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Management of symptomatic cervical facet cyst with cervical interlaminar epidural block: A case report

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World Journal of Clinical Cases 2022年第32期10卷 11936-11941页

作者： Seong Min Hwang Min Kyu Lee Saeyoung Kim Department of Anesthesiology and Pain Medicine School of MedicineKyungpook National UniversityDaegu 41944South Korea

BACKGROUND Symptomatic cervical facet cysts are relatively rare compared to those in the lumbar *** cysts are usually located in the 7th cervical and 1st thoracic vertebral(C7/T1)area,and surgical excision is performed in most ***,facet cysts are associated with degenerative conditions,and elderly patients are often ineligible for surgical *** interlaminar epidural block has been used in patients with cervical radiating symptoms and achieved good ***,cervical interlaminar epidural block may be the first-choice treatment for symptomatic cervical facet *** SUMMARY A 70-year-old man complained of a tingling sensation in the left hand,focused on the 4th and 5th fingers,for 1 year,and posterior neck pain for over 5 *** patient’s numeric rating scale(NRS)score was 5/*** patient was diagnosed with symptomatic cervical facet cyst at the left C7/T1 facet *** cervical interlaminar epidural block at the C7/T1 level with 20 mg triamcinolone and 5 mL of 0.5%lidocaine was *** patient's symptoms improved immediately after the block,with an NRS score of 3 *** 3 mo,his left posterior neck pain and tingling along the left 8th cervical dermatome were relieved,with an NRS score of *** A cervical interlaminar epidural block is a good alternative for managing symptomatic cervical facet cysts.

关键词： cervical vertebrae Cysts Epidural Injections Neck pain Therapeutics Zygapophyseal joint Case report

DETECTION OF TREATMENT IN 35 CASES ClRVICAL vertebrae DISEASE WITH COMPLAINT Of HEADACHE BY cervical VERTEBRAL DRAW

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中国临床神经科学 2000年第Z1期8卷 101-页

作者： LIU QIN ZHOU JING YU ZI FENG Shangrao DIstrict Hospital Jingxi Province Shangrao DIstrict HospitalJingxi Province Shangrao DIstrict HospitalJingxi Province

OBJECTION:To explore the effeetive therapy mechanisa of cervical vertebrae disease characteristic of the complaint of herdache by cervical vertebrae draw. HRTHODS: With the SR2 type multiple autotherapy mchine (made in Jianesue province),the patient was put on the drawing band of cervix and jaw,kept such aposition of cervical vertrbrae 15－30 degrees bent ahead,5. 5kg draving weight was used beginning and then incrcasing to 6－8kg as thc symptoms improved. Onc or two times aday, ever times 30 minutes,lO dags a therapg ***: Headache in these all treating patients had disappeared,other company symptoms had some degree changed or disappeared,such as dizzg ,eye flower and hand insensiliv elc. 6 cases of these patients recurred in a half of year after *** cervical vertebrae draw 1 － 3 therapy course again, the somptoms disappeared too. DISCASION: cervical vertebrae diserse with the complaint of herdache casyly misdiagnosed with other discase caused headache,especially aigraime, tt is important to note this. The main cause of cervical vertebrae disease headache is ossifg of those bones, which compressed the cervical nervous root and caused reflex headache and which caused vertebral－ basilar atery ischemic attack and systolie－ diastolic abnormal function of the brain blood *** cervical vertebrae draw had more effective use of this. CONCLUSION: cervical vertebraee draw is a simple, safly and effectivc way to trcat ccrvical vcrtcbrac discasc.

关键词： cervical vertebrae

Diagnosis and treatment of intramedullary hemangioblastoma of cervical spinal cord

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Chinese Medical Journal 2002年第7期115卷 1010-1013,146-147页

作者：徐启武鲍伟民庞力复旦大学附属华山医院神经外科上海200040

OBJECTIVE: To investigate the diagnosis and surgical techniques of intramedullary hemangioblastoma of the cervical spinal cord. METHODS: MR imaging and the methods and results of surgery were analyzed in 21 patients. RESULTS: The tumors were divided into three types on MR imaging. Syringeal type, where the tumor varied in size and was accompanied by syringobulbia and syringomyelia; Cystic type, where the tumor presented as a cyst with a small mural node; and Solid type, where the tumor was revealed as a huge solid mass. All tumors were totally removed and diagnosis was confirmed by histological study. Post-operative neurological status was improved in 20 patients and aggravated in 1. CONCLUSIONS: The localization and the nature diagnosis of the tumor can be made by cervical MR imaging. Operative methods vary with tumor types. It is the most important that the tumor is dissected along the right interface and removed after devascularization.

关键词： Adolescent Adult cervical vertebrae Female Hemangioblastoma Humans Magnetic Resonance Imaging Male Middle Aged Spinal Cord Neoplasms

Treatment of cervical dislocation with locked facets

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Chinese Medical Journal 2007年第3期120卷 216-218页

作者： YU Ze-sheng James J.Yue WEI Feng LIU Zhong-jun CHEN Zhong-qiang DANG Geng-ting Department of Orthopaedic Surgery Peking University Third Hospital Beijing 100083 China Department of Orthopaedic Surgery Yale University New HavenCT 06520 USA

Background Lower cervical dislocation with locked facets is common in cervical injury. The locked facets include unilateral and bilateral types. Different successful closed reduction rates has been achieved between unilateral and bilateral types by using rapid skull traction, which was commonly used to reduce the cervical disiocaUon. It is important to investigate a suitable management specific to patients with different types of cervical locked facets. Methods A total of 38 patients with cervical dislocation with locked facet due to cervical injury treated by rapid skull traction and operation from 1988 to 2005 were reviewed. Rapid skull traction was used in all the patients. Successful closed reduction rate was 88.0% in patients with bilateral cervical locked facets and that was 15.4% in those with unilateral cervical locked facets. These data were then statistically compared by Chi-square test. Patients who were reduced successfully underwent anterior cervical discectomy and fusion at the injured level, and those who failed in closed reduction received posterior open reduction and fixation. Results In this series, there was statistically significant difference （P〈0.05） in the rate of successful closed skull traction reduction between unilateral and bilateral locked facets dislocation. Unilateral cervical locked facets dislocation was not easily reduced by skull traction which was suitable for reduction of bilateral cervical locked facets dislocation. However, unilateral cervical locked facets dislocation can be reduced by posterior open reduction. Conclusions Unilateral cervical locked facets dislocation should be treated immediately with posterior open reduction and instrumentation. Bilateral cervical locked facets dislocation can be reduced by rapid skull traction firstly and anterior cervical discectomy and interbody fusion later.

关键词： dislocation cervical vertebrae therapy traction

Tenosynovial giant cell tumor involving the cervical spine: A case report

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World Journal of Clinical Cases 2021年第14期9卷 3394-3402页

作者： Jing-Hui Zhu Miao Li Yan Liang Jian-Huang Wu Department of Spine Surgery Xiangya HospitalCentral South UniversityChangsha 410008Hunan ProvinceChina

BACKGROUND Tenosynovial giant cell tumors(TGCTs)are a frequent benign proliferative disease originating from the synovial ***,TGCTs rarely occur in the *** purpose of this paper is to report a case of TGCT occurring in the cervical *** the disease is rare,it is essential to consider the possibility of TGCT in axial skeletal *** of spinal TGCTs is important because their characteristics are similar to common spinal tumor *** SUMMARY A 49-year-old man with a 2-year history of neck pain and weakness in both lower extremities was referred to our *** revealed a mass extending from the left epidural space to the C4-5 paravertebral muscles with uneven *** tumor originated in the synovium of the C4-5 lesser joint and eroded mainly the C4-5 vertebral arch and *** biopsy was suggestive of a giant cellrich *** patient had pulmonary tuberculosis,and we first administered anti-tuberculosis *** the preoperative requirements of the antituberculosis treatment were met,we used a posterior cervical approach to completely remove the mass after fixation with eight pedicle *** mass was identified as a TGCT by postoperative immunohistochemical *** was not detected after 1 year of *** Spinal TGCTs are often *** radiological changes are not *** ideal treatment comprises complete excision with proper internal fixation,which can significantly reduce postoperative recurrence.

关键词： Tenosynovial giant cell tumors cervical vertebrae Spinal diseases Tumor Spine Case report

Surgical staged treatment for moderate to severe adolescent cervical kyphosis

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Chinese Medical Journal 2011年第23期124卷 3864-3867页

作者： LIANG Lei ZHOU Xu-hui LIU Yang GAO Rui CHEN Hua-jiang YANG Li-li SHI Sheng YUAN Wen Department of Spine Surgery Changzheng Orthopaedics Hospital the Second Military Medical University Shanghai 200003 China

Adolescent cervical kyphosis refers to manifestation characterized by loss of physiological cervical lordosis with involvement of multiple cervical vertebrae. There is no standard treatment strategy for this disease, especially in those patients who need surgical intervention. The aim of this study was to evaluate the surgical staged treatment for moderate to severe adolescents cervical kyphosis. Methods A total of 26 adolescent with cervical kyphosis were retrospectively assigned into following two groups according to the magnitude of kyphosis： moderate group （n=17）, the Cobb angle was 46.6°±4.8°. The surgical procedure was that skull traction was first carried out for 5-7 days and then the anterior fusion and instrumentation were performed. Severe group （n=-9）, the Cobb angle was 61.6°±4.8°. The treatment strategy was that the anterior release were first performed, followed by skull traction for 7-10 days, and then anterior fusion were performed. Radiographic evaluation was performed postoperatively. Results Three days after surgery, the X-ray examination showed that the Cobb angle was -8.9°±6.8° in the moderate group and -6.0°±6.3° in the severe group. The deformed appearance was obviously corrected, with neck pain and neurologic function improved significantly. Further magnetic resonance imaging （MRI） indicated the physiology curvature of the cervical spine had been reconstructed. Conclusion Surgical staged treatment may be an ideal therapeutic intervention for cervical kyphosis patients with a Cobb angle exceeding 35° in adolescents.

关键词： cervical vertebrae kyphosis staged treatment adolescent

MAGNETIC RESONANCE IMAGING OF ACUTE CENTRAL CORD SYNDROME: CORRELATION WITH PROGNOSIS

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Chinese Medical Sciences Journal 2001年第2期16卷 107-110页

作者：戴力扬 Department of Orthopaedic Surgery Xinhua Hospital Shanghai Second Medical University Shanghai 200092. China

Objective. To report the magnetic resonance imaging (MRI) findings of acute cervical central cord syndrome and to determine their correlation with the prognosis. Methods. MRI findings of 35 patients with acute central cord syndrome were studied and compared with the recovery rate of ASIA score at presentation and in follow- up. Results. MRI data demonstrated spinal cord compression for 32 patients, spinal cord swelling for 16 patients, and abnormal signal intensity within the spinal cord for 19 patients, including 14 with edema and 3 with hematoma. No significant difference of the recovery rate was noted between the patients treated nonoperatively and operatively (P >0.05). There was a significant inverse correlation between the recovery rate and the degree of spinal cord compression as shown in MRI scans (P< 0.01). The presence of hematoma in MRI scans was associated with poor prognosis, as demonstrated by a significant difference of the recovery rate (P< 0.01) among the patients with normal intensity, edema and hematoma within the spinal cord. Conclusions. MRI scans provide an efficient assistance for decision- making and accurate prognostic information regarding neurological function, and therefore should routinely be performed within the early phase of acute central cord syndrome.

关键词： cervical vertebrae spinal cord injuries magnetic resonance imaging

CLINICAL STUDY ON MANIPULATIVE TREATMENT OF DERANGEMENT OF THE ATLANTOAXIAL JOINT

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Journal of Traditional Chinese Medicine 1999年第4期19卷 273-278页

作者：周卫蒋位庄李星章永东张霁吴子明 Institute of Orthopedics and Traumatology China Academy of Traditional Chinese MedicineBeijing 100700China

The derangement of the atlantoaxial joint is one of main cervical sources of dizziness and headache, which were based on the observation on the anatomy of the upper cervical vertebrae, analysis of X-ray film of the atlantoaxial joint, and the manipulative treatment in 35 patients with cervical spondylosis. The clinical diagnosis of derangement consists of: dizziness, headache, prominence and tenderness on one side of the affected vertebra, deviation of the dens for 1 mm-4 mm on the open-mouth X-ray film, abnormal movement of the atlantoaxial joint on head-rotated open-mouth X-ray film. An accurate and delicate adjustment is the most effective treatment.

关键词： Atlanto-Axial Joint cervical vertebrae Manipulation, Spinal Adult Female Follow-Up Studies Humans Male Massage Middle Aged Spinal Diseases

The Therapeutic Effects of Triple Puncture and Routine Body Needling for cervical Spondylosis

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Journal of Traditional Chinese Medicine 2003年第4期23卷 282-283页

作者：余霜泉周永生 DepartmentofAcupunctureandMassotherapy HunanCollegeofTraditionalChineseMedicineChangsha410007HunanProvince 不详

The author has treated 216 cases of cervicalspondylosis with triple puncture and routine bodyneedling since 1996, and made a comparison of thetherapeutic effects between the two methods. Areport follows.

关键词： cervical vertebrae Acupuncture Therapy Adult Aged Female Humans Male Middle Aged Spinal Osteophytosis