Chronic cervical pain: radiculopathy or brachialgia. Noninterventional treatment.

Abstract:

:Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve of twenty-five achieving a pain level of 0 (out of a possible 10), ten of twenty-five had a pain level of 2, and three of twenty-five had a pain level of 4. Five cases were considered to be failures because of patient noncompliance. Treatment was multidisciplinary: aggressive physical medicine, behavioral medicine, vocational, and recreational rehabilitation with the goal of a return to socioeconomic productivity or previous lifestyle, secondary to which pain relief or control follows. Emphasis was placed on the restoration of musculoskeletal physiology to normal with behavioral modification, good body mechanics and the application of engineering/ergonomic principles at work or recreation.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Rosomoff HL,Fishbain D,Rosomoff RS

doi

10.1097/00007632-199210001-00004

keywords:

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

S362-6

issue

10 Suppl

eissn

0362-2436

issn

1528-1159

journal_volume

17

pub_type

杂志文章

相关文献

SPINE文献大全
  • Does a Multidisciplinary Triage Pathway Facilitate Better Outcomes After Spine Surgery?

    abstract:STUDY DESIGN:Single-center prospective non-randomized matched cohort comparison. OBJECTIVE:To compare elective lumbar spine surgery outcomes for cases triaged through a multidisciplinary spine pathway versus conventional referral processes. SUMMARY OF BACKGROUND DATA:Many health care systems have facilitated low back...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003785

    authors: Wu A,Liu L,Fourney DR

    更新日期:2020-11-04 00:00:00

  • Laboratory testing of segmental spinal instrumentation versus traditional Harrington instrumentation for scoliosis treatment.

    abstract::The authors have tested 51 instrumented calf spines in vitro, using a scoliosis simulator, to evaluate the adequacy of fixation and nature of acute failure seen with various methods of scoliosis instrumentation. Tests were performed in compressive loading, rotation, and forward bending on the following instrumentation...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198205000-00012

    authors: Wenger DR,Carollo JJ,Wilkerson JA Jr,Wauters K,Herring JA

    更新日期:1982-05-01 00:00:00

  • The cervical zygapophysial joints as a source of neck pain.

    abstract::Diagnostic cervical medial branch blocks and zygapophysial joint blocks were used to test the hypothesis that the cervical zygapophyseal joints can be the source of pain in patients with idiopathic neck pain. Complete temporary relief of all symptoms was obtained in 17 out of 24 consecutive patients. Two major groups ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Bogduk N,Marsland A

    更新日期:1988-06-01 00:00:00

  • Value of immediate preprocedure magnetic resonance imaging in patients scheduled to undergo vertebroplasty or kyphoplasty.

    abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:To determine the incidence of additional vertebral compression fractures diagnosed with repeat MRI immediately before vertebroplasty or kyphoplasty. SUMMARY OF BACKGROUND DATA:Vertebral compression fractures, which occur frequently in the elderly, are more likely in p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31819740bb

    authors: Benz BK,Gemery JM,McIntyre JJ,Eskey CJ

    更新日期:2009-03-15 00:00:00

  • Lumbosacral stability of consolidated anteroposterior fusion after instrumentation removal determined by roentgen stereophotogrammetric analysis and direct surgical exploration.

    abstract:STUDY DESIGN:The intervertebral stability of bony consolidated anteroposterior lumbosacral spondylodesis is evaluated by roentgen stereophotogrammetric analysis and direct surgical exploration before and after removal of the internal fixator. OBJECTIVES:To determine the remaining in vivo stability of spinal arthrodesi...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200202010-00014

    authors: Pape D,Fritsch E,Kelm J,Müller K,Georg T,Kohn D,Adam F

    更新日期:2002-02-01 00:00:00

  • The influence on spinal cord evoked potentials of chymopapain applied to the rat lumbar spine canal.

    abstract::Electrically evoked compound action potentials were used to quantify the neurophysiologic abnormalities caused by application of chymopapain into the lumbar spinal canal in rats. A branch of the sciatic nerve was stimulated with voltage impulses of constant amplitude (40 V) and duration (0.1 msec) at the right externa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198901000-00013

    authors: Wehling P,Pak MA,Cleveland SJ,Schulitz KP

    更新日期:1989-01-01 00:00:00

  • Efficacy of traction for nonspecific low back pain. 12-week and 6-month results of a randomized clinical trial.

    abstract:STUDY DESIGN:A randomized clinical trial. OBJECTIVES:To assess the efficacy of motorized continuous traction for low back pain. SUMMARY OF BACKGROUND DATA:The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome t...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007632-199712010-00011

    authors: Beurskens AJ,de Vet HC,Köke AJ,Regtop W,van der Heijden GJ,Lindeman E,Knipschild PG

    更新日期:1997-12-01 00:00:00

  • New Onset Depression and Anxiety After Spinal Fusion Surgery: Incidence and Risk Factors.

    abstract:STUDY DESIGN:Retrospective database study. OBJECTIVE:We sought to investigate trends and risk factors for new-onset anxiety and/or depression within 6 months after elective spine surgery. SUMMARY OF BACKGROUND DATA:Surgery represents a stressful experience associated with a number of physiological and psychological c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003467

    authors: Bekeris J,Wilson LA,Fiasconaro M,Poeran J,Liu J,Girardi F,Memtsoudis SG

    更新日期:2020-08-15 00:00:00

  • Long-segment fusion of the thoracolumbar spine in conjunction with a motion-preserving artificial disc replacement: case report and review of the literature.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:We reviewed the case of a 44-year-old woman who underwent long-segment fusion and an artificial disc replacement. SUMMARY OF BACKGROUND DATA:There have been many reported advantages and disadvantages of stopping the fusion at L5, with the theoretical benefits being preserved motion...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000259211.22036.2a

    authors: Lehman RA Jr,Lenke LG

    更新日期:2007-04-01 00:00:00

  • Intrathoracic chordoma presenting as a posterior superior mediastinal tumor.

    abstract::A case of thoracic chordoma successfully treated with surgical excision is reported and described. Thoracic chordomata presenting as posterior superior mediastinal tumors occur infrequently and may be highly malignant lesions. Early radical surgery through thoracotomy provide the best hope of cure, and radiation offer...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198310000-00016

    authors: Cotler HB,Cotler JM,Cohn HE,Israel HI,Gartland JJ

    更新日期:1983-10-01 00:00:00

  • Decreased risk of wound infection after posterior cervical fusion with routine local application of vancomycin powder.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:To assess the ability of local vancomycin powder to prevent wound infection after posterior cervical fusion. SUMMARY OF BACKGROUND DATA:Wound infections are a significant source of morbidity and cost associated with spine surgery. Intraoperative application of vanc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318285b219

    authors: Strom RG,Pacione D,Kalhorn SP,Frempong-Boadu AK

    更新日期:2013-05-20 00:00:00

  • Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans?

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to analyze the relationship of the parameters of cervical sagittal alignment between those obtained from cervical CT and those obtained from radiography, as well as to determine which parameter would help predict physiological lordosis of the ce...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000281

    authors: Jun HS,Chang IB,Song JH,Kim TH,Park MS,Kim SW,Oh JK

    更新日期:2014-05-01 00:00:00

  • Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variab

    abstract:STUDY DESIGN:Experimental study. OBJECTIVES:To compare two devices for measuring cervical range of motion, a three-dimensional ultrasound motion device (Zebris) and a gravity-reference goniometer (Myrin). SUMMARY OF BACKGROUND DATA:Assessment of cervical range of motion is used to evaluate the effect of different tre...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000090840.45802.D4

    authors: Malmström EM,Karlberg M,Melander A,Magnusson M

    更新日期:2003-11-01 00:00:00

  • Correlation between range of motion and outcome after lumbar total disc replacement: 8.6-year follow-up.

    abstract:STUDY DESIGN:Retrospective radiographic and chart review. OBJECTIVE:To examine the relationship between lumbar total disc replacement (TDR) range of motion (ROM) and clinical outcome at 8.6-year follow-up. SUMMARY OF BACKGROUND DATA:There are no studies on the relationship between TDR motion and clinical outcomes. M...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000166528.67425.0e

    authors: Huang RC,Girardi FP,Cammisa FP Jr,Lim MR,Tropiano P,Marnay T

    更新日期:2005-06-15 00:00:00

  • Development of a prosthetic intervertebral disc.

    abstract::This article is a preliminary report of a 10-year investigation of the development of an intervertebral disc prosthesis. Spinal fusion is a method for the treatment of chronic, disabling low-back pain that does not respond to nonoperative treatments. Spinal fusion, however, has various adverse effects, and the results...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199106001-00015

    authors: Lee CK,Langrana NA,Parsons JR,Zimmerman MC

    更新日期:1991-06-01 00:00:00

  • Different arm positions and the shape of the thoracic spine can explain contradictory results in the literature about spinal loads for sitting and standing.

    abstract:STUDY DESIGN:Loads acting in vivo on a vertebral body replacement (VBR) and the shape of the back were measured. OBJECTIVE:To find an explanation for the contradictory results in literature regarding spinal loads for sitting and standing. SUMMARY OF BACKGROUND DATA:In several in vivo studies, the intradiscal pressure...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d55d52

    authors: Dreischarf M,Bergmann G,Wilke HJ,Rohlmann A

    更新日期:2010-10-15 00:00:00

  • Spinal stability and intersegmental muscle forces. A biomechanical model.

    abstract::The human spinal column, devoid of musculature, is incapable of carrying normal physiologic loads. In an in vitro experiment, the effect of simulated intersegmental muscle forces on spinal instability was investigated. Intact and sequentially injured fresh lumbar functional spinal units were subjected to three-dimensi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198902000-00008

    authors: Panjabi M,Abumi K,Duranceau J,Oxland T

    更新日期:1989-02-01 00:00:00

  • Proximal Junctional Kyphosis After Posterior Spinal Instrumentation and Fusion in Young Children With Congenital Scoliosis: A Preliminary Report on its Incidence and Risk Factors.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To determine the incidence and risk factors of proximal junctional kyphosis (PJK) in young children who underwent posterior instrumented spinal fusion. SUMMARY OF BACKGROUND DATA:PJK is a well-recognized postoperative complication in adults and adolescents. However, there...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002109

    authors: Chen X,Chen ZH,Qiu Y,Zhu ZZ,Li S,Xu L,Sun X

    更新日期:2017-10-15 00:00:00

  • The development of the Dallas Pain Questionnaire. An assessment of the impact of spinal pain on behavior.

    abstract::The Dallas Pain Questionnaire (DPQ) was developed to assess the amount of chronic spinal pain that affects four aspects (daily and work-leisure activities, anxiety-depression, and social interest) of the patients' lives. Results of the DPQ's statistical properties suggest that the DPQ is an externally reliable instrum...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198905000-00007

    authors: Lawlis GF,Cuencas R,Selby D,McCoy CE

    更新日期:1989-05-01 00:00:00

  • Spinal osteotomy techniques in management of severe pediatric spinal deformity and analysis of postoperative complications.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To compare radiographical analysis and clinical outcomes of spinal osteotomy techniques, including Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO), and vertebral column resection (VCR), and analyze the relationship between preoperative evaluation and p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000728

    authors: Xia L,Li P,Wang D,Bao D,Xu J

    更新日期:2015-03-01 00:00:00

  • Correlations of hip mobility with degree of back pain and lumbar spinal mobility in chronic low-back pain patients.

    abstract::Mobility of hips and lumbar spine were measured in 301 men and 175 women who were in employment but suffered from chronic or recurrent low-back pain. The degree of low-back pain (LBP) was assessed with a questionnaire. Hip flexion, extension, internal rotation, and hamstring flexibility in the men, and hip flexion and...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Mellin G

    更新日期:1988-06-01 00:00:00

  • Quantification of intradiscal pressures below thoracolumbar spinal fusion constructs: is there evidence to support "saving a level"?

    abstract:STUDY DESIGN:In vitro cadaveric study. OBJECTIVE:The purpose of this study was to quantify the relative biomechanical protection resulting from "saving a level" in long spinal fusions. SUMMARY OF BACKGROUND DATA:"Saving levels" in spinal deformity surgery is desirable. Constructs with lowest instrumented vertebra (LI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31821e1106

    authors: Auerbach JD,Lonner BS,Errico TJ,Freeman A,Goerke D,Beaubien BP

    更新日期:2012-03-01 00:00:00

  • Atlantoaxial instability in os odontoideum with myelopathy.

    abstract:STUDY DESIGN:This study analyzed the correlation between the atlantoaxial instability (especially sagittal plane rotatory instability) and myelopathy. Thirty-four patients with os odontoideum were reviewed in clinical symptoms and radiographs. OBJECTIVES:The results were correlated to provide a rationale for the genes...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199606150-00007

    authors: Watanabe M,Toyama Y,Fujimura Y

    更新日期:1996-06-15 00:00:00

  • Lower Mortality and Morbidity with Low-Molecular-Weight Heparin for VTE Prophylaxis in Spine Trauma.

    abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:The objective of this study was to evaluate outcomes between patients receiving LMWH vs. UH in a retrospective cohort of patients with spine trauma. SUMMARY OF BACKGROUND DATA:Although multiple clinical trials have been conducted, current gu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003664

    authors: Neifert SN,Chapman EK,Rothrock RJ,Gilligan J,Yuk F,McNeill IT,Rasouli JJ,Gal JS,Caridi JM

    更新日期:2020-08-26 00:00:00

  • A Comparison of Anterior and Posterior Lumbar Interbody Fusions: Complications, Readmissions, Discharge Dispositions, and Costs.

    abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE:To understand medical complication rates, readmission rates, costs, and discharge dispositions in anterior lumbar interbody fusion (ALIFs) versus transforaminal lumbar interbody fusions (TLIFs)/posterior lumbar interbody fusions (PLIFs) for lumbar degenerative dise...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002248

    authors: Qureshi R,Puvanesarajah V,Jain A,Shimer AL,Shen FH,Hassanzadeh H

    更新日期:2017-12-15 00:00:00

  • Prognostic Factors in the New Katagiri Scoring System After Palliative Surgery for Spinal Metastasis.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of the study was to examine survival after surgery for a metastatic spinal tumor using prognostic factors in the new Katagiri score. SUMMARY OF BACKGROUND DATA:Surgery for spinal metastasis can improve quality of life and facilitate treatment of the primary canc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003415

    authors: Kobayashi K,Ando K,Nakashima H,Sato K,Kanemura T,Yoshihara H,Hirasawa A,Kato F,Ishiguro N,Imagama S

    更新日期:2020-07-01 00:00:00

  • Pathogenesis of tears of the anulus investigated by multiple-level transaxial analysis of the T12-L1 disc.

    abstract:STUDY DESIGN:Three transaxial slices, dividing each disc into four layers of equal thickness, were made in each of 19 T12-L1 discs. Naked-eye and stereoscopic examination was used to record abnormalities of the T12 (superior) surface of the upper slice, opposing surfaces of the central slice, and the L1 (inferior) surf...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199711150-00012

    authors: Vernon-Roberts B,Fazzalari NL,Manthey BA

    更新日期:1997-11-15 00:00:00

  • Utilization of Predictive Modeling to Determine Episode of Care Costs and to Accurately Identify Catastrophic Cost Nonwarranty Outlier Patients in Adult Spinal Deformity Surgery: A Step Toward Bundled Payments and Risk Sharing.

    abstract:STUDY DESIGN:Retrospective review of prospectively-collected, multicenter adult spinal deformity (ASD) database. OBJECTIVE:The aim of this study was to evaluate the rate of patients who accrue catastrophic cost (CC) with ASD surgery utilizing direct, actual costs, and determine the feasibility of predicting these outl...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003242

    authors: Ames CP,Smith JS,Gum JL,Kelly M,Vila-Casademunt A,Burton DC,Hostin R,Yeramaneni S,Lafage V,Schwab FJ,Shaffrey CI,Bess S,Pellisé F,Serra-Burriel M,European Spine Study Group and International Spine Study Group.

    更新日期:2020-03-01 00:00:00

  • Evaluating the Minimal Clinically Important Difference of EQ-5D-3L in Patients With Degenerative Lumbar Spinal Stenosis: A Swiss Prospective Multicenter Cohort Study.

    abstract:STUDY DESIGN:Analysis of a prospective, multicenter cohort study. OBJECTIVE:The aim of our study was to compare thresholds of published minimal clinically important differences (MCID) for the three-level EuroQol-5D health survey (EQ-5D-3L) summary index (range -0.53 to 1.00) with our anchor-based estimate and evaluate...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003501

    authors: Burgstaller JM,Wertli MM,Ulrich NH,Pichierri G,Brunner F,Farshad M,Porchet F,Steurer J,Gravestock I,LSOS Study Group.

    更新日期:2020-09-15 00:00:00

  • Results of a longer than 10-year follow-Up of patients with rheumatoid arthritis treated by occipitocervical fusion.

    abstract:STUDY DESIGN:Evaluation of results a longer than 10-year follow-up of patients with upper cervical lesions due to rheumatoid arthritis who underwent occipitocervical fusion. OBJECTIVE:To determine the final outcome of patients with upper cervical lesions due to rheumatoid arthritis treated by occipitocervical fusion. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200007150-00002

    authors: Matsunaga S,Ijiri K,Koga H

    更新日期:2000-07-15 00:00:00