Degenerative spondylolisthesis of the cervical spine — symptoms and surgical strategies depending on disease progress

Woiciechowsky, Christian; Thomale, Ulrich W.; Kroppenstedt, Stefan

doi:10.1007/s00586-004-0673-9

Cited by 51 publications

(70 citation statements)

References 14 publications

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“…However, more recent studies have focused on the DS of the cervical spine [2,4,28,30]. There are a high number of patients with CSM in Japan [16], potentially due to the developmental spinal canal size [31], which was shown to be 2.25 mm smaller in Japanese than in Caucasian adults [19].…”

Section: Discussionmentioning

confidence: 99%

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Degenerative spondylolisthesis does not influence surgical results of laminoplasty in elderly cervical spondylotic myelopathy patients

Shigematsu

2010

Eur Spine J

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The objective of the study was to investigate the comorbidity of degenerative spondylolisthesis (DS), in elderly cervical spondylotic myelopathy (CSM) patients in our hospital, and the correlation between surgical results and preoperative DS. There are few studies on the outcome of laminoplasty for CSM with DS. A total of 49 elderly patients ([65 years old) who eventually had surgical treatment for CSM were evaluated. A slippage displacement of more than 2.5 mm at least at one level was classified to have a positive DS on flexion/extension radiographs (DS group). A slippage displacement less than 1.0 mm was considered a negative DS (non-DS group). Seventeen patients who had slippage of 1.0-2.5 mm were excluded from the study. The DS group (n = 15) included cases with DS at preoperation, while the remaining cases (n = 17) belonged to the non-DS group. The flexion/ extension radiographs of the two groups were compared for range of motion and clinical results at 3 years after the operation. Of all elderly patients, 30.6% had DS. There was no significant difference between the two groups based on the clinical results. The range of motion of all cervical spines (DS group and non-DS group) was significantly limited. However, there was no significant difference between the two groups. New postoperative DS appeared in four patients, of which two were from the DS group and two from the non-DS group. These data suggest that degenerative spondylolisthesis does not influence surgical results in elderly cervical spondylotic myelopathy patients.

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Section: Discussionmentioning

confidence: 99%

“…These data suggest that most CSM patients frequently have more than two or three levels of cord compression, and we frequently perform laminoplasty in those patients. However, DS is considered to be an instability factor, and arthrodesis is considered the appropriate treatment for instability [2,4,22,30].…”

Section: Discussionmentioning

confidence: 99%

Degenerative spondylolisthesis does not influence surgical results of laminoplasty in elderly cervical spondylotic myelopathy patients

Shigematsu

2010

Eur Spine J

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“…One explanation could be that many patients are diagnosed with severe cervical spine deformities late in life, and when a deformity occurs, one does not necessarily conclude that spondylolisthesis was the primary cause (Woiciechowsky et al, 2004). Different theories exist about the mechanism of cervical spondylolisthesis.…”

Section: Discussionmentioning

confidence: 99%

Comparison of computed tomography and magnetic resonance imaging in the evaluation of facet tropism and facet arthrosis in degenerative cervical spondylolisthesis

Xu¹,

Ding²,

Xu³

2014

Genet. Mol. Res.

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ABSTRACT. The aim of this study was to determine the reliability of magnetic resonance imaging (MRI) in the assessment of facet tropism and facet arthrosis of spondylolisthesis levels in degenerative cervical spondylolisthesis as compared to computed tomography (CT). The discrepancies in the interpretation of CT and MRI data in the evaluation of facet tropism and arthrosis have given rise to questions regarding the reliability of comparisons of the two techniques. Using a 4-point scale, 3 blinded readers independently graded the severity of facet tropism and facet arthrosis of 79 cervical facet joints on axial T2-weighted and sagittal T1 and T2-weighted turbo spin echo images as well as the corresponding axial CT scans. All results were subjected to the kappa coefficient statistic for strength of agreement. In the assessment of the severity of facet arthrosis, intermethod agreement (weighted κ) between CT scanning with a moderate inter-rater reliability (range κ = 0.43-0.57) and MRI with fair inter-rater reliability (range κ = 0.23-0.38) Evaluation of facet tropism and arthrosis was 0.76 and 0.43 for the severity of facet tropism and facet arthrosis, respectively. Intra-rater reliability for the severity of facet arthrosis was moderate to substantial for CT and was moderate for MRI scans. Intrarater reliability for the severity of facet tropism was substantial to very good for CT and substantial for MRI scans. MRI can reliably determine the presence or degree of facet tropism but not facet arthrosis. Therefore, for a comprehensive assessment of cervical facet joint degeneration, both a CT and an MRI scan should be performed.

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“…After screening the abstracts, eight articles underwent further analysis [4][5][6][7][8][9][10][11]. The detailed data are listed in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Degenerative cervical spondylolisthesis: a systematic review

Jiang

Dai

2011

International Orthopaedics (SICOT)

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Purpose Degenerative cervical spondylolisthesis has received insufficient attention, in contrast to degenerative lumbar spondylolisthesis. In fact, degenerative cervical spondylolisthesis may be more common than previously thought. Methods In order to provide appropriate guidelines for the treatment of degenerative cervical spondylolisthesis, a systematic review of degenerative cervical spondylolisthesis was performed. An English literature search from January 1947 to November 2010 was completed with reference to radiological examination and management of degenerative cervical spondylolisthesis. Results Of 102 patients with degenerative cervical spondylolisthesis, 52 patients (51%) had neck or occipital pain, 23 patients (22.5%) were referred with radiculopathy and 65 patients (63.7%) presented with myelopathy or myeloradiculopathy. Degenerative cervical spondylolisthesis was most common in C3/4 and C4/5, occurring in 81 patients at C3/4 (46%) and 87 at C4/5 (49.4%). Disc degeneration and facet hypertrophy were the main causes of this clinical entity. Of 123 patients, 57 (46.3%) were found to have segmental instability as shown by flexion-extension lateral radiographs. There are two classification systems for degenerative cervical spondylolisthesis. Surgery was indicated in patients who had radiologically proven cervical spondylolisthesis with instability and/or spinal cord compression. Conclusion Prospective studies should be designed in the future to draw a more reliable conclusion about the management of degenerative cervical spondylolisthesis.

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Degenerative spondylolisthesis of the cervical spine — symptoms and surgical strategies depending on disease progress

Abstract: Background.

Cited by 51 publications

References 14 publications

Degenerative spondylolisthesis does not influence surgical results of laminoplasty in elderly cervical spondylotic myelopathy patients

Degenerative spondylolisthesis does not influence surgical results of laminoplasty in elderly cervical spondylotic myelopathy patients

Comparison of computed tomography and magnetic resonance imaging in the evaluation of facet tropism and facet arthrosis in degenerative cervical spondylolisthesis

Degenerative cervical spondylolisthesis: a systematic review

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