Vestibular-evoked myogenic potential (VEMP) to evaluate cervical myelopathy in human T-cell lymphotropic virus type I infection.


STUDY DESIGN:Cross-seccional analysis. OBJECTIVE:To define the clinical usefulness of vestibular-evoked myogenic potential (VEMP) in detecting cervical medullar involvement related to human T-cell lymphotropic virus type 1 (HTLV-1) associated myelopathy/tropical spastic paraparesis (HAM/TSP). SUMMARY OF BACKGROUND DATA:VEMP is generated by acoustic or galvanic stimuli, passing through the vestibulo-spinal motor tract, the spinal nerves and recorded by means of surface electrodes on the sternocleidomastoid muscle. HAM/TSP is a progressive inflammatory myelopathy with predominant lesions at the thoracic spinal cord level, although the cervical spine can be affected. VEMP may be of value to investigate cervical myelopathy. METHODS:Seventy-two individuals were evaluated of whom 30 HTLV-1 were seronegative and 42 HTLV-1 seropositive (22 asymptomatic, 10 with complaints of walking difficulty without definite HAM/TSP and 10 with definite HAM/TSP). VEMP was recorded using monaural delivered short tone burst (linear rise-fall 1 millisecond, plateau 2 milliseconds, 1 KHz) 118 dB NA, stimulation rate of 5 Hz, analysis time of 60 milliseconds, 200 stimuli, band pass filtered between 10 and 1.500 Hz. RESULTS:VEMP was normal in the seronegative group (30 controls). In the seropositive, abnormal VEMP was seen in 11 of 22 (50%) of the HTLV-1 asymptomatic carriers, in 7 of 10 (70%) of those with complaints of walking difficulty and in 8 of 10 (80%) of the HAM/TSP patients. In this last group, the pattern of response was different. No VEMP response was more frequent when compared with the HTLV-1 asymptomatic group (2-tailed P-value = 0.001). CONCLUSION:VEMP may possibly be useful to identify patients with cervical myelopathy and to distinguish variable degrees of functional damage. Minor injury would be related to latency prolongation and major injury to no potential-evoked response.


Spine (Phila Pa 1976)




Felipe L,Gonçalves DU,Santos MA,Proietti FA,Ribas JG,Carneiro-Proietti AB,Lambertucci JR




Has Abstract


2008-05-15 00:00:00
















  • Disc pathology after whiplash injury. A prospective magnetic resonance imaging and clinical investigation.

    abstract:STUDY DESIGN:This study was used to evaluate the relationship between magnetic resonance imaging findings and clinical findings after whiplash injury. OBJECTIVES:To identify initial soft-tissue damage after whiplash injury, the development of disc pathology, and the relationship of disc pathology to clinical findings....


    pub_type: 杂志文章


    authors: Pettersson K,Hildingsson C,Toolanen G,Fagerlund M,Björnebrink J

    更新日期:1997-02-01 00:00:00

  • Outcome of spinal fusion for lumbar degenerative disease: a cross-sectional study in Korea.

    abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVE:To evaluate the degree of postoperative pain and patients' satisfaction after lumbar fusion from a nationwide survey in Korea. SUMMARY OF BACKGROUND DATA:There have been few studies that investigated the factors related to patients' satisfaction after spinal...


    pub_type: 杂志文章


    authors: Kong CB,Jeon DW,Chang BS,Lee JH,Suk KS,Park JB

    更新日期:2010-07-01 00:00:00

  • Pressure changes within the cauda equina following constriction of the dural sac. An in vitro experimental study.

    abstract::In order to register pressure changes within the cauda equina, a highly sensitive pressure measuring catheter was inserted through a hole in the dural sac. Its tip was placed among the nerve roots of the cauda equina at levels L2, L3, and L4 in seven freshly removed human specimens. The cross-sectional area of the dur...


    pub_type: 杂志文章


    authors: Schönström N,Bolender NF,Spengler DM,Hansson TH

    更新日期:1984-09-01 00:00:00

  • Segmental ("floating") lumbar spine fusions.

    abstract::A traditional teaching in orthopaedic surgery has been that, in cases of fusion for L4-5 discopathy or instability, one must include the lumbosacral joint. There is nothing in the literature to support this time-honored dictum. The senior author, among others, has rejected this concept; and, the authors are, therefore...


    pub_type: 杂志文章


    authors: Brodsky AE,Hendricks RL,Khalil MA,Darden BV,Brotzman TT

    更新日期:1989-04-01 00:00:00

  • Effects of laminectomy and retained extradural foreign body on cauda equina adhesion.

    abstract::The histologic effects of posterior lumbar surgery and retained extradural foreign bodies on the cauda equina were investigated in rats over time. The following four groups of rats were provided: Group 1, sham operation (laminar exposure alone); Group 2, laminectomy alone; Group 3, laminectomy with retained extradural...


    pub_type: 杂志文章


    authors: Yamagami T,Matsui H,Tsuji H,Ichimura K,Sano A

    更新日期:1993-10-01 00:00:00

  • Motor and Sensory Impairments of the Lower Extremities After L2 Nerve Root Transection During Total en Bloc Spondylectomy.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to examine motor and sensory impairments of the lower extremities after L2 nerve root transection during total en bloc spondylectomy (TES) for spinal tumors. SUMMARY OF BACKGROUND DATA:At our institute, for TES at L3 to L5 lumbar levels, the ne...


    pub_type: 杂志文章


    authors: Kato S,Murakami H,Demura S,Ota T,Takahashi N,Yoshioka K,Shinmura K,Yokogawa N,Kawahara N,Tomita K,Tsuchiya H

    更新日期:2019-08-15 00:00:00

  • Analysis of 3-dimensional course of the intra-axial vertebral artery for C2 pedicle screw trajectory: a computed tomographic study.

    abstract:STUDY DESIGN:A retrospective radiological study. OBJECTIVE:To analyze the course of intra-axial vertebral artery (IAVA) and evaluate the relationship between the 3-dimensional (3D) courses for IAVA with respect to safe trajectory for C2 pedicle screw (C2PS). SUMMARY OF BACKGROUND DATA:The VA at the level of C2 has a ...


    pub_type: 杂志文章


    authors: Lee SH,Park DH,Kim SD,Huh DS,Kim KT

    更新日期:2014-08-01 00:00:00

  • Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To investigate the effects of Kinesio Taping (KT) in patients with nonspecific low back pain. SUMMARY OF BACKGROUND DATA:KT is widely used in patients with low back pain. METHODS:We conducted searches on PubMed, EMBASE, PEDro, SciELO, and LILACS up to February 26, 2018. We i...


    pub_type: 杂志文章,meta分析


    authors: Luz Júnior MAD,Almeida MO,Santos RS,Civile VT,Costa LOP

    更新日期:2019-01-01 00:00:00

  • Sagittal alignment of the spine and pelvis during growth.

    abstract:STUDY DESIGN:Prospective study of the sagittal plane alignment of the spine and pelvis in the normal pediatric population. OBJECTIVES:To document the sagittal alignment of the spine and pelvis and its change during growth in the normal pediatric population. SUMMARY OF BACKGROUND DATA:Pelvic morphology as well as sagi...


    pub_type: 杂志文章


    authors: Mac-Thiong JM,Berthonnaud E,Dimar JR 2nd,Betz RR,Labelle H

    更新日期:2004-08-01 00:00:00

  • Annulus fissures are mechanically and chemically conducive to the ingrowth of nerves and blood vessels.

    abstract:STUDY DESIGN:Mechanical and biochemical analyses of cadaveric and surgically removed discs. OBJECTIVE:To test the hypothesis that fissures in the annulus of degenerated human discs are mechanically and chemically conducive to the ingrowth of nerves and blood vessels. SUMMARY OF BACKGROUND DATA:Discogenic back pain is...


    pub_type: 杂志文章


    authors: Stefanakis M,Al-Abbasi M,Harding I,Pollintine P,Dolan P,Tarlton J,Adams MA

    更新日期:2012-10-15 00:00:00

  • Cognitive-behavioral therapy and psychosocial factors in low back pain: directions for the future.

    abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...




    authors: Pincus T,Vlaeyen JW,Kendall NA,Von Korff MR,Kalauokalani DA,Reis S

    更新日期:2002-03-01 00:00:00

  • The Relationship Between MRI Signal Intensity Changes, Clinical Presentation, and Surgical Outcome in Degenerative Cervical Myelopathy: Analysis of a Global Cohort.

    abstract:STUDY DESIGN:Retrospective analysis of prospective data. OBJECTIVE:To assess the relationship between MRI signal intensity changes, clinical presentation, and surgical outcome in degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:Several studies have sought to assess the extent of spinal cord dysfunct...


    pub_type: 杂志文章,多中心研究


    authors: Nouri A,Martin AR,Kato S,Reihani-Kermani H,Riehm LE,Fehlings MG

    更新日期:2017-12-15 00:00:00

  • Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain.

    abstract:STUDY DESIGN:A prospective double-blind randomized trial in 31 patients. OBJECTIVES:To assess the clinical efficacy of percutaneous radiofrequency denervation of the lumbar zygapophysial joints in reducing pain, functional disability, and physical impairment in patients with back pain originating from the lumbar zygap...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: van Kleef M,Barendse GA,Kessels A,Voets HM,Weber WE,de Lange S

    更新日期:1999-09-15 00:00:00

  • Blood serum antibody analysis and long-term follow-up of patients treated with recombinant human bone morphogenetic protein-2 in the lumbar spine.

    abstract:STUDY DESIGN:Prospective, longitudinal cohort study. OBJECTIVE:To examine the incidence of bone morphogenetic protein (BMP)-2 antibody formation in lumbar spine applications and to determine the clinical significance of an antibody response. SUMMARY OF BACKGROUND DATA:Immune responses can affect the safety and effica...


    pub_type: 杂志文章


    authors: Burkus JK,Gornet MF,Glassman SD,Slosar PJ,Rosner MK,Deckey JE,Nowak J,Hatcher BM

    更新日期:2011-12-01 00:00:00

  • Comparison of 6-year Follow-up Result of Hybrid Surgery and Anterior Cervical Discectomy and Fusion for the Treatment of Contiguous Two-segment Cervical Degenerative Disc Diseases.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To compare the mid-term outcomes of hybrid surgery (HS) and anterior cervical discectomy and fusion (ACDF) for the treatment of contiguous two-segment cervical degenerative disc diseases. SUMMARY OF BACKGROUND DATA:HS has become one of the most controversial subjects in s...


    pub_type: 杂志文章


    authors: Xiong Y,Xu L,Yu X,Yang Y,Zhao D,Hu Z,Li C,Zhao H,Duan L,Zhang B,Chen S,Liu T

    更新日期:2018-10-15 00:00:00

  • Lumbar degenerative spondylolisthesis is not always unstable: clinicobiomechanical evidence.

    abstract:STUDY DESIGN:A clinicobiomechanical study. OBJECTIVE:To clarify the clinicobiomechanical characteristics of a segment with lumbar degenerative spondylolisthesis (LDS) using an original intraoperative measurement system. SUMMARY OF BACKGROUND DATA:Although radiographical evaluation of LDS is extensively performed, the...


    pub_type: 杂志文章


    authors: Hasegawa K,Kitahara K,Shimoda H,Ishii K,Ono M,Homma T,Watanabe K

    更新日期:2014-12-15 00:00:00

  • Anterior cervical discectomy and fusion using a porous hydroxyapatite bone graft substitute.

    abstract:OBJECTIVES:This study analyzed the use of a coral hydroxyapatite bone substitute for use in ACDF both with and without an anterior cervical plate. STUDY DESIGN:The healing of multilevel anterior cervical fusions was tested using a goat model. Comparisons were drawn with histologic, radiographic, and biomechanical test...


    pub_type: 杂志文章,评审


    authors: Zdeblick TA,Cooke ME,Kunz DN,Wilson D,McCabe RP

    更新日期:1994-10-15 00:00:00

  • Ten-year follow-up of strengthening versus flexibility exercises with or without abdominal bracing in recurrent low back pain.

    abstract:STUDY DESIGN:Randomized prevention trial. OBJECTIVE:To compare the long-term effect of strengthening versus flexibility exercises and to evaluate the additional effect of abdominal bracing in recurrent low back pain (LBP). SUMMARY OF BACKGROUND DATA:No conclusions could be made regarding appropriate exercise types or...


    pub_type: 杂志文章,随机对照试验


    authors: Aleksiev AR

    更新日期:2014-06-01 00:00:00

  • Indications for surgical fusion of the cervical and lumbar motion segment.

    abstract:STUDY DESIGN:A literature review and the authors' clinical experience for the indication of fusion in the degenerative lumbar and cervical spine is provided. OBJECTIVE:To establish absolute and relative criteria for the indication for fusion in the degenerative cervical and lumbar spine. SUMMARY OF BACKGROUND DATA:Fu...


    pub_type: 杂志文章,评审


    authors: Bambakidis NC,Feiz-Erfan I,Klopfenstein JD,Sonntag VK

    更新日期:2005-08-15 00:00:00

  • Vertebroplasty with high-viscosity polymethylmethacrylate cement facilitates vertebral body restoration in vitro.

    abstract:STUDY DESIGN:In vitro biomechanical study on 6 fresh frozen human thoracolumbar spine specimens. OBJECTIVE:Using a novel high viscosity polymethylmethacrylate (PMMA) cement and vertebroplasty kit to correct the kyphosis angle of wedge compression fractures (AO/ASIF 1.2). SUMMARY OF BACKGROUND DATA:Vertebroplasty is t...


    pub_type: 杂志文章


    authors: Rüger M,Schmoelz W

    更新日期:2009-11-15 00:00:00

  • Secondary prevention of low-back pain. A clinical trial.

    abstract::A clinical trial, aimed at secondary prevention of low-back pain, was performed in 142 hospital employees reporting at least three annual episodes of this condition. Participants were randomly assigned to one of three groups: a calisthenics program (CAL) for 3 months with biweekly sessions of flexion exercises, a back...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Donchin M,Woolf O,Kaplan L,Floman Y

    更新日期:1990-12-01 00:00:00

  • Kinematics of the canine lumbar intervertebral joint. An in vivo study before and after adjacent instrumentation.

    abstract:STUDY DESIGN:In vivo, canine lumbar spine intervertebral motion was measured before and after instrumentation of caudal segments. The three-dimensional kinematics of the intervertebral joint were described using helical axes and Fourier series. OBJECTIVE:The in vivo three-dimensional kinematics of the intervertebral j...


    pub_type: 杂志文章


    authors: Schendel MJ,Dekutoski MB,Ogilvie JW,Olsewski JM,Wallace LJ

    更新日期:1995-12-01 00:00:00

  • Opioid-free Analgesia for Posterior Spinal Fusion Surgery Using Erector Spinae Plane (ESP) Blocks in a Multimodal Anesthetic Regimen.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:The aim of this study was to report the use of erector spinae plane (ESP) blocks as part of an opioid-free multimodal anesthetic regimen and its impact on postoperative pain and opioid requirements following spine surgery. SUMMARY OF BACKGROUND DATA:Posterior spinal fusion surger...


    pub_type: 杂志文章


    authors: Chin KJ,Lewis S

    更新日期:2019-03-15 00:00:00

  • Impact of a medical back care program on utilization of services and primary care physician satisfaction in a large, multispecialty group practice health maintenance organization.

    abstract:STUDY DESIGN:Samples of patients with new back pain were compared at two medical centers, one with and one without a medical back care program. OBJECTIVES:To measure the impact of a medical back care program on use of services and physician satisfaction in a health maintenance organization. SUMMARY OF BACKGROUND DATA...


    pub_type: 杂志文章


    authors: Branthaver B,Stein GF,Mehran A

    更新日期:1995-05-15 00:00:00

  • A rationalized approach to physiotherapy for low-back pain.

    abstract::A systematic approach to low-back pain is presented that relies on the classification of patients according to their symptoms. Rational systems of physiotherapy are proposed for each group and incorporated into an algorithmn. One hundred forty-two patients with mechanical low-back pain have been treated, and their res...


    pub_type: 杂志文章


    authors: Sikorski JM

    更新日期:1985-07-01 00:00:00

  • Confirmation of the posterolateral technique to decompress and fuse thoracolumbar spine burst fractures.

    abstract::A posterolateral technique to decompress retropulsed bone from the spinal canal has been employed in nine patients, confirmed with intraoperative canal inspection and pre- and postoperative computed axial tomographic (CAT) evaluation. This technique has allowed reduction of retropulsed bony elements from the spinal ca...


    pub_type: 杂志文章


    authors: Garfin SR,Mowery CA,Guerra J Jr,Marshall LF

    更新日期:1985-04-01 00:00:00

  • Predicting long-term disability in low back injured workers presenting to a spine consultant.

    abstract::Low back pain (LBP) is the most common, costly, and disabling musculoskeletal condition. Although most LBP patients recover within two months, 2-3% eventually develop disabling chronic low back pain (DCLBP). Due to the prevalence of DCLBP problems, models have been developed to predict which acute low back pain patien...


    pub_type: 杂志文章


    authors: Lehmann TR,Spratt KF,Lehmann KK

    更新日期:1993-06-15 00:00:00

  • Biomechanical analysis of a new concept: an add-on dynamic extension plate for adjacent-level anterior cervical fusion.

    abstract:STUDY DESIGN:A biomechanical study on a pneumatically controlled 7-axis spine simulator using Delron and human cadaveric spine models. OBJECTIVES:To compare the biomechanical properties of an anterior cervical extension plate with comparable-length anterior cervical plates. SUMMARY OF BACKGROUND DATA:Adjacent-level a...


    pub_type: 杂志文章


    authors: Fassett DR,Apfelbaum R,Clark R,Bachus KN,Brodke DS

    更新日期:2005-11-15 00:00:00

  • Evidence-based spine surgery.

    abstract:STUDY DESIGN:Literature review. OBJECTIVE:To describe the state of the literature regarding the performance of lumbar fusion for low back pain due to degenerative disease of the spine. SUMMARY OF BACKGROUND DATA:The effectiveness and costs associated with spinal surgery have been a topic of significant debate in both...


    pub_type: 杂志文章,评审


    authors: Resnick DK

    更新日期:2007-05-15 00:00:00

  • Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans: A Systematic Literature Review.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To summarize the evidence of neurophysiological effects of spinal manipulative therapy (SMT) with a high velocity low amplitude thrust (HVLA-SMT) in asymptomatic and symptomatic humans. SUMMARY OF BACKGROUND DATA:HVLA-SMT is effective in reducing back pain, but its mode of ac...


    pub_type: 杂志文章,meta分析


    authors: Wirth B,Gassner A,de Bruin ED,Axén I,Swanenburg J,Humphreys BK,Schweinhardt P

    更新日期:2019-08-01 00:00:00