Vertebral artery loop formation: a frequent cause of cervicobrachial pain.


STUDY DESIGN:Patients with cervicobrachial pain were examined in detail with special attention to vertebral artery loop formation. OBJECTIVES:To determine the incidence, short-time natural course and response to a conservative approach to vertebral artery loop formation in a group of patients with cervicobrachial pain. SUMMARY OF THE BACKGROUND DATA:Vertebral artery loop formation is reported to be a rare cause of cervicobrachial neuralgia, discovered incidentally during the search for its cause. It can be congenital or acquired, occurring equally in both sexes. Surgical decompression has been the preferred method in the majority of reported cases, with favorable results. METHODS:One hundred seventy-three patients with cervicobrachial pain were examined in a period of 7 months using physical examination, radiography, and magnetic resonance imaging with or without angiography. RESULTS:Thirteen patients with a mean age of 43.9 +/- 13.5 years were diagnosed with vertebral artery loop formation. The most common level was C6-C7. Four patients presented with loop formation at two levels. None of the patients had symptoms attributable to intervertebral disc pathology. The complaints were in accordance with the level of the vascular pathology. Complete relief or decrease in pain was observed in all patients with the conservative approach. CONCLUSIONS:In patients with cervicobrachialgic symptoms and without established discopathy, during the examination of sagittal magnetic resonance images, vertebral artery loop formation should be kept in mind, and in suspected cases, the vertebral artery should be visualized using three-dimensional time of flight magnetic resonance angiography. Vertebral artery-nerve root relation should also be demonstrated using the multiplanar reformatting method from time of flight images. A conservative course of treatment has a favorable outcome.


Spine (Phila Pa 1976)




Paksoy Y,Levendoglu FD,Ogün CO,Ustün ME,Ogün TC





Has Abstract


2003-06-01 00:00:00














  • A Profile of Low Back Pain: Treatment and Costs Associated With Patients Referred to Orthopedic Specialists in Sweden.

    abstract:STUDY DESIGN:Analysis of Swedish national and regional register data. OBJECTIVES:The aim of this study was to characterize healthcare resource utilization, productivity loss, and costs of patients with low back pain (LBP) with or without leg pain, who have been referred from primary care settings to orthopedic special...


    pub_type: 杂志文章


    authors: Jonsson E,Olafsson G,Fritzell P,Hägg O,Borgström F

    更新日期:2017-09-01 00:00:00

  • Expression and distribution of tumor necrosis factor alpha in human lumbar intervertebral discs: a study in surgical specimen and autopsy controls.

    abstract:STUDY DESIGN:Immunohistochemical study of tumor necrosis factor alpha expression in autopsy and surgical specimens of human lumbar intervertebral discs. OBJECTIVES:To investigate the occurrence and localization of tumor necrosis factor alpha in intervertebral disc tissue and to correlate its expression with age and th...


    pub_type: 杂志文章


    authors: Weiler C,Nerlich AG,Bachmeier BE,Boos N

    更新日期:2005-01-01 00:00:00

  • Use and outcome of MRI in the surgical treatment of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multicenter, prospective, consecutive clinical series. OBJECTIVE.: To report on the use and outcomes of preoperative magnetic resonance imaging (MRI) in a prospective cohort study of 2206 children undergoing posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. SUMMARY OF BACKGR...


    pub_type: 杂志文章,多中心研究


    authors: Diab M,Landman Z,Lubicky J,Dormans J,Erickson M,Richards BS,members of the Spinal Deformity Study Group.

    更新日期:2011-04-15 00:00:00

  • Radiofrequency ablation of spinal osteoid osteoma: clinical outcome.

    abstract:STUDY DESIGN:A prospective study on 24 patients with spinal osteoid osteoma treated with radiofrequency ablation (RFA). OBJECTIVE:To determine if and when computed tomography (CT)-guided RFA is a safe and effective treatment for spinal osteoid osteomas. SUMMARY OF BACKGROUND DATA:Surgery has been considered the stand...


    pub_type: 杂志文章


    authors: Vanderschueren GM,Obermann WR,Dijkstra SP,Taminiau AH,Bloem JL,van Erkel AR

    更新日期:2009-04-20 00:00:00

  • Measurement techniques for lower cervical spine injuries: consensus statement of the Spine Trauma Study Group.

    abstract:STUDY DESIGN:Literature review. OBJECTIVES:It was the purpose of the Spine Trauma Study Group to compile a collection of clinically useful imaging methods used in lower cervical spine trauma and to describe in detail how these measurements should be made. SUMMARY OF BACKGROUND DATA:Injury detection, description, and ...


    pub_type: 共识发展会议,杂志文章,评审


    authors: Bono CM,Vaccaro AR,Fehlings M,Fisher C,Dvorak M,Ludwig S,Harrop J

    更新日期:2006-03-01 00:00:00

  • Decrease in trunk muscular response to perturbation with preactivation of lumbar spinal musculature.

    abstract:STUDY DESIGN:An experimental study of healthy subjects' trunk muscle responses to force perturbations at differing angles and steady state efforts. OBJECTIVES:To determine whether increased preactivation of muscles was associated with decreased likelihood of muscular activation in response to a transient force perturb...


    pub_type: 杂志文章


    authors: Stokes IA,Gardner-Morse M,Henry SM,Badger GJ

    更新日期:2000-08-01 00:00:00

  • Pretension effects of the Dynesys cord on the tissue responses and screw-spacer behaviors of the lumbosacral construct with hybrid fixation.

    abstract:STUDY DESIGN:The pretension of the Dynesys cord was varied to evaluate its effects on both tissue responses and screw-spacer behaviors by the finite-element method. OBJECTIVE:This study aimed to provide detailed information about the motion-preserving and load-shielding mechanisms of the Dynesys screw-spacer joint. S...


    pub_type: 杂志文章


    authors: Chien CY,Tan CH,Lu TH,Lin SC,Chuang WH,Chiang MC,Luh YP,Chen YJ

    更新日期:2013-06-01 00:00:00

  • Preservation of thoracic kyphosis is critical to maintain lumbar lordosis in the surgical treatment of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Retrospective analysis of prospectively collected multicenter series. OBJECTIVE:To evaluate the sagittal profile of surgically treated adolescent idiopathic scoliosis (AIS) patients. SUMMARY OF BACKGROUND DATA:With the increasing popularity of segmental pedicle screw spinal instrumentation, thoracic kyph...


    pub_type: 杂志文章


    authors: Newton PO,Yaszay B,Upasani VV,Pawelek JB,Bastrom TP,Lenke LG,Lowe T,Crawford A,Betz R,Lonner B,Harms Study Group.

    更新日期:2010-06-15 00:00:00

  • Clinical Evaluation of the Spinal Instability Neoplastic Score in Patients Treated With Radiotherapy for Symptomatic Spinal Bone Metastases.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To determine the predictive value of the Spinal Instability Neoplastic Score (SINS) in a cohort of patients treated with radiotherapy for spinal bone metastases. SUMMARY OF BACKGROUND DATA:Assessment of spinal stability in metastatic disease is challenging and is mos...


    pub_type: 杂志文章


    authors: Bollen L,Groenen K,Pondaag W,van Rijswijk CSP,Fiocco M,Van der Linden YM,Dijkstra SPD

    更新日期:2017-08-15 00:00:00

  • Perioperative Neurologic Complications in Adult Spinal Deformity Surgery: Incidence and Risk Factors in 564 Patients.

    abstract:STUDY DESIGN:Prognostic study-case controlled. OBJECTIVE:Describe the rate of neurologic complications in adult spinal deformity surgery and describe the effect of these complications on clinical outcomes. SUMMARY OF BACKGROUND DATA:The incidence of neurologic complications and the risk factors for neurologic complic...


    pub_type: 杂志文章


    authors: Kim HJ,Iyer S,Zebala LP,Kelly MP,Sciubba D,Protopsaltis TS,Gupta M,Neuman BJ,Mundis GM,Ames CP,Smith JS,Hart R,Burton D,Klineberg EO,International Spine Study Group (ISSG).

    更新日期:2017-03-15 00:00:00

  • Anterior neck recording of intraoperative somatosensory-evoked potentials in children.

    abstract:STUDY DESIGN:The authors have developed technique of using anterior neck derivations to record posterior tibial nerve N28 during operative somatosensory-evoked potential monitoring. OBJECTIVE:This prospective study of 10 patients compared the ease of application of electrodes and stability of waveforms with "tradition...


    pub_type: 杂志文章


    authors: Helmers SL,Carmant L,Flanigin D

    更新日期:1995-04-01 00:00:00

  • Adaptation of the Oswestry Disability Index to Kannada Language and Evaluation of Its Validity and Reliability.

    abstract:STUDY DESIGN:A translation, cross-cultural adaptation, and validation study. OBJECTIVE:The aim of this study was to translate, adapt cross-culturally, and validate the Kannada version of the Oswestry Disability Index (ODI). SUMMARY OF BACKGROUND DATA:Low back pain is recognized as an important public health problem. ...


    pub_type: 杂志文章


    authors: Mohan V,G S P,Meravanigi G,N R,Yerramshetty J

    更新日期:2016-06-01 00:00:00

  • Scheuermann kyphosis: the importance of tight hamstrings in the surgical correction.

    abstract:STUDY DESIGN:A historic cohort study of the sagittal alignment in 33 consecutive patients with surgically corrected thoracic Scheuermann kyphosis. OBJECTIVES:To determine if postsurgical imbalance, sagittal malalignment, and decreased lumbar-pelvic range of motion in patients with thoracic Scheuermann kyphosis is rela...


    pub_type: 临床试验,杂志文章


    authors: Hosman AJ,de Kleuver M,Anderson PG,van Limbeek J,Langeloo DD,Veth RP,Slot GH

    更新日期:2003-10-01 00:00:00

  • Spine update: the biopsychosocial model and spine care.

    abstract:STUDY DESIGN:Spine Update on the biopsychosocial model. OBJECTIVE:To review and discuss the strengths and weaknesses of the application of the model to spine care. SUMMARY OF BACKGROUND DATA:The biopsychosocial model of illness has had (and will continue to have) a significant impact on spine care. It has changed-in ...


    pub_type: 杂志文章


    authors: Weiner BK

    更新日期:2008-01-15 00:00:00

  • SRS-22r Scores in Nonoperated Adolescent Idiopathic Scoliosis Patients With Curves Greater Than Forty Degrees.

    abstract:STUDY DESIGN:Case control comparative series. OBJECTIVE:Describe surgical range adolescent idiopathic scoliosis (AIS) patients electing to forgo surgery and compare health-related quality-of-life outcomes to a similar cohort of operated AIS patients by the same single surgeon. SUMMARY OF BACKGROUND DATA:No data have ...


    pub_type: 杂志文章


    authors: Ward WT,Friel NA,Kenkre TS,Brooks MM,Londino JA,Roach JW

    更新日期:2017-08-15 00:00:00

  • Identification of decision criteria for revision surgery among patients with proximal junctional failure after surgical treatment of spinal deformity.

    abstract:STUDY DESIGN:Multicenter, retrospective, consecutive case series. OBJECTIVE:This study aims to identify demographic and radiographical characteristics that influence the decision to perform revision surgery among patients with proximal junctional failure (PJF). SUMMARY OF BACKGROUND DATA:Revision rates after PJF rema...


    pub_type: 杂志文章,多中心研究


    authors: Hart R,McCarthy I,Oʼbrien M,Bess S,Line B,Adjei OB,Burton D,Gupta M,Ames C,Deviren V,Kebaish K,Shaffrey C,Wood K,Hostin R,International Spine Study Group.

    更新日期:2013-09-01 00:00:00

  • Use of video-assisted thoracoscopic surgery to reduce perioperative morbidity in scoliosis surgery.

    abstract:STUDY DESIGN:A case series of idiopathic scoliosis patients treated with thoracoscopic anterior instrumentation was compared to a similar group of patients treated by open anterior instrumentation. OBJECTIVES:To evaluate the morbidity associated with thoracoscopic instrumentation compared to the open approach for thor...


    pub_type: 杂志文章


    authors: Newton PO,Marks M,Faro F,Betz R,Clements D,Haher T,Lenke L,Lowe T,Merola A,Wenger D

    更新日期:2003-10-15 00:00:00

  • Changes in carotid artery blood flow during anterior cervical spine surgery.

    abstract:STUDY DESIGN:Carotid artery blood flow was measured in 15 patients undergoing anterior cervical spine surgery. OBJECTIVE:To determine the effect of intraoperative retraction on carotid artery flow dynamics. SUMMARY OF BACKGROUND DATA:Adequate surgical exposure for anterior cervical discectomy and fusion necessitates ...


    pub_type: 杂志文章


    authors: Pollard ME,Little PW

    更新日期:2002-01-15 00:00:00

  • Anterior correction of thoracic scoliosis with Kaneda anterior spinal system. A preliminary report.

    abstract:STUDY DESIGN:Analysis of the clinical results of 20 patients with thoracic scoliosis treated by anterior procedure with Kaneda anterior spinal system. OBJECTIVES:To evaluate the efficacy of the anterior surgical correction procedure with a new anterior instrumentation in thoracic scoliosis. SUMMARY OF BACKGROUND DATA...


    pub_type: 杂志文章


    authors: Kaneda K,Shono Y,Satoh S,Abumi K

    更新日期:1997-06-15 00:00:00

  • Predictive Findings of the Presence of Stooping in Patients With Lumbar Degenerative Kyphosis by Upright Whole Spine Lateral Radiography.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:The aim of this study was to identify the relationships between radiological findings and the presence of stooping in lumbar degenerative kyphosis (LDK). SUMMARY OF BACKGROUND DATA:Many studies have addressed fixed sagittal imbalances and surgical treatments. However, inf...


    pub_type: 杂志文章


    authors: Son SM,Shin JK,Goh TS,Suh KT,Lee JS

    更新日期:2018-04-15 00:00:00

  • The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients: Turkish Version, Validity and Reliability Study.

    abstract:STUDY DESIGN:Cross-cultural adaptation and psychometric analysis. OBJECTIVE:The aim of this study wad to develop "Fremantle Neck Awareness Questionnaire Turkish (FreNAQ-T)" and to investigate the validity, reliability, and psychometric properties of FreNAQ-T in the Turkish population with chronic neck pain (CNP). SUM...


    pub_type: 杂志文章


    authors: Onan D,Gokmen D,Ulger O

    更新日期:2020-02-01 00:00:00

  • Cost effectiveness of periradicular infiltration for sciatica: subgroup analysis of a randomized controlled trial.

    abstract:STUDY DESIGN:A subgroup analysis of a prospective, randomized controlled trial was performed. OBJECTIVE:To describe the cost effectiveness of periradicular infiltration with steroid in subgroups of patients with sciatica. SUMMARY OF BACKGROUND DATA:A recent trial on periradicular infiltration indicated that a methylp...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Karppinen J,Ohinmaa A,Malmivaara A,Kurunlahti M,Kyllönen E,Pienimäki T,Nieminen P,Tervonen O,Vanharanta H

    更新日期:2001-12-01 00:00:00

  • Preoperative Radiographic Parameters to Predict a Higher Pseudarthrosis Rate After Anterior Cervical Discectomy and Fusion.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:To determine whether postoperative pseudarthrosis can be predicted from specific preoperative radiograph measurements. SUMMARY OF BACKGROUND DATA:Various factors reportedly influence the occurrence of pseudarthrosis after anterior cervical discectomy and fusion (ACDF). Howe...


    pub_type: 杂志文章


    authors: Choi SH,Cho JH,Hwang CJ,Lee CS,Gwak HW,Lee DH

    更新日期:2017-12-01 00:00:00

  • Adding-on Phenomenon After Surgery in Lenke Type 1, 2 Adolescent Idiopathic Scoliosis: Is it Predictable?

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:The aim of this study was to detect risk factors for Adding-on after posterior correction surgery in patients with Lenke 1 or 2 AIS, and to explore whether Adding-on Index could be used to predict Adding-on effectively. SUMMARY OF BACKGROUND DATA:Adding-on phenomenon is a...


    pub_type: 杂志文章


    authors: Yang C,Li Y,Yang M,Zhao Y,Zhu X,Li M,Liu G

    更新日期:2016-04-01 00:00:00

  • Minimal invasive short posterior instrumentation plus balloon kyphoplasty with calcium phosphate for burst and severe compression lumbar fractures.

    abstract:STUDY DESIGN:Prospective consecutive series. OBJECTIVE:To evaluate the efficacy of minimal invasive surgery for acute lumbar fractures by means of balloon kyphoplasty with calcium phosphate plus segmental short posterior instrumented fusion. SUMMARY OF BACKGROUND DATA:In the surgical treatment of lumbar fractures wit...


    pub_type: 杂志文章


    authors: Korovessis P,Hadjipavlou A,Repantis T

    更新日期:2008-03-15 00:00:00

  • Tenosynovial Giant Cell Tumor, Diffuse Type/Pigmented Villonodular Synovitis in a Pars Defect: A Case Report.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a rare case of tenosynovial giant cell tumor, diffuse type/pigmented villonodular synovitis (PVNS) in a pars defect in a patient with lumbar spondylolysis. SUMMARY OF BACKGROUND DATE:PVNS rarely occurred in lumbar spine, and no studies in the English literature have rep...


    pub_type: 杂志文章


    authors: Kimura T,Nishisho T,Sakai T,Miyagi R,Takao S,Iwamoto S,Higashino K,Takata Y,Goda Y,Toki S,Sairyo K

    更新日期:2015-06-15 00:00:00

  • Prevalence of Ossification of Posterior Longitudinal Ligament in Patients With Degenerative Cervical Myelopathy: Cervical Spine 3D CT Observations in 7210 Cases.

    abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:The aim of this study was to investigate the prevalence of ossification of posterior longitudinal ligament (OPLL) in patients with degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:OPLL of the cervical spine is one of the main entities of DCM in Asian p...


    pub_type: 杂志文章


    authors: Liao X,Jin Z,Shi L,Zhao Y,Zhou S,Chen D,Tang D,Yang L,Chen X

    更新日期:2020-10-01 00:00:00

  • Augmentation of rabbit posterolateral spondylodesis using a novel demineralized bone matrix-hyaluronan putty.

    abstract:STUDY DESIGN:Posterolateral spinal fusion with allogeneic demineralized bone graft-hyaluronan putty in addition to autogenous iliac crest bone graft in a rabbit model. OBJECTIVES:To determine the potential efficacy of demineralized bone graft-hyaluronan putty as a bone graft enhancer. SUMMARY OF BACKGROUND DATA:Autog...


    pub_type: 杂志文章


    authors: Yee AJ,Bae HW,Friess D,Robbin M,Johnstone B,Yoo JU

    更新日期:2003-11-01 00:00:00

  • Atlantoaxial arthrodesis in the presence of posterior spondyloschisis (bifid arch) of the atlas. A report of three cases and an evaluation of alternative wiring techniques by computerized tomography.

    abstract::The presence of a bifid posterior arch of the atlas has been regarded as a contraindication to the wiring of C1-2 for atlantoaxial arthrodesis. Three cases with C1 posterior spondyloschisis are presented with successful atlantoaxial arthrodesis using laterally placed wires to avoid the midline defect of the atlas. An ...


    pub_type: 杂志文章


    authors: Lipson SJ,Hammerschlag SB

    更新日期:1984-01-01 00:00:00

  • Manipulation for chronic neck pain. A double-blind controlled study.

    abstract::Twenty-one with symptomatic cervical spondylosis or nonspecific neck pain were given an amnesic dose of diazepam before manipulation of the cervical spine. Eighteen patients served as controls and also received diazepam but no manipulation. Results were obtained in a randomized, double-blind fashion. Statements of out...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Sloop PR,Smith DS,Goldenberg E,Doré C

    更新日期:1982-11-01 00:00:00