Surgical and Post‐Operative Management of Cervical Spine Stenosis: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
Narrowing of the spinal canal in the neck. This can lead to squeezing or compressing of the nerve roots where they leave the spinal cord or it can damage the spinal cord itself.<ref name="Mayo">Mayo Clinic Staff. Spinal Stenosis. | Narrowing of the spinal canal in the neck. This can lead to squeezing or compressing of the nerve roots where they leave the spinal cord or it can damage the spinal cord itself.<ref name="Mayo">Mayo Clinic Staff. Spinal Stenosis. http://www.mayoclinic.com/health/spinal-stenosis/DS00515/DSECTION=causes. Updated July 8, 2010. Accessed April 12, 2011.</ref> These conditions are referred to as radiculopathy and cervical spinal myelopathy respectively.<br> | ||
== Epidemiology /Etiology == | == Epidemiology /Etiology == | ||
Spinal stenosis occurs most commonly in either the lumbar or cervical regions of the spine. Abnormalities that can lead to stenosis are twice as likely to be seen on an MRI in patients over the age of 40<ref name="Meyer">Meyer F, Borm W, Thome C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. Deutsches Ärzteblatt International [serial online]. May 16, 2008;105(20):366-372. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed April 11, 2011.</ref>; however, stenosis may present without any signs or symptoms. In fact, degenerative changes that manifest in images or scans of the cervical region have been found to not correlate to neck pain.<ref name="Naique">Naique S, Laheri V. Stenosis of the cervical canal in craniodiaphyseal dysplasia. The Journal Of Bone And Joint Surgery. British Volume [serial online]. April 2001;83(3):328-331. Available from: MEDLINE with Full Text, Ipswich, MA. Accessed April 5, 2011.</ref> <br> | Spinal stenosis occurs most commonly in either the lumbar or cervical regions of the spine. Abnormalities that can lead to stenosis are twice as likely to be seen on an MRI in patients over the age of 40<ref name="Meyer">Meyer F, Borm W, Thome C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. Deutsches Ärzteblatt International [serial online]. May 16, 2008;105(20):366-372. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed April 11, 2011.</ref>; however, stenosis may present without any signs or symptoms. In fact, degenerative changes that manifest in images or scans of the cervical region have been found to not correlate to neck pain.<ref name="Naique">Naique S, Laheri V. Stenosis of the cervical canal in craniodiaphyseal dysplasia. The Journal Of Bone And Joint Surgery. British Volume [serial online]. April 2001;83(3):328-331. Available from: MEDLINE with Full Text, Ipswich, MA. Accessed April 5, 2011.</ref><br> | ||
There are two main types of spinal stenosis<ref name="Ullrich">Ullrich PF. Cervical Stenosis with | There are two main types of spinal stenosis<ref name="Ullrich">Ullrich PF. Cervical Stenosis with myelopathy. http://www.spine-health.com/conditions/spinal-stenosis/cervical-stenosis-myelopathy. Accessed April 12, 2011.</ref>: | ||
*Primary: born with a canal that is narrower than most people. Not very common, but usually leads to spinal stenosis in the middle of life. | *Primary: born with a canal that is narrower than most people. Not very common, but usually leads to spinal stenosis in the middle of life. | ||
*Acquired: usually result of disease or injury to the spine such as the causes listed. | *Acquired: usually result of disease or injury to the spine such as the causes listed. | ||
Common causes are | Common causes are | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
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== Medical Management (current best evidence) == | == Medical Management (current best evidence) == | ||
== Physical Therapy Management (current best evidence) == | == Physical Therapy Management (current best evidence) == | ||
== Key Research == | == Key Research == | ||
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== Resources | add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]]) | ||
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== Resources == | |||
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== Clinical Bottom Line == | == Clinical Bottom Line == | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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== References == | |||
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Revision as of 22:53, 13 April 2011
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Search Strategy[edit | edit source]
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Definition/Description[edit | edit source]
Narrowing of the spinal canal in the neck. This can lead to squeezing or compressing of the nerve roots where they leave the spinal cord or it can damage the spinal cord itself.[1] These conditions are referred to as radiculopathy and cervical spinal myelopathy respectively.
Epidemiology /Etiology[edit | edit source]
Spinal stenosis occurs most commonly in either the lumbar or cervical regions of the spine. Abnormalities that can lead to stenosis are twice as likely to be seen on an MRI in patients over the age of 40[2]; however, stenosis may present without any signs or symptoms. In fact, degenerative changes that manifest in images or scans of the cervical region have been found to not correlate to neck pain.[3]
There are two main types of spinal stenosis[4]:
- Primary: born with a canal that is narrower than most people. Not very common, but usually leads to spinal stenosis in the middle of life.
- Acquired: usually result of disease or injury to the spine such as the causes listed.
Common causes are
Differential Diagnosis[edit | edit source]
Examination[edit | edit source]
Medical Management (current best evidence)[edit | edit source]
Physical Therapy Management (current best evidence)[edit | edit source]
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed class="researchbox"Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
- ↑ Mayo Clinic Staff. Spinal Stenosis. http://www.mayoclinic.com/health/spinal-stenosis/DS00515/DSECTION=causes. Updated July 8, 2010. Accessed April 12, 2011.
- ↑ Meyer F, Borm W, Thome C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. Deutsches Ärzteblatt International [serial online]. May 16, 2008;105(20):366-372. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed April 11, 2011.
- ↑ Naique S, Laheri V. Stenosis of the cervical canal in craniodiaphyseal dysplasia. The Journal Of Bone And Joint Surgery. British Volume [serial online]. April 2001;83(3):328-331. Available from: MEDLINE with Full Text, Ipswich, MA. Accessed April 5, 2011.
- ↑ Ullrich PF. Cervical Stenosis with myelopathy. http://www.spine-health.com/conditions/spinal-stenosis/cervical-stenosis-myelopathy. Accessed April 12, 2011.