Preoperative imaging differences of patients with cervical spondylosis with cervical vertigo indicate the prognosis after cervical total disc replacement

Zheng, Shuguo; Muheremu, Aikeremujiang; Sun, Yin; Tian, Wei; Wu, Chengai

doi:10.1177/0300060519877033

“…Our study finds that CS is associated with peripheral vertigo, which is consistent with other clinical studies and review papers postulating that CS is one of the etiologies of vertigo 14–38 . Several theories have been proposed to explain the etiology of CGV.…”

Section: Discussionsupporting

confidence: 92%

Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Yang

¹

,

Xirasagar

²

,

Kuo

³

et al. 2020

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Objectives/Hypothesis This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo. Study Design Case–control study. Methods Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls. Results Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712). Conclusions CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years. Level of Evidence 2b Laryngoscope, 131:E625–E630, 2021

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“…The effect of Ruffini bodies in the etiology of cervicogenic vertigo was revealed for the first time, as studies 8,11 have found that patients with cervicogenic vertigo have more Ruffini bodies at degenerated levels than at healthy levels. 8 Zheng et al 12 claimed that asymmetrical protrusion in cervical disc hernias causes asymmetric sensory input, which in turn causes cervical vertigo. But their study 12 only involved patients with singlelevel disc herniation.…”

Section: Discussionmentioning

confidence: 99%

“…8 Zheng et al 12 claimed that asymmetrical protrusion in cervical disc hernias causes asymmetric sensory input, which in turn causes cervical vertigo. But their study 12 only involved patients with singlelevel disc herniation. In the present study, we evaluated patients with single and multi-level disc herniation, and we observed that vertigo was severe especially in singlelevel discopathy, which occurred at the C3-4 and C5-6 levels (p < 0.002).…”

Section: Discussionmentioning

confidence: 99%

Untitled

2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

0

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Objective While complaints of pain, loss of strength, and numbness radiating to the neck and arm are common in patients due to cervical disc degeneration, vertigo is a rare symptom. The articles previously published on the subject focus on single-level disk degeneration and its correlation with vertigo. However, in the case of multilevel cervical discopathy, its effect on the severity of vertigo and its response to surgical treatment has not been clarified. Therefore, the objective of the present study is to shed light on the topic. Methods Patients with vertigo complaints in whom all known etiological causes of vertigo had been excluded, but with cervical disc degeneration, were included in the study. The scores on the Visual Analog Scale (VAS) and Cervical Vertigo Evaluation Scale (CVES) were analyzed in terms of numbers of discopathy, spine levels, and differences regarding the preoperative and postoperative status. Results A total of 24 patients (14 with single-level and 10 with multi-level disc degeneration) underwent anterior cervical discectomy. The preoperative CVES score was significantly decreased after surgery. Multi-level disc degeneration causes fewer vertigo symptoms than the single-level kind. No significant correlation between the severity of pain and vertigo was observed. Conclusion Multi-level disc degeneration causes fewer vertigo symptoms. These symptoms decreased after anterior cervical discectomy in cases of single-level disk herniation at upper segments. The surgical intervention could be a favorable choice of treatment. However, the mechanism and treatment approach to cervical vertigo is still a controversial issue.

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“…The effect of Ruffini bodies in the etiology of cervicogenic vertigo was revealed for the first time, as studies 8 11 have found that patients with cervicogenic vertigo have more Ruffini bodies at degenerated levels than at healthy levels. 8 Zheng et al 12 claimed that asymmetrical protrusion in cervical disc hernias causes asymmetric sensory input, which in turn causes cervical vertigo. But their study 12 only involved patients with single-level disc herniation.…”

Section: Discussionmentioning

confidence: 99%

Multi-Level Cervical Disc Degeneration and Vertigo

Ercan

¹

,

Baloğlu

²

2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

1

0

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Objective While complaints of pain, loss of strength, and numbness radiating to the neck and arm are common in patients due to cervical disc degeneration, vertigo is a rare symptom. The articles previously published on the subject focus on single-level disk degeneration and its correlation with vertigo. However, in the case of multilevel cervical discopathy, its effect on the severity of vertigo and its response to surgical treatment has not been clarified. Therefore, the objective of the present study is to shed light on the topic. Methods Patients with vertigo complaints in whom all known etiological causes of vertigo had been excluded, but with cervical disc degeneration, were included in the study. The scores on the Visual Analog Scale (VAS) and Cervical Vertigo Evaluation Scale (CVES) were analyzed in terms of numbers of discopathy, spine levels, and differences regarding the preoperative and postoperative status. Results A total of 24 patients (14 with single-level and 10 with multi-level disc degeneration) underwent anterior cervical discectomy. The preoperative CVES score was significantly decreased after surgery. Multi-level disc degeneration causes fewer vertigo symptoms than the single-level kind. No significant correlation between the severity of pain and vertigo was observed. Conclusion Multi-level disc degeneration causes fewer vertigo symptoms. These symptoms decreased after anterior cervical discectomy in cases of single-level disk herniation at upper segments. The surgical intervention could be a favorable choice of treatment. However, the mechanism and treatment approach to cervical vertigo is still a controversial issue.

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Preoperative imaging differences of patients with cervical spondylosis with cervical vertigo indicate the prognosis after cervical total disc replacement

Cited by 7 publications

References 16 publications

Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Untitled

Multi-Level Cervical Disc Degeneration and Vertigo

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