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Intraoperative Motor Evoked Potential Improvement in Cervical Spondylotic Myelopathy: Comparison of Cortical Stimulation Parameters

Lo YL, Zhu L, Soh RC, Guo CM

BACKGROUND AND PURPOSE: Intraoperative monitoring of the motor pathways is a routine procedure for ensuring the integrity of descending motor tracts during spinal surgery. Intraoperative motor evoked potential improvement (MEPI)...
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Osteochondroma at the Cervicothoracic Junction

Park Y, Ha JW, Kie JH, Hong SP

Osteochondroma is a common benign bone tumor, but relatively rare in the spine. Spinal osteochondroma originates mainly from the posterior column and sometimes invades the spinal canal causing cord compression...
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Degenerative Cervical Myelopathy

Goel A

No abstract available.
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Predictive Modeling of Outcomes After Traumatic and Nontraumatic Spinal Cord Injury Using Machine Learning: Review of Current Progress and Future Directions

Khan O, Badhiwala , Wilson JR, Jiang F, Martin AR, Fehlings M

Machine learning represents a promising frontier in epidemiological research on spine surgery. It consists of a series of algorithms that determines relationships between data. Machine learning maintains numerous advantages over...
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Congestive Myelopathy Due to Spinal Epidural Arteriovenous Fistula

Lee H, Kim D, Kim W, Kwack DW, Kim SH, Roh HG, Park JJ, Kim HJ

No abstract available.
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Surgical Reconstruction Using a Flanged Mesh Cage without Plating for Cervical Spondylotic Myelopathy and a Symptomatic Ossified Posterior Longitudinal Ligament

Kang JH, Im SB, Yang SM, Chung M, Jeong JH, Kim BT, Hwang SC, Shin DS, Park JH

OBJECTIVE: We introduce innovative method of cervical column reconstruction and performed the reconstruction with a flanged titanium mesh cage (TMC) instead of a plate after anterior corpectomy for cervical spondylotic...
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Significance of Sufficient Neck Flexion During Magnetic Resonance Imaging in the Diagnosis of Hirayama Disease: Report of Two Cases

No SW, Sung DH, Kim DH

It is difficult to distinguish Hirayama disease (HD) from other mimicking disorders in adolescent patients with distal upper limb weakness. The prevailing theory of HD postulates that the lower cervical...
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Surgical Results of Patients with Myelopathy due to Ossification of the Ligamentum Flavum with Ossification of the Posterior Longitudinal Ligament or a Vertebral Fracture at the Same Level of the Thoracic Spine: A Retrospective Comparative Study

Kasukawa Y, Miyakoshi , Hongo M, Ishikawa Y, Kudo D, Kimura R, Ono Y, Iida J, Sato C, Shimada Y

STUDY DESIGN: Retrospective and comparative study. PURPOSE: We assessed surgical treatment outcomes in patients with thoracic myelopathy due to ossification of the ligamentum flavum (OLF), and OLF combined with ossification of...
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Progressive Cervical Spondylotic Myelopathy Caused by Tic Disorders in a Young Adult with Tourette Syndrome

Kim J, Kim JY, Lee JM, Kang DH, Lee CH, Park IS, Lee YS

Involuntary movement of the cervical spine can cause damage to the cervical spinal cord. Cervical myelopathy may occur at an early age in involuntary movement disorders, such as tics. We...
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Anterior Cervical Discectomy and Fusion for Hirayama Disease: a Case Report and Literature Review

Kuo YH, Kuo CH, Huang WC, Wu JC

Hirayama disease, a juvenile muscular atrophy of the distal upper extremity, is a rare form of cervical flexion myelopathy characterized by insidiously progressive weakness of the hands and forearm muscles...
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Comparison of Axial Symptoms and Limitations of Activities of Daily Living Accompanying Reduced Neck Mobility after Cervical Laminoplasty Preserving C2 Muscle Attachments with and without C2 to T1 Instrumented Fusion

Takeuchi K, Yokoyama T

OBJECTIVE: Muscles are usually detached from C2 to facilitate C2 pedicle screw insertion. The aim of this study was to compare 1-year postoperative axial symptoms and limitations in activities of...
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Editorial for Effect of Myelopathy on Outcomes After Cervical Disc Replacement: a Study of a Local Patient Cohort and a Large National Cohort

Riew KD

No abstract available.
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Effect of Myelopathy on Early Clinical Improvement After Cervical Disc Replacement: a Study of a Local Patient Cohort and a Large National Cohort

Samuel AM, Moore HG, Vaishnav A, McAnany S, Albert T, Iyer S, Katsuura Y, Gang CH, Qureshi SA

OBJECTIVE: Cervical disc replacement (CDR) is an effective long-term treatment for both cervical radiculopathy and myelopathy. However, there may be unique differences in the early postoperative clinical improvement for patients...
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The Clinical Implications and Complications of Anterior Versus Posterior Surgery for Multilevel Cervical Ossification of the Posterior Longitudinal Ligament: an Updated Systematic Review and Meta-Analysis

Kim DH, Lee CH, Ko YS, Yang SH, Kim CH, Park SB, Chung CK

OBJECTIVE: Theoretically, the optimal approach is determined by the status of ossification of the posterior longitudinal ligament (OPLL) and sagittal alignment. However, there have long been disputes about the optimum...
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Ossification of the Posterior Longitudinal Ligament: Surgical Approaches and Associated Complications

Head J, Rymarczuk , Stricsek G, Velagapudi L, Maulucci C, Hoelscher , Harrop J

Ossification of the posterior longitudinal ligament (OPLL) is a rare but potentially devastating cause of degenerative cervical myelopathy (DCM). Decompressive surgery is the standard of care for OPLL and can...
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Degenerative Cervical Myelopathy: a Review of the Latest Advances and Future Directions in Management

Wilson JR, Badhiwala , Moghaddamjou A, Martin AR, Fehlings M

The assessment, diagnosis, operative and nonoperative management of degenerative cervical myelopathy (DCM) have evolved rapidly over the last 20 years. A clearer understanding of the pathobiology of DCM has led...
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Does Ossification of the Posterior Longitudinal Ligament Progress after Fusion?

Vaziri S, Lockney DT, Dru AB, Polifka AJ, Fox WC, Hoh DJ

Starting in the 1960s, ossification of the posterior longitudinal ligament (OPLL) became more commonly diagnosed in Japan. The disease is characterized by a gradual increase in calcification of the posterior...
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Cervical Spine Deformity Correction Techniques

Dru AB, Lockney DT, Vaziri S, Decker M, Polifka AJ, Fox WC, Hoh DJ

Cervical kyphotic deformity can be a debilitating condition with symptoms ranging from mechanical neck pain, radiculopathy, and myelopathy to impaired swallowing and horizontal gaze. Surgical correction of cervical kyphosis has...
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C1 Stenosis: an Easily Missed Cause for Cervical Myelopathy

Joaquim AF, Baum G, Tan LA, Riew KD

C1 stenosis is often an easily missed cause for cervical myelopathy. The vast majority of cervical myelopathy occurs in the subaxial cervical spine. The cervical canal is generally largest at...
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Dynamic Cord Compression Causing Cervical Myelopathy

Joaquim AF, Baum GR, Tan LA, Riew KD

Due to the highly mobile nature of the cervical spine, and the fact that most magnetic resonance imagings (MRIs) and computed tomography scans are obtained only in one single position,...
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