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Atypical symptoms in patients with cervical spondylosis
Comparison of the treatment effect of different surgical approaches
Sun, Yuqing, MDa; Muheremu, Aikeremujiang, MD, PhDb,*; Tian, Wei, MDa,*
Section Editor(s): Figueiredo., Nicandro
Medicine: May 2018 -
To compare the effectiveness of total disk replacement (TDR), anterior cervical discectomy and fusion (ACDF), and laminoplasty on atypical symptoms of cervical spondylosis.
Patients with confirmed diagnosis of cervical spondylosis and reported atypical symptoms such as blurred vision, headache, nausea, palpitation, tinnitus, vertigo, hypomnesia, and abdominal discomfort were retrospectively included in the present study. They were treated with TDR, ACDF, or laminoplasty depending on the etiology and patient preference.
Severity of the atypical symptoms before the surgery and at the end of 2-year follow-up was recorded and the degree of severity alleviation was compared between different surgical approaches.
A total number of 336 patients who were treated in our institute from February 2002 to March 2011 were included in the final analysis. Atypical symptoms were significantly alleviated in most patients after surgical intervention. No significant differences were found regarding the change of severity of those symptoms among patients in different surgery groups.
TDR, ACDF, and laminoplasty can equally alleviate the severity of atypical symptoms in patients with cervical spondylosis. This indicates that the neural network in the posterior longitudinal ligament may not be the cause of atypical symptoms in patients with cervical spondylosis.
1 Introduction
Among the elderly population, cervical spondylosis is the most common reason for symptoms related to spinal cord dysfunction.[1,2] Patients with cervical spondylosis often demonstrate symptoms such as pain of the neck and shoulder, numbness, hypersensitivity, and impairment of the fine-motor performance of arms.[3,4] Main etiology of cervical spondylosis includes the herniation of cervical disk, ossification and hypertrophy of posterior longitudinal ligament and ligamentum flavum, osteoproliferation, cervical stenosis, and instability of cervical spine. Surgical approaches such as anterior cervical discectomy and fusion (ACDF), total disk replacement (TDR), and laminoplasty are routinely used to eliminate the compression on the spinal cord and nerve roots thus alleviate the symptoms of cervical spondylosis.[5–7]
Vertigo, headache, palpitation, nausea, abdominal discomfort, tinnitus, blurred vision, and hypomnesia are common symptoms in patients with cervical spondylosis.
However, their etiology is not as clear as the typical manifestations of cervical spondylosis such as pain, numbness, and fine-motor functions.
Because there are no specific pathologic or radiologic abnormalities that can be responsible for those symptoms, it is hard to choose effective treatment measures. To our knowledge, few studies have reported the efficacy of any surgical approaches on atypical symptoms in patients with cervical spondylosis. In the present study, we compared the efficacy of ACDF, TDR, and laminoplasty on atypical symptoms in patients with cervical spondylosis, and analyzed the possible mechanisms underlying those symptoms.
2 Objective
The present study compares the efficacy of TDR, ACDF, and laminoplasty on symptoms such as vertigo, headache, palpitation, nausea, abdominal discomfort, tinnitus, blurred vision, and hypomnesia in patients with cervical spondylosis and tries to explore its etiology.
Comparison of the treatment effect of different surgical approaches
Sun, Yuqing, MDa; Muheremu, Aikeremujiang, MD, PhDb,*; Tian, Wei, MDa,*
Section Editor(s): Figueiredo., Nicandro
Medicine: May 2018 -
To compare the effectiveness of total disk replacement (TDR), anterior cervical discectomy and fusion (ACDF), and laminoplasty on atypical symptoms of cervical spondylosis.
Patients with confirmed diagnosis of cervical spondylosis and reported atypical symptoms such as blurred vision, headache, nausea, palpitation, tinnitus, vertigo, hypomnesia, and abdominal discomfort were retrospectively included in the present study. They were treated with TDR, ACDF, or laminoplasty depending on the etiology and patient preference.
Severity of the atypical symptoms before the surgery and at the end of 2-year follow-up was recorded and the degree of severity alleviation was compared between different surgical approaches.
A total number of 336 patients who were treated in our institute from February 2002 to March 2011 were included in the final analysis. Atypical symptoms were significantly alleviated in most patients after surgical intervention. No significant differences were found regarding the change of severity of those symptoms among patients in different surgery groups.
TDR, ACDF, and laminoplasty can equally alleviate the severity of atypical symptoms in patients with cervical spondylosis. This indicates that the neural network in the posterior longitudinal ligament may not be the cause of atypical symptoms in patients with cervical spondylosis.
1 Introduction
Among the elderly population, cervical spondylosis is the most common reason for symptoms related to spinal cord dysfunction.[1,2] Patients with cervical spondylosis often demonstrate symptoms such as pain of the neck and shoulder, numbness, hypersensitivity, and impairment of the fine-motor performance of arms.[3,4] Main etiology of cervical spondylosis includes the herniation of cervical disk, ossification and hypertrophy of posterior longitudinal ligament and ligamentum flavum, osteoproliferation, cervical stenosis, and instability of cervical spine. Surgical approaches such as anterior cervical discectomy and fusion (ACDF), total disk replacement (TDR), and laminoplasty are routinely used to eliminate the compression on the spinal cord and nerve roots thus alleviate the symptoms of cervical spondylosis.[5–7]
Vertigo, headache, palpitation, nausea, abdominal discomfort, tinnitus, blurred vision, and hypomnesia are common symptoms in patients with cervical spondylosis.
However, their etiology is not as clear as the typical manifestations of cervical spondylosis such as pain, numbness, and fine-motor functions.
Because there are no specific pathologic or radiologic abnormalities that can be responsible for those symptoms, it is hard to choose effective treatment measures. To our knowledge, few studies have reported the efficacy of any surgical approaches on atypical symptoms in patients with cervical spondylosis. In the present study, we compared the efficacy of ACDF, TDR, and laminoplasty on atypical symptoms in patients with cervical spondylosis, and analyzed the possible mechanisms underlying those symptoms.
2 Objective
The present study compares the efficacy of TDR, ACDF, and laminoplasty on symptoms such as vertigo, headache, palpitation, nausea, abdominal discomfort, tinnitus, blurred vision, and hypomnesia in patients with cervical spondylosis and tries to explore its etiology.