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Effect of Exercise Program on the Rehabilitation of Patients with Cervical spondylotic Myelopathy

Neuroscience & Medicine 2012年第1期3卷 54-59页

作者： N. Sundaramurthy Senthil Kumar Niyatee Lal Dharmarajan Rajalakshmi Faculty of Therapeutic sciences Masterskill University college of Health sciences Cheras Malaysia PMR Department Christian Medical College & Hospital India

Study Design: A clinical trial of 30 consecutive patients with cervical spondylotic myelopathy (CSM). Objectives: To evaluate the effect of directed physical exercise in patients with CSM and to measure severity of myelopathy before and after an exercise program. Setting: Christian Medical College and Hospital, India. Participants: Thirty patients with CSM (mean age-54.1 years) with Nuricks Grade 2 and 3. Background: Myelopathy of the spinal cord can be caused by degenerative process of the cervical vertebrae and it is the most common type of dysfunction of the spinal cord in adult population. CSM usually develops insidiously and the natural history is not well understood, there is debate over the indication for operative Vs non operative management. Method: Patients participated in a 6-week exercise program, consisting of active exercises to upper and lower extremities, scapulothoracic muscles, and gentle stretches, sub maximal isometric exercises of the deep neck flexors, relaxation and immobilization with a cervical collar. Main Outcome Measures: The mJOA (modified Japanese orthopaedic association score) and ASIA motor and sensory scoring. The results were processed by using Wilcoxon sign rank test. Results: After comparing the values at the beginning and end of the program a satisfactory neurological result (sensorimotor/motor and sensory) was obtained in all thirty patients. Conclusion: The exercise program had a positive impact for most of the variables of the study. Exercise intervention with neck immobilization may be a treatment of choice in early stages of CSM. Future randomized controlled studies would provide insight into the effectiveness and clinical relevance of this intervention.

关键词： Cervical spondylotic Myelopathy Rehabilitation Exercise

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Curative Effects of Warming Needle Moxibustion Combined with Manipulation Massage on Cervical spondylotic Vertebral Arteriopathy and Its Influence on the Cerebral Blood Flow Parameters and Cervical Vertebral Function

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World Journal of Integrated Traditional and Western Medicine 2019年第3期5卷 17-23页

作者： Zhai Bingsheng Orthopedics Department Beijing Tong Ren Tang Hospital of Traditional Chinese Medicine

OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral bl

关键词： Cervical spondylotic vertebral arteriopathy Warming needle moxibustion Manipulation massage Cerebral blood flow parameters Cervical spine function

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Application of magnetic resonance imaging in cervical spondylotic myelopathy

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World Journal of Radiology 2014年第10期6卷 826-832页

作者： Chuan Zhang Sushant K Das Dong-Jun Yang Han-Feng Yang Department of Radiology Affiliated Hospital of North Sichuan Medical College

Cervical spondylotic myelopathy(CSM) is the most common cause of spinal cord dysfunction and is caused by static or dynamic repeated compression of the spinal cord resulting from degenerative arthritis of the cervical spine and some biological injuries to the cervical spine. The T2 signal change on conventional magnetic resonance imaging(MRI) is most commonly associated with neurological deficits. Diffusion tensor imaging and MR spectroscopy show altered microstructure and biochemistry that reflect patient-specific pathogenesis and can be used to predict neurological outcome and response to intervention. Functional MRI can help to assess the neurological functional recovery after decompression surgery for CSM.

关键词： Cervical spondylotic myelopathy Magnetic resonance imaging Diffusion tensor imaging Magnetic resonance spectroscopy Functional magnetic resonance imaging

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CLINICAL STUDY ON TREATMENT OF CERVICAL spondylotic SYNDROME WITH BEETLE NEEDLE

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World Journal of Acupuncture-Moxibustion 1993年第3期3卷 18-23页

作者： Li Yutang Li Qiang, Department of Traditional Chinese Medicine, The First Hospital of Jingdezhen Municipality, Jiangxi Province 333000, China

The authors treated 68 cases of cervical spondylotic syndrome with beetle nee-dle,a new needle apparatus(made by themselves)which is not inserted into the skin of the humanbody.A total of 15 sessions of treatment were given to every *** showed that 56 cases(82％)were cured,7 cases(10.3％)improved and 5 cases(7.4％)*** as its name implies,the beetle is instead of acupuncture *** the diseases being able to be treated with acupunctureneedle could also be treated with beetle *** addition,the beetle needle therapy has no violentpain,is safe,effective and easy to be popularized. It also has no harm to viscerae,no cross infection,no dangers of broken needle and of failing during treatment,so,the patient needs not to be in *** therapy is preferable for patients to accept.

关键词： Beetle needle Cervical spondylotic syndrome Acupuncture manipulations

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Influence of electroacupuncture with penetration needling method on comprehensive pain score in patients with cervical spondylotic radiculopathy

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China Medical Abstracts(Internal Medicine) 2013年第3期30卷 131-132页

作者：万碧江 Dept Acupunct & Moxibust Wuhan TCM Hosp

Objective To compare the efficacy differences among electroacupuncture with penetration needling method,Jiaji electroacupuncture and Jingfukang granule for cervical spondylotic radiculopathy (CSR) and to explore the b... 详细信息

关键词： spondylotic penetration granule puncture relieve sixty simplified situations courses twice

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诱发电位改变与脊髓型颈椎病手术疗效相关性的研究进展

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中国脊柱脊髓杂志 2016年第3期26卷 284-288页

作者：肖玮于滨生北京大学深圳医院脊柱外科深圳市518036 汕头大学医学院汕头市515041 北京大学深圳医院骨科研究中心深圳市脊柱外科重点实验室深圳市518036

脊髓型颈椎病（cervical spondylotic myelopathy,CSM）是由于颈椎退行性改变（如椎间盘突出、椎体后缘骨赘形成、黄韧带肥厚等）导致的颈脊髓压迫症,是最常见的导致颈脊髓功能障碍的病因。手术干预被认为是目前最有效的治疗方式,但CSM... 详细信息

脊髓型颈椎病（cervical spondylotic myelopathy,CSM）是由于颈椎退行性改变（如椎间盘突出、椎体后缘骨赘形成、黄韧带肥厚等）导致的颈脊髓压迫症,是最常见的导致颈脊髓功能障碍的病因。手术干预被认为是目前最有效的治疗方式,但CSM临床表现与术后恢复情况个体差异较大。有研究表明手术疗效受较多因素影响,临床预后评估存在一定难度。

关键词：脊髓型颈椎病颈脊髓压迫症体感诱发电位手术减压颈椎退行性改变 myelopathy spondylotic 椎体后缘骨赘黄韧带肥厚术后恢复情况

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Four Levels Anterior Cervical Discectomy and Fusion by Stand Alone PEEK Cages

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Open Journal of Modern Neurosurgery 2018年第2期8卷 162-173页

作者： Islam Alaghory Hany Abdel Gawwad Soliman Saeed Mostafa Abdelhameed Neurosurgery Department Al-Azhar University Hospitals Cairo Egypt Orthopaedic Department Al-Azhar University Hospitals Al-Azhar University Cairo Egypt Anaesthesia and Intensive Care Department Al-Azhar University Hospitals Cairo Egypt

Background: cervical spondylotic myelopathy is a common health problem that neurosurgeons face in Egypt. The aim of this study is to evaluate the efficacy of PEEK cage only in 4 levels anterior cervical discectomy as one of surgical option other than anterior cervical corpectomy, fixation by plat or posterior approach for cervical laminectomy, and assessment of post spinal surgery pain. Methods: this prospective study on 28 patients with cervical spondylotic myelopathy (CSM) over a period of 3 years (between April 2012 and April 2015) with mean period of follow up 30 months. We have done anterior cervical discectomy with fixation by cage only for all cases with perioperative assessment and scoring clinically and radiologically (Japanese Orthopaedic Association [JOA] scores, Visual Analogue Scale [VAS] scores for assessment of neck and arm pain, perioperative parameters (hospital stay, blood loss, operative time), the European Myelopathy Scoring (EMS) and Odom’s criteria, and the incidence of complication,post spinal surgery pain assessment). Results: clinical outcome was excellent (28.55), good (50%) and fair (21.5) according to Odom criteria. The European Myelopathy Scoring (EMS), improved from 10 to 16. The mean JOA score improved from 10.1 ± 2.1 to 14.2 ± 2.3. Fusion failure had been seen in 4 patients in one level for each secondary to anterior displacement of the cage with no other major complications. Conclusion: 4 levels anterior cervical discectomy with PEEK cage only is an effective, save and less costly with less post operative complication and hospital stay and less post spinal surgery pain.

关键词： Four Levels Cervical Disc Peek Cage Fusion Cervical spondylotic Myelopathy

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ORTHOPEDIC SURGERY

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外科研究与新技术 1996年第1期 23-36页

Purpose: To ascertain the ranges ofintervertebral motion of normal anddegenerative cervical vertebrae and evaluatethe relationship between the abnormality of thenormal cervical curvature and the pathogenesisof cervical spondylotic myelopathy (CSM).Methods: Flexion-extension latera view of thecervical spine was performed in 39 normalchildren of 13 and 14 year-old, 27 cases ofCSM, and 29 cases of normal adults to be usedas controls. The range of motion of

关键词： myelopathy spondylotic vertebral spine lumbar ascertain stenosis femoral herniation abnormality

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White Cord Syndrome: The Terrible Nightmare

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Open Journal of Modern Neurosurgery 2020年第2期10卷 275-283页

作者： Hussein Fathalla Omar Ragab Ahmed Hamdy Ashry Division of Neurosurgery Cairo University Hospitals Cairo Egypt Division of Neurosurgery Beni Suef University Beni Suef Egypt

Introduction: Reperfusion injury of spinal cord “white cord syndrome” refers to acute neurological deterioration after decompressive spinal surgery without any reported intraoperative events. The postoperative appearance of diffuse hyperintense intramedullary areas in T2-weighted MRI is characteristic without any other pathological or compressive signs. The etiology may be due to sudden expansion of the cord after reperfusion of chronically ischemic areas leading to disruption of blood-spinal cord barrier. The incidence and risk factors of the syndrome are not well documented in the literature. Methods: This is a retrospective case series that included 150 patients with cervical spondylotic myelopathy who had undergone decompression surgery in our institution from 2017 to 2019. Patients’ demographics, clinical, imaging characteristics, intraoperative and postoperative data were collected and analysed. Results: In this study, we documented 7 cases of this syndrome. We found that advanced age, chronic hypertension, pre-existing cord signal in MRI and long history of symptoms may be risk factors for this syndrome. Conclusion: Early diagnosis and prompt treatment of this syndrome with steroids and physical therapy may lead to initial improvement. Awareness of the surgeons about this syndrome should be increased and identifying its risk factors is very important for patients counseling.

关键词： White Cord Syndrome spondylotic Cervical Myelopathy Reperfusion Injury

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Anterior Approach Bilateral Creeping Decompression And Bone Graft For The Treatment of Cervical Spondylopathy Of Mixed Type

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Chinese Journal of Biomedical Engineering(English Edition) 1997年第3期6卷 154-155页

作者： Xu Linsheng Zhang Zhenyu Li Lizhuang(Orthopaedic DeptThe First Affiliated Hospital of Harbin Medical University,Harbin, 150001,China)

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