Article
Medicine, General & Internal
Erland Hermansen, Ivar Magne Austevoll, Christian Hellum, Kjersti Storheim, Tor Age Myklebust, Jorn Aaen, Hasan Banitalebi, Masoud Anvar, Frode Rekeland, Jens Ivar Brox, Eric Franssen, Clemens Weber, Tore K. Solberg, Havard Furunes, Oliver Grundnes, Helena Brisby, Kari Indrekvam
Summary: This study compared the effectiveness of three minimally invasive posterior decompression techniques for lumbar spinal stenosis and found no differences in clinical outcomes or complication rates among the three techniques.
Article
Clinical Neurology
Dhruv S. Shankar, Jinseong Kim, Dennis M. Bienstock, Michael Gao, Yunsoo Lee, Nicole J. Zubizarreta, Jashvant Poeran, James D. Lin, Saad B. Chaudhary, Andrew C. Hecht
Summary: A retrospective cohort study compared patterns in opioid usage between patients who undergo cervical laminectomy with instrumented fusion (LF) vs cervical laminoplasty with reconstruction (LP). The study found that LF patients had a higher rate of 6-month postoperative opioid use compared to LP patients in a single-surgeon cohort. However, findings from a national database cohort revealed no significant difference in opioid usage between LF and LP patients. Surgeons should consider distinct pain requirements associated with different procedures to prevent narcotic overuse.
GLOBAL SPINE JOURNAL
(2022)
Review
Medicine, General & Internal
Melissa Lannon, Edward Kachur
Summary: Degenerative cervical myelopathy (DCM) is a common condition caused by narrowing of the spinal canal, leading to spinal cord compression and neurologic dysfunction. Clinicians should be aware of early signs and symptoms to consider surgical intervention for preventing severe deterioration in neurologic function.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
S. Mohammed Karim, David W. Cadotte, Jefferson R. Wilson, Brian K. Kwon, W. Bradley Jacobs, Michael G. Johnson, Jerome Paquet, Christopher S. Bailey, Sean D. Christie, Andrew Nataraj, Najmedden Attabib, Philippe Phan, Greg McIntosh, Hamilton Hall, Y. Raja Rampersaud, Neil Manson, Kenneth C. Thomas, Charles G. Fisher, Nicolas Dea
Summary: At 12 months after surgery, patients with mild, moderate, and severe DCM all demonstrated improved outcomes. Severe DCM patients experienced the greatest breadth of improvement, but the proportion of patients in each severity group achieving clinically meaningful changes did not differ significantly across most outcome measures.
Article
Clinical Neurology
Blake A. Boehm, Innocent Njoku, Christopher G. Furey
Summary: This retrospective study analyzed surgical outcomes in 48 patients with degenerative cervical myelopathy (DCM) and found that cervical decompression surgery significantly improved neurological function. These results suggest that cervical decompression surgery is effective and has the potential to improve the neurological status in patients with severe forms of DCM.
Article
Clinical Neurology
Ken Ninomiya, Junichi Yamane, Ryoma Aoyama, Satoshi Suzuki, Yuta Shiono, Yuichiro Takahashi, Nobuyuki Fujita, Eijirou Okada, Osahiko Tsuji, Mitsuru Yagi, Kota Watanabe, Takahito Iga, Masaya Nakamura, Morio Matsumoto, Ken Ishii, Narihito Nagoshi
Summary: This multicenter retrospective study aimed to investigate features of cervical spondylotic myelopathy (CSM) associated with anterior cervical spondylolisthesis (ACS) during posterior decompression surgery. The results showed that ACS was associated with greater age, and the degree of slippage did not affect myelopathy grades. Preoperative cervical kyphosis was a risk factor for lower JOA recovery rate. The presence of ACS increased the risk of postoperative progression.
GLOBAL SPINE JOURNAL
(2022)
Article
Clinical Neurology
Sumedha Singh, Pratyush Shahi, Tomoyuki Asada, Austin Kaidi, Tejas Subramanian, Eric Zhao, Ashley Yeo Eun Kim, Omri Maayan, Kasra Araghi, Nishtha Singh, Olivia Tuma, Maximilian Korsun, Robert Kamil, Evan Sheha, James Dowdell, Sheeraz Qureshi, Sravisht Iyer
Summary: The aim of this study was to identify the risk factors and predictors (both radiological and nonradiological) for slower achievement and nonachievement of minimal clinically important difference (MCID) after minimally invasive decompression. The results showed that low preoperative Oswestry Disability Index (ODI) and poor muscle health were risk factors and predictors for slower achievement of MCID. For nonachievement of MCID, low preoperative ODI, higher age, greater disc degeneration, and spondylolisthesis were risk factors, and low preoperative ODI was the only independent predictor.
Article
Medicine, General & Internal
Uri Barak, Dimitri Sheinis, Eliezer Sidon, Shai Shemesh, Amir Amitai, Nissim Ohana
Summary: A retrospective study of 124 patients who underwent cervical spine surgery found that 7 patients (5.6%) developed C5 nerve root palsy postoperatively. The combined anterior-posterior approach in older males with myelopathy may carry the highest risk for this complication.
ISRAEL MEDICAL ASSOCIATION JOURNAL
(2021)
Article
Clinical Neurology
Sebastian Siller, Laura Pannenbaecker, Joerg-Christian Tonn, Stefan Zausinger
Summary: This study compared the outcomes of three different posterior decompression approaches for patients with cervical spondylotic myelopathy. Regardless of the surgical method used, significant improvements were observed in spinal canal width and myelopathy symptoms. There were no noticeable differences in quality of life or reduction of neck pain levels among the three groups at the last follow-up.
OPERATIVE NEUROSURGERY
(2022)
Article
Clinical Neurology
Min Zhou, Xin Xu, Hairen Chen, Baiwen Qi
Summary: This meta-analysis evaluates the therapeutic efficacy of anterior and posterior surgical approaches for multisegment cervical spondylotic myelopathy. The results show that the anterior approach is more effective in improving neck disability index, reducing cervical pain scores, and improving cervical curvature. However, the posterior approach provides a greater range of cervical motion and fewer postoperative complications.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Cheng Qiu, Yunpeng Zhao, Lianlei Wang, Xianlei Gao, Wanliang Yang, Hao Li, Xin Pan, Yuhua Li, Xinyu Liu, Songgang Wang
Summary: This retrospective study investigated the novel surgical technique of anterior cervical tunnectomy and fusion (ACTF) for the removal of posterior vertebral bony protrusions or soft extrusions. The results showed favorable outcomes with no postoperative complications in all patients. There were significant improvements in VAS score and JOA score postoperatively. In conclusion, ACTF is a feasible surgical technique for addressing spinal cord compression caused by bony or soft tissue narrowing in the posterior vertebral space.
EUROPEAN SPINE JOURNAL
(2023)
Review
Medicine, General & Internal
Xiaoyu Yang, Aref-Ali Gharooni, Rana S. Dhillon, Edward Goacher, Edward W. Dyson, Oliver Mowforth, Alexandru Budu, Guy Wynne-Jones, Jibin Francis, Rikin Trivedi, Marcel Ivanov, Sashin Ahuja, Kia Rezajooi, Andreas K. Demetriades, David Choi, Antony H. Bateman, Nasir Quraishi, Vishal Kumar, Manjul Tripathi, Sandeep Mohindra, Erlick A. Pereira, Giles Critchley, Michael G. Fehlings, Peter J. A. Hutchinson, Benjamin M. Davies, Mark R. N. Kotter
Summary: The study assessed the reporting of study design and characteristics in multi-level DCM treated by posterior surgical approaches, finding heterogeneity in clinical and radiographic outcomes between different surgical methods. Majority of the studies were conducted in Asia, with a majority being retrospective studies, indicating a need for more high-level evidence studies in the future to elucidate the clinical effectiveness of posterior surgical treatments.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Kyle W. Morse, Michael Steinhaus, Patawut Bovonratwet, Gregory Kazarian, Catherine Himo Gang, Avani S. Vaishnav, Virginie Lafage, Renaud Lafage, Sravisht Iyer, Sheeraz Qureshi
Summary: This study aimed to describe the current treatment practices for degenerative spondylolisthesis (DS) and identify the radiographic and clinical factors that influence the decision to perform fusion in patients with one-level DS. The results showed that there is little consensus on the treatment of DS, with a majority of surgeons opting for fusion. The most common radiographic factors impacting the decision to fuse were instability, spondylolisthesis grade, and laterolisthesis, while the most common clinical factors were mechanical low back pain, activity level, and neurogenic claudication.
Review
Clinical Neurology
Stephen D. Lockey, Sarah M. Trent, Seyed Babak Kalantar
Summary: This narrative review discusses current methods and updated outcome studies regarding posterior decompression in the management of cervical myelopathy. The study found that both cervical laminectomy and fusion with laminoplasty provide adequate decompression and good long-term outcomes.
CLINICAL SPINE SURGERY
(2022)
Review
Medicine, General & Internal
Andrew S. Zhang, Christopher Myers, Christopher L. McDonald, Daniel Alsoof, George Anderson, Alan H. Daniels
Summary: Cervical myelopathy is a clinical syndrome caused by compression of the spinal cord between the C1 and T1 vertebrae. Diagnosis can be challenging due to its resemblance to other degenerative and neurological conditions. Confirmatory diagnosis requires careful correlation of appropriate imaging studies with patient history and physical examination. Treatment options focus on spinal canal decompression through anterior, posterior, or combined surgical approaches depending on the location of compression and patient factors. Favorable outcomes are observed when treatment is performed prior to the onset of severe symptoms.
AMERICAN JOURNAL OF MEDICINE
(2022)
Letter
Clinical Neurology
Benjamin M. Davies, Sabba Raza, Angelos G. Kolias, Pierluigi Vergara
ACTA NEUROCHIRURGICA
(2016)
Article
Clinical Neurology
Pierluigi Vergara
WORLD NEUROSURGERY
(2016)
Article
Clinical Neurology
Pierluigi Vergara, Christopher Yusuf Akhunbay-Fudge, Mark Robert Kotter, Rodney John Charles Laing
WORLD NEUROSURGERY
(2017)
Article
Clinical Neurology
Pierluigi Vergara, Damiano Giuseppe Barone
WORLD NEUROSURGERY
(2018)
Article
Clinical Neurology
Francesco Maiuri, Giuliana Di Martino, Pierluigi Vergara, Giuseppe Mariniello
BRITISH JOURNAL OF NEUROSURGERY
(2011)
Article
Clinical Neurology
F. Maiuri, M. L. Del Basso De Caro, O. de Divitiis, P. Vergara, G. Mariniello
CLINICAL NEUROLOGY AND NEUROSURGERY
(2011)
Article
Health Care Sciences & Services
R. Beynon, J. Hawkins, R. Laing, N. Higgins, P. Whiting, C. Jameson, J. A. C. Sterne, P. Vergara, W. Hollingworth
HEALTH TECHNOLOGY ASSESSMENT
(2013)
Article
Neuroimaging
Giuseppe Mariniello, Francesco Briganti, Pierluigi Vergara, Francesco Maiuri
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2012)
Article
Clinical Neurology
G. Mariniello, P. Vergara, M. L. Del Basso De Caro, F. Maiuri
NEUROLOGICAL SCIENCES
(2012)
Article
Clinical Neurology
Pierluigi Vergara, Jarnail Singh Bal, Adrian Thomas Hickman Casey, Hugh Alan Crockard, David Choi
Article
Clinical Neurology
Pierluigi Vergara, Ivan Timofeev
ACTA NEUROCHIRURGICA
(2018)
Article
Surgery
Pierluigi Vergara, Dominic G. O'Donovan
INTERNATIONAL JOURNAL OF SPINE SURGERY
(2017)
Article
Clinical Neurology
Pierluigi Vergara
ACTA NEUROCHIRURGICA
(2017)
Article
Otorhinolaryngology
Robin Bhatia, Nikolas Haliasos, Pierluigi Vergara, Caroline Anderson, Adrian Casey
JOURNAL OF CRANIOVERTEBRAL JUNCTION AND SPINE
(2014)