chi square test andinference was drawn.Results: Out of 100 (100%) patients evaluated, 58 (58%) were female patients and 42 (42%) male patients.Cervical spondylosis was found to be present in 47 (47%) patients.Conclusions: Cervical spondylosis was found as a common finding in patients with vertigo. It can be ruledout easily using a simple investigation of cervical spine x-ray, in patients where other commoner causescannot be established.

A Wearable System for Cervical Spondylosis Prevention Based on Artificial Intelligence

Accompanied by changes in modern work and lifestyle, the incidence of cervical spondylosis has increased year by year. In view of the fact long-term fixed posture of the head and neck is one of the main causes of cervical spondylosis, a set of wearable cervical spondylosis prevention system is developed. The system comprises a head and neck movement collection module based on the acceleration sensor and a head and neck motion recognition module based on artificial intelligence. Experimental results showed that the system can accurately identify long-term posture of the head and neck, and guide users to complete effective exercise therapy under the supervision of motion recognition module. Using this system can be beneficial for the prevention of cervical spondylosis.

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.

The research progress of traditional Chinese medicine nursing intervention on the rehabilitation of patients with cervical spondylosis

Cervical spondylosis belongs to the category of arthralgia syndrome in traditional Chinese medicine. From the number and distribution range of disease, the incidence of cervical spondylosis is yearly increasing and shows a trend of younger age. Cervical spondylosis has become one of the common diseases that seriously affect people′s health. This article reviews the relevant literature of TCM nursing interventions in the rehabilitation of cervical spondylosis and explores the influence of TCM nursing interventions on patients with cervical spondylosis including tuina, cupping, moxibustion, scrapping, TCM fumigation, auricular therapy and so on, in order to provide a reference for the future practice and research of TCM nursing interventions for patients with cervical spondylosis. Key words: Traditional Chinese medical nursing; Cervical spondylosis; Rehabilitation

Therapeutic Effects and Finite Element Analysis of a Combined Treatment Using Laser Needle-Knife with Supine Repositioning Massage on Patients with Cervical Spondylotic Vertebral Arteriopathy

Objective: To investigate the effectiveness of combined laser needle-knife and massage on cervical spondylotic vertebral arteriopathy patients. Summary of background data: With the recent rise of electronic businesses, the incidence of cervical spondylosis has also risen rapidly. Methods: Cervical spondylotic vertebral arteriopathy patients were treated using laser needle-knife with massage, and compared to patients who only received the massage. A 3D anatomical and hemodynamic model was developed. Results: The symptomatic and functional overall scores were reduced by 71.43% after the combined treatment. Results from the finite element analysis indicated that the maximum flow rate of the left vertebral artery was improved by 47.52% and the right was improved by 38.67%. Conclusion: A combined treatment of cervical spondylotic vertebral arteriopathy using laser needle-knife and massage is an effective approach with a therapeutic mechanism closely related to hemodynamics.

Age-Related Incidence of Cervical Spondylosis in Residents of Jeju Island.

Study DesignCervical spine radiograms of 460 Jeju islanders.PurposeTo investigate the age-matched incidences and severity of the cervical disc degeneration and associated pathologic findings.Overview of LiteratureSeveral related studies on the incidences of disc and Luschka's and facet joint degeneration have provided some basic data for clinicians.MethodsCervical radiographs of 460 (220 males and 240 females) patients in their fourth to ninth decade were analyzed. Ninety patients in their third decade were excluded because of absence of spondylotic findings.ResultsOverall incidence of cervical spondylosis was 47.8% (220 of 460 patients). The percentile incidences of spondylosis in the fourth, fifth, sixth, seventh, eighth and ninth decade was 13.2% (10 of 76 patients), 34.6% (37 of 107 patients), 58.9% (66 of 112 patients), 58.8% (50 of 85 patients), 70.3% (45 of 64 patients) and 75.0% (12 of 16 patients), respectively. The percentile incidences of one, two, three, four and five level spondylosis among 220 spondylosis patients was 45.5% (n=100), 34.1% (n=75), 15.0% (n=33), 4.5% (n=10), and 0.9% (n=2). Severity of disc degeneration ranged from ± to ++++, and was ± in 6.0% (24 segments), + in 49.6% (198 segments), ++ in 35.3% (141 segments), +++ in 9.0% (36 segments) and ++++ in 0.25% (one segment). Spurs and anterior ligament ossicle formed at the spondylotic segments, mostly at C4~6. The rate of posterior corporal spurs formation was very low. Olisthesis and ossification of the posterior longitudinal ligament were rarely combined with spondylosis. Cervical lordotic curve decreased gradually according to the progress of severity of spondylosis.ConclusionsThe incidence of cervical spondylosis and number of spondylotic segments increase, and degeneration gradually becomes more severe with age.

The Study of Diagnostic Efficacy of Nerve Conduction Study Parameters in Cervical Radiculopathy

Cervical Radiculopathy (CR) is a neurologic condition characterised by dysfunction of a cervical spinal nerve, the roots of the nerve, or both. Diagnostic criteria for CR are not well defined, and no universally accepted criteria for its diagnosis have been established. Clinical examination, radiological imaging and electrophysiologic evaluation are the different modalities to diagnose CR. The incidence of Cervical Spondylosis and related conditions is increasing in the present scenario and the use of radiologic examination is time consuming and uneconomical for the common Indian setup. Thus, there is a definite need to establish a cost effective, reliable, and accurate means for establishing the diagnosis of cervical radiculopathy. Electrodiagnostic tests are the closest to fulfill these criteria. To evaluate diagnostic utility of various motor and sensory nerve conduction study parameters in cervical radiculopathy. It was a cross-sectional study conducted on 100 subjects of age > 40 years. The consecutive patients clinically diagnosed to have cervical radiculopathy, referred from department of Orthopaedics were prospectively recruited for the motor and sensory nerve conduction study using RMS EMG EP Mark-II. Parameters studied were Compound Muscle Action Potential (CMAP), Distal Motor Latency (DML) and Conduction Velocity (CV) for motor nerves and Sensory Nerve Action Potential (SNAP) and CV for sensory nerves. Study observations and results were analysed to find the Specificity, Sensitivity, Positive Predictive Value and Negative Predictive Value using SPSS 16.0. Among various motor nerve conduction parameters CMAP was found to be more sensitive with high positive predicative value. CV was found to have greater specificity and DML had least negative predictive value. Sensory nerve conduction parameters were found to have less sensitivity but higher specificity as compared to motor parameters. Nerve conduction studies are useful supportive diagnostic tool for suspected cervical radiculopathy as they are found to have reliable sensitivity and specificity.

Vertigo is associated with advanced degenerative changes in patients with cervical spondylosis

Since vascular risk factors that predispose to vertebrobasilar ischemia are common findings in elderly, cervical spondylosis-which is also common in such age group-as a cause of vertigo is sometimes considered as a myth. The purpose of this study is to investigate the effect of cervical spondylosis on blood flow velocity of VAs during cervical rotation and to identify the possible association of vertigo with the decreased blood flow velocity through VAs during head rotation in these patients. The incidence of cervical spondylosis was estimated in patients with and without vertigo. Patients with vertigo proved to have spondylosis are further compared with patients having spondylosis but not complaining of vertigo and patients who neither have spondylosis nor complain of vertigo who served as controls. Plain cervical radiography was used to evaluate cervical degenerative changes using cervical degenerative index. Color duplex sonography was used to measure vertebral artery blood flow with the cervical spine in the neutral position then with 60° rotation and 30° extension to measure the opposite vertebral artery. A significantly higher prevalence of cervical spondylosis was found among patients complaining of vertigo than those in non-vertigo group (71.4% vs. 32.9%, respectively). Furthermore, among patients with cervical spondylosis, patients having vertigo showed significantly more evident degenerative changes (P = 0.003). Despite Doppler ultrasound examination with head in neutral position was similar in all groups; cervical spondylosis patients with vertigo had statistically significant lower blood flow parameters with contralateral head rotation in the left and right vertebral arteries than cervical spondylosis patients without vertigo and controls. The decreased vertebral artery blood flow that occurs with cervical rotation can be observed in patients with cervical spondylosis. In patients with high-grade cervical spondylosis with more extensive osteophyte formation, the decreased blood flow becomes prominent and symptomatic presenting as vertigo.

Surgical Treatment of Cervical Spondylosis in the Elderly: Surgical Outcomes, Risk Factors, and Complications

The incidence of cervical spondylosis in the elderly is increasing with the higher proportion of elderly individuals among the Japanese population. The present study retrospectively analyzed the clinical and radiological features of this clinical entity in 107 patients with cervical spondylosis aged 70 years or older surgically treated between 1995 and 2005. The patients were divided into Group 1 (n = 60) aged between 70 and 74 years, and Group 2 (n = 47) 75 years or older. Patients with localized compression within 2 levels responsible for the neurological symptoms underwent anterior fusion, and patients with a narrow spinal canal were treated by laminoplasty. The pre- and postoperative neurological status (Neurosurgical Cervical Spine Scale) and postoperative complications were compared. More patients in Group 2 required laminoplasty but most patients underwent single-level anterior fusion. There was no statistically significant difference in the surgical results. Group 2 had a much higher ratio of anterior fusion at the C3-4 level. Many of the aged patients had multiple risk factors. Surgical decompression for cervical spondylosis is beneficial even in elderly patients. Single-level anterior fusion to treat the lesion most responsible for the symptoms is the least invasive choice. Elderly patients tend to present with multiple risk factors so require careful perioperative management.