Cervical Spinal Stenosis

2010 ◽  
pp. 479-483
Author(s):  
S. Tim Yoon ◽  
Brett A. Freedman
Keyword(s):  
Spinal Stenosis ◽  
Cervical Spinal Stenosis

OPEN-DOOR EXPANSILE CERVICAL LAMINOPLASTY

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-154-S1-159 ◽  
Author(s):  
Elizabeth Vitarbo ◽  
Rishi N. Sheth ◽  
Allan D. Levi
Keyword(s):  
Surgical Technique ◽  
Spinal Stenosis ◽  
Cervical Myelopathy ◽  
Outcome Data ◽  
Cervical Laminoplasty ◽  
Open Door ◽  
Cervical Spinal Stenosis ◽  
Current Article

Abstract OPEN-DOOR EXPANSILE laminoplasty is a practical surgical technique for the treatment of cervical myelopathy secondary to cervical spinal stenosis. Laminoplasty procedures were first described in the late 1970s and have undergone numerous modifications. The current article reviews the indications, techniques, and outcome data for cervical laminoplasty. Complications of laminoplasty and comparison to laminectomy outcomes are also discussed.

Comparison of CT Myelography Performed in the Prone and Supine Positions in the Detection of Cervical Spinal Stenosis

2001 ◽  
Vol 56 (1) ◽  
pp. 35-39 ◽  
Author(s):  
COLE BLEASE GRAHAM III ◽  
FRANZ J. WIPPOLD II ◽  
KYONGTAE T. BAE ◽  
THOMAS K. PILGRAM ◽  
ALI SHAIBANI ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Ct Myelography ◽  
Cervical Spinal Stenosis

Severe altered mentation due to cervicothoracic intrathecal pump after correction of cervical stenosis: a case report

2021 ◽  
pp. rapm-2021-103041
Author(s):  
Chinar Sanghvi ◽  
Tiffany Su ◽  
Tony L Yaksh ◽  
David J Copenhaver ◽  
Eric O Klineberg ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Mental Status ◽  
Clinical Evidence ◽  
Chronic Neck Pain ◽  
Altered Mental Status ◽  
Cord Compression ◽  
Cervical Stenosis ◽  
Csf Flow ◽  
Case Presentation ◽  
Cervical Spinal Stenosis

BackgroundCerebral spinal fluid (CSF) dynamics are complex and changes in spinal anatomy may influence the rostrocaudal movement of intrathecal medications. We present the first reported case demonstrating that acute cervical spinal stenosis may impede the distribution of adjacent intrathecal medications, and that correction of such stenosis and the resulting changes in CSF flow may necessitate significant adjustments in the intrathecal infusates.Case presentationWe present a case of a 60-year-old male patient with a cervicothoracic intrathecal pump (ITP) infusing morphine, bupivacaine, and baclofen for chronic neck pain. The alert and oriented patient had a recent fall resulting in an acute severe cervical stenosis and cord compression which required urgent surgical decompression. Postoperatively, after the cervical decompression, the patient had significant altered mental status requiring a naloxone infusion. Multiple attempts to reduce the naloxone infusion were initially not successful due to worsened somnolence. The previously tolerated ITP medications were continuously reduced over the next 14 days, allowing concomitant decrease and eventual cessation of the naloxone infusion while maintaining patient mental status. The only opioids the patient received during this period were from the ITP.ConclusionsThis case presents clinical evidence that severe spinal stenosis may impede the rostral CSF distribution of intrathecal medications. Intrathecal medications previously tolerated by patients prior to decompression may need to be significantly reduced in the postoperative period.

scholarly journals A Comparison of Computed Tomography Measures for Diagnosing Cervical Spinal Stenosis Associated with Myelopathy: A Case-Control Study

2015 ◽  
Vol 9 (1) ◽  
pp. 22 ◽  
Author(s):  
Brett A Freedman ◽  
C Edward Hoffler ◽  
Brian M Cameron ◽  
John M Rhee ◽  
Maneesh Bawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Spinal Stenosis ◽  
Case Control Study ◽  
Case Control ◽  
Cervical Spinal Stenosis ◽  
Control Study

scholarly journals Data from subjects receiving intrathecal laronidase for cervical spinal stenosis due to mucopolysaccharidosis type I

Data in Brief ◽  
2015 ◽  
Vol 5 ◽  
pp. 71-76 ◽  
Author(s):  
P.I. Dickson ◽  
I. Kaitila ◽  
P. Harmatz ◽  
A. Mlikotic ◽  
A.H. Chen ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Type I ◽  
Mucopolysaccharidosis Type ◽  
Mucopolysaccharidosis Type I ◽  
Cervical Spinal Stenosis

Cervical Spinal Stenosis

2018 ◽  
Author(s):  
Genaro J. Gutierrez ◽  
Divya Chirumamilla
Keyword(s):  
Spinal Stenosis ◽  
Spinal Canal ◽  
Clinical History ◽  
Motor Weakness ◽  
Epidural Steroid Injections ◽  
Radiologic Imaging ◽  
Cervical Spinal Stenosis ◽  
Nerve Root Blocks ◽  
Cervical Epidural Steroid Injections ◽  
Epidural Steroid

Cervical spinal stenosis is the narrowing of the spinal canal. Degenerative cervical spinal stenosis can occur as a result of disc degeneration, osteophyte formation, and hypertrophy of spinal canal ligaments. Diagnosis is primarily made with clinical history and examination in order to assess for classic myelopathic signs (motor weakness, hyperreflexia, and other specific tests). Radiologic imaging is used to validation the diagnosis and to determine the extent of stenosis. Magnetic resonance imaging is the most useful and noninvasive modality. Cervical spinal stenosis without myelopathy can be managed nonsurgically with strengthening, physical therapy, traction, orthosis, and pain management (cervical epidural steroid injections and selective nerve root blocks). Cervical spondylolisthesis has received insufficient attention in comparison to spondylolisthesis of the lumbar spine. It is primarily considered a surgical condition, yet few publications have been dedicated to the topic.

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