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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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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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Outcome Measures and Variables Affecting Prognosis of Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Zileli M, Maheshwari S, Kale SS, Garg K, Menon SK, Parthiban

This study is conducted to review the literature systematically to determine most reliable outcome measures, important clinical and radiological variables affecting the prognosis in cervical spondylotic myelopathy patients. A literature...
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Posterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Bajamal AH, Kim SH, Arifianto , Faris M, Subagio EA, Roitberg B, Udo-Inyang I, Belding J, Zileli M, Parthiban , World Federation of Neurosurgical Societies (WFNS) Spine Committee

OBJECTIVE: This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the...
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Anterior Surgical Techniques for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Deora H, Kim SH, Behari S, Rudrappa S, Rajshekhar V, Zileli M, Parthiban , World Federation of Neurosurgical Societies (WFNS) Spine Committee

OBJECTIVE: This study was performed to review the literature and to present the most up-to-date information and recommendations on the indications, complications, and success rate of anterior surgical techniques for...
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Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Parthiban , Alves OL, Chandrachari KP, Ramani P, Zileli M

Cervical spondylotic myelopathy (CSM) is a common cause of adult spinal cord dysfunction. Although the therapeutic options for moderate to severe CSM patients have been established well, the existing guidelines...
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Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques: WFNS Spine Committee Recommendations

Zileli M, Borkar SA, Sinha S, Reinas R, Alves ÃL, Kim SH, Pawar S, Murali B, Parthiban

OBJECTIVE: This study presents the results of a systematic literature review conducted to determine most up-to-date information on the natural outcome of cervical spondylotic myelopathy (CSM) and the most reliable...
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Subacute Combined Degeneration Caused by Nitrous Oxide Intoxication: A Report of Two Cases

Choi C, Kim T, Park KD, Lim OK, Lee JK

We report two cases of subacute combined degeneration (SCD) caused by nitrous oxide (Nâ‚‚O) gas intoxication, which is rarely reported in Korea. Two patients recreationally inhaled Nâ‚‚O gas daily for...
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Locking Stand-Alone Cage Constructs for the Treatment of Cervical Spine Degenerative Disease

De Leo–Vargas RA, Muñoz–Romero I, Mondragón–Soto MG, Martínez–Anda JJ

STUDY DESIGN: Prospective case series study. PURPOSE: Description of the outcome of stand-alone cervical cages for single and multilevel cervical degenerative spine disease. OVERVIEW OF LITERATURE: The aim of anterior cervical discectomy...
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Molecular Pathophysiology of Ossification of the Posterior Longitudinal Ligament (OPLL)

Nam DC, Lee HJ, Lee CJ, Hwang SC

Ossification of the posterior longitudinal ligament (OPLL) can be defined as an ectopic ossification in the tissues of spinal ligament showing a hyperostotic condition. OPLL is developed mostly in the...
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