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Impact of Myelopathy Severity and Degree of Deformity on Postoperative Outcomes in Cervical Spinal Deformity Patients

Passias PG, Pierce KE, Kummer N, Krol O, Passfall L, Janjua MB, Sciubba D, Ahmad W, Naessig S, Diebo B

Objective: Malalignment of the cervical spine can result in cord compression, leading to a myelopathy diagnosis. Whether deformity or myelopathy severity is stronger predictors of surgical outcomes is understudied. Methods: Surgical...
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Factors Affecting Postoperative Complications and Outcomes of Cervical Spondylotic Myelopathy with Cerebral Palsy : A Retrospective Analysis

Kim HC, Jeon H, Jeong YH, Park S, An SB, Heo JH, Shin DA, Yi S, Kim KN, Ha Y, Cho SR

Objective : Cervical surgery in patients with cervical spondylotic myelopathy (CSM) and cerebral palsy (CP) is challenging owing to the complexities of the deformity. We assessed factors affecting postoperative complications...
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Intensity of Intraoperative Spinal Cord Hyperechogenicity as a Novel Potential Predictive Indicator of Neurological Recovery for Degenerative Cervical Myelopathy

Chen G, Wei F, Li J, Shi L, Zhang W, Wang X, Xu Z, Liu X, Zou X, Liu S

Objective: To analyze the correlations between intraoperative ultrasound and MRI metrics of the spinal cord in degenerative cervical myelopathy and identify novel potential predictive ultrasonic indicators of neurological recovery for...
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Cervical Lordosis Ratio as a Novel Predictor for the Loss of Cervical Lordosis After Laminoplasty

Ono K, Murata S, Matsushita M, Murakami H

Objective: Maintaining cervical lordosis (CL) after laminoplasty is important for indirect decompression of the spinal cord. This study aimed to identify preoperative dynamic radiographic predictors for the loss of CL...
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Upper Cervical Compression Myelopathy Caused by the Retro-Odontoid Pseudotumor With Degenerative Osteoarthritis and Calcium Pyrophosphate Dihydrate Disease: A Case Report and Literature Review

Yurube T, Iguchi T, Kinoshita K, Sadamitsu T, Kakutani K

The retro-odontoid pseudotumor is often concurrent with atlantoaxial subluxation (AAS). Therefore, the pseudotumor is relatively common in rheumatoid arthritis (RA) but rare in primary osteoarthritis (OA). This is a case...
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Double Dome Laminoplasty: A Novel Technique for C2 Decompression

Lee DH, Dadufalza GKP, Baik JM, Park S, Cho JH, Hwang CJ, Lee CS

Objective: To introduce a new surgical technique - double dome laminoplasty for decompression of the entire C2 lamina and preservation of an extensor muscle insertion. Methods: Eleven consecutive cervical myelopathy patients...
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Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment

Nagoshi N, Nori S, Tsuji O, Suzuki S, Okada E, Yagi M, Nakamura M, Matsumoto M, Watanabe K

Objective: To evaluate the cervical dynamics, neurological function, pain, and quality of life in patients with mild cervical kyphotic alignment who underwent expansive unilateral open-door laminoplasty (ELAP). Methods: In this retrospective...
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Lateral Mass Screw Fixation in the Cervical Spine: Introducing a New Technique

Rathinavelu S, Islam A, Shivhare P, Chatterjee S

Study Design: This was designed as a randomized double blind study to compare the classical Magerl technique of insertion of lateral mass screws with the authorsā€™ technique. The observations regarding...
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Quantitative Evaluation of the Diffusion Tensor Imaging Matrix Parameters and the Subsequent Correlation with the Clinical Assessment of Disease Severity in Cervical Spondylotic Myelopathy

Nischal N, Tripathi S, Singh JP

Study Design: We performed a prospective observational study of 52 patients who were clinically suspected of cervical spondylotic myelopathy (CSM), based on the modified Japanese Orthopaedic Association (mJOA) score, and...
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Risk Factors and Radiologic Changes in Subsidence after Single-Level Anterior Cervical Corpectomy: A Minimum Follow-Up of 2 Years

An TY, Kim JY, Lee YS

Objective: Anterior cervical corpectomy using a titanium mesh cage may result in delayed nonunion and thus a change in cervical alignment, and patients may require revision surgery. We investigated the radiologic...
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Evaluation of the Association between Neck Pain and the Trapezius Muscles in Patients with Cervical Myelopathy Using Motor Evoked Potential: A Retrospective Study

Ito S, Sakai Y, Harada A, Ando K, Kobayashi K, Nakashima H, Machino M, Kambara S, Inoue T, Hida T, Ito K, Ishiguro N, Imagama S

Study Design: Retrospective study. Purpose: We aimed to use motor evoked potentials (MEPs) to examine the association of electrophysiological assessment of the trapezius muscle with neck pain. Overview of Literature: Previous reports...
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Successful Motor Evoked Potential Monitoring in Cervical Myelopathy : Related Factors and the Effect of Increased Stimulation Intensity

Shim HK, Lee JM, Kim DH, Nam KH, Choi BK, Han IH

Objective : Intraoperative neurophysiological monitoring (IONM) has been widely used during spine surgery to reduce or prevent neurologic deficits, however, its application to the surgical management for cervical myelopathy remains...
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A New Classification for Cervical Ossification of the Posterior Longitudinal Ligament Based on the Coexistence of Segmental Disc Degeneration

Lee JK, Ham CH, Kwon WK, Moon HJ, Kim JH, Park YK

Objective : Classification systems for cervical ossification of the posterior longitudinal ligament (OPLL) have traditionally focused on the morphological characteristics of ossification. Although the classification describes many clinical features associated...
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Vertebral Body Sliding Osteotomy for Cervical Myelopathy With Rigid Kyphosis

Lee DH, Park S, Lee WS, Byun CW, Seok SY, Cho JH, Hwang CJ, Lee CS, Lee HR

Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy...
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Radiographic and Clinical Results of C1 Laminoplasty for the Treatment of Compressive Myelopathy

Tarukado K, Ikuta K, Iida K, Tono O, Doi T, Harimaya K

Study Design: Case series. Purpose: To evaluate the radiographic and clinical results of C1 laminoplasty without fusion. Overview of Literature: C1 laminectomy has been the standard procedure for decompression at the C1...
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Tuberculous Myelopathy Associated with Longitudinally Extensive Lesion: A Clinicoradiological Review of Reported Cases

Faeez Md Noh MS, Bahari N, Anna Misyail AM

Acute transverse myelitis is an inflammatory disorder of the spinal cord in which there is no evidence of spinal cord compression. Longitudinally extensive transverse myelitis (LETM) is a specific subtype...
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The R-line: A New Imaging Index for Decision Making Regarding C2 Lamina Decompression in Cervical Ossification of the Posterior Longitudinal Ligament

Moon EJ, Lee BJ, Lee S, Jeon SR, Roh SW, Park JH

Objective: The optimal treatment modality for cervical ossification of the posterior longitudinal ligament (OPLL) including the C2 level remains controversial. Cervical laminoplasty is a widely accepted considering of advantages such...
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Degenerative Cervical Myelopathy: A 7-Letter Coding System That Supports Decision-Making for the Surgical Approach

Papavero L, Schmeiser , Kothe R, Boszczyk B, Heese O, Kawaguchi , MacDowall , Olerud C, Paidakakos N, Panagiotou A, Pitzen T, Richter M, Riew KD, Stevenson , Tan L, Ueshima R, Yau Y, Mayer M

Objective: To validate with a prospective study a decision-supporting coding system for the surgical approach for multilevel degenerative cervical myelopathy. Methods: Ten cases were presented on an internet platform, including clinical...
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Arteriovenous Fistula at the Craniocervical Junction Found After Cervical Laminoplasty for Ossification of the Posterior Longitudinal Ligament

Sasada S, Hiramatsu M, Kusumegi A, Fujimura H, Oshikata S, Takahashi Y, Nishida K, Yasuhara T, Date I

Ossification of the posterior longitudinal ligament (OPLL) is common in East Asia. Arteriovenous fistula at the craniocervical junction (CCJ-AVF), in contrast, is rare. As OPLL occurs most often in the...
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Vertebral Body Anterior Translation, a Novel Technique for Delayed Myelopathy Due to Osteoporotic Spine Fractures

Lee JS, Ahn DK, Shin WS, Cho KJ, Ko YR, Whang IC

Background: Osteoporotic vertebral compression fractures (OVCFs) are often associated with delayed myelopathy. Surgical treatment of delayed myelopathy following an OVCF comprises spinal canal decompression and stable fixation of the vertebral...
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