802 results on '"Spinal Osteophytosis diagnostic imaging"'
Search Results
2. The effect of retroaortic left renal vein on lumbar osteophytes formation.
- Author
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Kraus M, Nissan J, Saukhat O, Tau N, Eshed I, and Raskin D
- Subjects
- Humans, Male, Female, Retrospective Studies, Middle Aged, Case-Control Studies, Aged, Adult, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis complications, Lumbar Vertebrae diagnostic imaging, Renal Veins diagnostic imaging, Renal Veins abnormalities, Renal Veins pathology, Tomography, X-Ray Computed, Osteophyte diagnostic imaging
- Abstract
Purpose: Assess whether a Retroaortic left renal vein (RLRV) affects vertebral osteophyte formation in the lumbar spine, compared to normal anatomy left renal vein., Methods: We conducted a retrospective case-control study. Computed tomography (CT) scans of individuals with a RLRV (study group) were compared to age- and gender-matched normal anatomy CT scans (control group). L1 to L4 vertebral levels were appreciated for: left renal vein level, osteophyte presence and the aorta-vertebral distance (AVD) at the left renal vein level. Univariate analyses were conducted using Chi-square test and Fisher's test for categorical variables, and Student's t-test for continuous variables. Logistic regression was used for multivariate analyses., Results: A total of 240 patients were included in the study - equally distributed between the study and control groups. Normal anatomy left renal veins traversed the spine only at the L1 and L2 levels. RLRVs traversed the spine in all L1-L4 levels, mostly at the L3 and L2. Osteophyte prevalence at the level of left renal vein was significantly higher in the study group, compared with the control group [OR 2.54, P = 0.01]. Mean AVD was greater in the study group [9.2 mm ±3.6 mm Vs. 3.5 mm ± 2.6 mm, P < 0.001]. Increased AVD was found to be associated with a higher chance of osteophyte presence at the level of the left renal vein [OR 1.282, P = 0.025]., Conclusions: Osteophytes are more prevalent at the level of the RLRV variant compared to the normal anatomy. Furthermore, the RLRV is characterized by a lower lumbar level compared to the normal anatomy., Clinical Relevance Statement: This anatomic variation could assist in further understanding of osteophyte formation., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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3. Anterior cervical osteophytes: a rare culprit of unilateral vocal cord palsy.
- Author
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Fadhil M, Wong ACL, Jaeger M, Novakovic D, Le Lacheur M, and MacKay S
- Subjects
- Humans, Male, Tomography, X-Ray Computed methods, Female, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Middle Aged, Vocal Cord Paralysis etiology, Cervical Vertebrae diagnostic imaging, Osteophyte complications, Osteophyte diagnostic imaging
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- 2024
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4. Classification of Osteophytes Occurring in the Lumbar Intervertebral Foramen.
- Author
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Taçyıldız AE and İnceoğlu F
- Subjects
- Humans, Male, Female, Middle Aged, Retrospective Studies, Aged, Adult, Aged, 80 and over, Young Adult, Tomography, X-Ray Computed methods, Adolescent, Spinal Osteophytosis pathology, Spinal Osteophytosis diagnostic imaging, Lumbar Vertebrae pathology, Lumbar Vertebrae diagnostic imaging, Osteophyte pathology, Osteophyte diagnostic imaging
- Abstract
Background: Surgeons have limited knowledge of the lumbar intervertebral foramina. This study aimed to classify osteophytes in the lumbar intervertebral foramen and to determine their pathoanatomical characteristics, discuss their potential biomechanical effects, and contribute to developing surgical methods., Methods: We conducted a retrospective, non-randomized, single-center study involving 1224 patients. The gender, age, and anatomical location of the osteophytes in the lumbar intervertebral foramina of the patients were recorded., Results: Two hundred and forty-nine (20.34%) patients had one or more osteophytes in their lumbar 4 and 5 foramina. Of the 4896 foramina, 337 (6.88%) contained different types of osteophytes. Moreover, four anatomical types of osteophytes were found: mixed osteophytes in 181 (3.69%) foramina, osteophytes from the lower endplate of the superior vertebrae in 91 (1.85%) foramina, osteophytes from the junction of the pedicle and lamina of the upper vertebrae in 39 foramina (0.79%), and osteophytes from the upper endplate of the lower vertebrae in 26 (0.53%) foramina. The L4 foramen contained a significantly higher number of osteophytes than the L5 foramen. Osteophyte development increased significantly with age, with no difference between males and females., Conclusions: The findings show that osteophytic extrusions, which alter the natural anatomical structure of the lumbar intervertebral foramina, are common and can narrow the foramen.
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- 2024
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5. Pseudochoreoathetosis secondary to progressive spondylotic cervical myelopathy.
- Author
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Brooks CA, Phua CS, Dower A, and Bazina R
- Subjects
- Aged, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae surgery, Decompression, Surgical, Humans, Male, Spinal Cord Diseases diagnostic imaging, Spinal Cord Diseases etiology, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery, Spondylosis complications, Spondylosis diagnostic imaging, Spondylosis surgery
- Abstract
Pseudochoreoathetosis is a rare movement disorder associated with loss of proprioception. Culprit lesions may occur at any point between the cerebral cortex and the peripheral nerve. Seldom is the underlying cause reversible or prone to improvement. An elderly man presented to our tertiary centre with choreoathetoid movements secondary to spondylotic subaxial cervical myelopathy. His myelopathy fulminated and he was emergently treated with posterior decompressive neurosurgery. Unexpectedly, his choreoathetoid movements improved significantly post-operatively. There are a multitude of reports of pseudochoreoathetosis secondary to lesions of various aetiologies; however, few have reported this disorder secondary to cervical spondylosis. To our knowledge, there is only one other report in the medical literature. Herein, we report a second case, for the purposes of raising awareness of this disorder, and to highlight relevant clinical pearls for clinicians who encounter this rare pathology., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2021
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6. Facet joint ankylosis in r-axSpA: detection and 2-year progression on whole spine low-dose CT and comparison with syndesmophyte progression.
- Author
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Stal R, van Gaalen F, Sepriano A, Braun J, Reijnierse M, van den Berg R, van der Heijde D, and Baraliakos X
- Subjects
- Adult, Cohort Studies, Disease Progression, Female, Humans, Male, Middle Aged, Tomography, X-Ray Computed, Osteophyte diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Spondylitis, Ankylosing diagnostic imaging, Zygapophyseal Joint diagnostic imaging
- Abstract
Objectives: To evaluate the occurrence and progression of facet joint ankylosis in the whole spine using low-dose CT (ldCT) in radiographic axial spondyloarthritis (r-axSpA) and compare progression of facet joint ankylosis and syndesmophytes., Methods: Patients with r-axSpA from the Sensitive Imaging in Ankylosing Spondylitis (SIAS) cohort underwent ldCT at baseline (n = 60) and 2 years (n = 53). Facet joints (right and left, levels C2-S1) were scored as ankylosed, not ankylosed or unable to assess. Joints that were frequently poorly visible (>15% missing), were excluded. Inter-reader reliability on the patient level was assessed with intraclass correlation coefficients (ICCs) and smallest detectable change (SDC). Ankylosis was assessed at joint level and patient level for both timepoints. Syndesmophytes were assessed with CT syndesmophyte score., Results: Levels C5-T2 were difficult to assess and excluded from all further analyses. Facet joint ICCs were good to excellent for status scores (0.72-0.93) and poor to excellent for progression scores (0.10-0.91). Facet joint ankylosis was detected at every level but most frequently in the thoracic joints. In total, 48% of patients showed 2-year progression. Most progression occurred in the thoracic segment. Using SDCs as cutoff, 18% of patients had progression of facet joint ankylosis only, whereas 20% of patients had progression of syndesmophytes only., Conclusion: This is the first study evaluating facet joints in the whole spine by ldCT in r-axSpA. Facet joint ankylosis was detected most often in the thoracic spine. Assessing facet joints in addition to syndesmophytes detected substantially more patients with damage progression over two years., (© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology.)
- Published
- 2020
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7. Microstructural Changes in Compressed Cervical Spinal Cord Are Consistent With Clinical Symptoms and Symptom Duration.
- Author
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Wu W, Yang Z, Zhang T, Ru N, Zhang F, Wu B, and Liang J
- Subjects
- Adult, Aged, Biomarkers, Diffusion Tensor Imaging, Female, Humans, Male, Middle Aged, Prospective Studies, Spinal Cord Compression diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Young Adult, Cervical Cord pathology, Cervical Vertebrae pathology, Spinal Cord Compression pathology, Spinal Cord Diseases pathology, Spinal Osteophytosis pathology
- Abstract
Study Design: A prospective study., Objective: To investigate the association between microstructural changes measured by diffusion tensor imaging (DTI) and clinical symptoms and their duration in patients with cervical spondylotic myelopathy (CSM) affected by single level., Summary of Background Data: No report was reported regarding the association between the microstructural changes and the symptoms and their duration at single-level spinal cord compression., Methods: Twenty-nine consecutive patients with CSM and 29 normal subjects were enrolled in this study. DTI with tractography was performed on the cervical spinal cord. Clinical symptoms were evaluated using modified Japanese Orthopaedic Association (mJOA) scores for each patient, and the duration of clinical symptoms was noted based on the earliest instance of limb pain or numbness or weakness or bladder dysfunction. Mean fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values were calculated from tractography images., Results: The mean FA value of the cervical compressed spinal cord was significantly lower than the FA of the normal population (P < 0.001). The mean ADC value in the cervical compressed spinal cord was obviously higher than those of normal cervical spinal cord (P < 0.001). In the CSM patients, a significant positive association was observed between FA values and mJOA scores (P < 0.001). However, there were a notable negative association between mJOA scores and ADC values (P < 0.001), and between mJOA scores and symptom duration (P < 0.001)., Conclusion: These results illustrate DTI can measure the micostructural changes of cervical spinal cord and DTI parameters are potential biomarkers for spinal cord dysfunction in patients with CSM., Level of Evidence: 3.
- Published
- 2020
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8. Forestier's syndrome : a rare cause of dysphagia. A case report and review of the literature.
- Author
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Legaye J
- Subjects
- Aged, Humans, Male, Prognosis, Secondary Prevention methods, Severity of Illness Index, Treatment Outcome, Cervical Vertebrae pathology, Cervical Vertebrae surgery, Deglutition Disorders diagnosis, Deglutition Disorders etiology, Deglutition Disorders surgery, Hyperostosis, Diffuse Idiopathic Skeletal complications, Hyperostosis, Diffuse Idiopathic Skeletal diagnosis, Hyperostosis, Diffuse Idiopathic Skeletal physiopathology, Hyperostosis, Diffuse Idiopathic Skeletal surgery, Osteotomy adverse effects, Osteotomy methods, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis etiology, Spinal Osteophytosis surgery
- Abstract
We report a 72-year-old male with Forestier's syndrome suffering of dysphagia due to an anterior cervical calcification, unusually great in both volume and extent. Its resection by anterior approach allowed the immediate restoration of a normal swallowing. A bony resection is sufficient in case of Forestier's syndrome, but it must be associated with fixation in case of degenerative osteophyte with disc instability. Long-term follow-up is necessary because the recurrence of the calcification is slow but frequent.
- Published
- 2020
9. Sannino-Barduagni-Bottoni Syndrome.
- Author
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Pranteda G, Magri F, Moliterni E, Pranteda G, and Quaglino P
- Subjects
- Aged, Delayed Diagnosis, Dermatitis, Allergic Contact diagnosis, Diagnosis, Differential, Humans, Male, Spinal Osteophytosis diagnostic imaging, Spondylosis diagnosis, Spondylosis diagnostic imaging, Syndrome, Cervical Vertebrae diagnostic imaging, Hand Dermatoses etiology, Neuralgia etiology, Paresthesia etiology, Spinal Osteophytosis complications, Spondylosis complications
- Published
- 2019
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10. Spontaneous pharyngeal perforation secondary to cervical osteophytosis.
- Author
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Mayo-Yáñez M and Villares-Soriano J
- Subjects
- Aged, Humans, Male, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed, Cervical Vertebrae diagnostic imaging, Deglutition Disorders etiology, Pharyngeal Diseases etiology, Spinal Osteophytosis complications, Spontaneous Perforation etiology
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- 2019
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11. Transoral Endoscopic Resection of High Cervical Osteophytes with Long-Term Symptom Resolution: Case Series, Imaging, and Literature Review.
- Author
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Jabarkheel R, Chen YR, Xu L, Yan CH, Patel ZM, and Desai AM
- Subjects
- Cervical Vertebrae diagnostic imaging, Deglutition Disorders diagnostic imaging, Deglutition Disorders etiology, Deglutition Disorders surgery, Female, Follow-Up Studies, Humans, Interdisciplinary Communication, Intersectoral Collaboration, Magnetic Resonance Imaging, Middle Aged, Oropharynx diagnostic imaging, Oropharynx surgery, Postoperative Complications diagnostic imaging, Postoperative Complications surgery, Spinal Fusion, Tomography, X-Ray Computed, Cervical Vertebrae surgery, Endoscopy methods, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery
- Abstract
Background: Anterior cervical osteophytes (ACOs) are a common radiologic finding in the elderly; rarely, they can cause dysphagia, dysphonia, and dyspnea. Symptomatic ACOs are most commonly found between C4 and C7 and much less commonly at higher cervical levels. Here, we present a case series, with an example case of a 57-year-old woman with high cervical osteophytes at C1-C2 causing globus sensation, dysphagia, and dysphonia. Additionally, we provide a literature review regarding the causes, diagnosis, and treatment of ACOs, with a focus on management of high ACOs., Case Description: A 57-year-old smoker with a history of chronic neck pain and previous cervical spinal instrumentation presented with several months of globus sensation, dysphagia, and dysphonia. Imaging revealed 2 large anterior osteophytes at C1-C2. She underwent endoscopic transoral osteophytectomy, with resolution of symptoms. Five other patients are also presented who underwent similar procedures., Conclusions: ACOs are a potential cause of dysphagia, and their diagnosis is best made with computed tomographic imaging and oropharyngeal swallow study. Although high ACOs at C1-C2 are a rare finding, here we show with an exemplary case and small case series that they can be effectively treated with transoral endoscopic osteophytectomy., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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12. External left atrium compression by spinal osteophytes.
- Author
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Haghbayan H, Coomes EA, and Cheema AN
- Subjects
- Aged, Constriction, Pathologic diagnostic imaging, Female, Heart Murmurs etiology, Humans, Spinal Osteophytosis complications, Tomography, X-Ray Computed, Heart Atria diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Thoracic Vertebrae diagnostic imaging
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- 2018
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13. Too hard to swallow!
- Author
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Siau K, Aziz A, Liew L, and Ishaq S
- Subjects
- Aged, 80 and over, Endoscopy, Female, Humans, Radiography, Cervical Vertebrae, Deglutition Disorders diagnostic imaging, Deglutition Disorders etiology, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging
- Abstract
Competing Interests: Competing interests: None declared
- Published
- 2018
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14. Vertebral Osteophyte as Possible Etiology of Aortoenteric Fistula.
- Author
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Janko M, Ciocca RG, and Hacker RI
- Subjects
- Aged, Aortic Diseases diagnostic imaging, Aortic Diseases surgery, Aortography methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation instrumentation, Computed Tomography Angiography, Delayed Diagnosis, Device Removal, Duodenal Diseases diagnostic imaging, Duodenal Diseases surgery, Humans, Intestinal Fistula diagnostic imaging, Intestinal Fistula surgery, Male, Osteophyte diagnostic imaging, Predictive Value of Tests, Spinal Osteophytosis diagnostic imaging, Treatment Outcome, Vascular Fistula diagnostic imaging, Vascular Fistula surgery, Aortic Diseases etiology, Blood Vessel Prosthesis Implantation adverse effects, Duodenal Diseases etiology, Intestinal Fistula etiology, Lumbar Vertebrae diagnostic imaging, Osteophyte complications, Spinal Osteophytosis complications, Vascular Fistula etiology
- Abstract
Aortoenteric fistula (AEF) and aortoenteric erosion (AEE) are deadly and difficult to diagnose. We present here a case report of a patient with a delayed diagnosis of AEF whose preoperative imaging revealed a large vertebral osteophyte which likely directed the aortic impulse into the duodenum. We believe this is the first report documenting an anatomical explanation for AEF/AEE and conclude that the presence of vertebral osteophytes should be considered a risk factor when assessing preoperative likelihood of AEF/AEE., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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15. Renal Artery Dissection in a Patient With Degenerative Scoliosis: A Rare Complication Caused by Lumbar Vertebra Osteophyte.
- Author
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Beyazal M, Serdaroglu Beyazal M, Kara E, Beyazal Polat H, Beyazal Çeliker F, and Ergene Ş
- Subjects
- Aged, Aortic Dissection diagnostic imaging, Aortic Dissection drug therapy, Anticoagulants therapeutic use, Conservative Treatment, Female, Humans, Osteophyte diagnostic imaging, Osteophyte therapy, Scoliosis diagnostic imaging, Scoliosis therapy, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis therapy, Tomography, X-Ray Computed, Treatment Outcome, Aortic Dissection etiology, Lumbar Vertebrae diagnostic imaging, Osteophyte complications, Renal Artery diagnostic imaging, Scoliosis complications, Spinal Osteophytosis complications
- Abstract
Isolated spontaneous renal artery dissection (RAD) without known trauma is rare, and its etiology has not been determined. However, notable risk factors including hypertension, strenuous exercise, connective tissue disorders, atherosclerosis, extracorporeal shock wave lithotripsy, and cocaine abuse have been reported. To the best of our knowledge, isolated RAD caused by lumbar vertebra osteophytes in patients with degenerative lumbar scoliosis has not been reported in the literature. In this article, we present a case of RAD caused by lumbar vertebra osteophyte in a patient with degenerative scoliosis and discuss the management of the disease.
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- 2018
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16. Chronic low back pain and its association with lumbar vertebrae and intervertebral disc changes in adults. A case control study.
- Author
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Karunanayake AL, Pathmeswaran A, and Wijayaratne LS
- Subjects
- Adult, Aged, Case-Control Studies, Chronic Pain diagnostic imaging, Female, Humans, Intervertebral Disc Degeneration diagnostic imaging, Logistic Models, Low Back Pain diagnostic imaging, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Pain Measurement, Risk Factors, Spinal Fractures diagnostic imaging, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Spondylolisthesis complications, Spondylolisthesis diagnostic imaging, Sri Lanka, Chronic Pain etiology, Intervertebral Disc diagnostic imaging, Intervertebral Disc Degeneration complications, Low Back Pain etiology, Lumbar Vertebrae diagnostic imaging, Spinal Fractures complications
- Abstract
Aim: This study was done to determine the association between chronic low back pain and vertebral fractures, intervertebral disc space (IDS) narrowing, vertebral osteophytes and spondylolisthesis among adults., Method: This case control study was done in Sri Lanka. Cases were patients with low back pain and controls were without low back pain. Postero-anterior and lateral radiographs of lumbar sacral spine of both groups were studied. To detect vertebral fractures in fourth and fifth lumbar vertebrae, anterior and posterior heights of vertebrae were measured using a Vernier caliper and antero-posterior ratio (A/P) was calculated. Having an A/P ratio value of < 0.89 was considered as a vertebral fracture. Presence of disc space narrowing, vertebral osteophytes and spondylolisthesis was assessed by two radiologists working independently. Bivariate and logistic regression analysis was done to find associations., Results: There were 140 cases and 140 controls. Mean (SD) age for cases was 51.6 (17) years. Mean (SD) age for controls was 50 (15) years. Females made up 62% of cases and controls. Fifth lumbar vertebral fracture (odds ratio [OR] = 10.2; P = 0.001), fourth lumbar vertebral fracture (OR = 2.5; P = 0.017) and IDS narrowing (OR = 4.15, P = 0.009) had a significant association with low back pain and vertebral osteophytes and spondylolisthesis did not have a significant association with low back pain., Conclusion: Only vertebral fractures and IDS narrowing had a significant association with chronic low back pain., (© 2017 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.)
- Published
- 2018
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17. Unusual Cause of Dysphagia.
- Author
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Verdier V, Ngo MD, and Petit R
- Subjects
- Aged, 80 and over, Deglutition Disorders diagnosis, Deglutition Disorders physiopathology, Endoscopy, Gastrointestinal, Humans, Male, Osteophyte diagnostic imaging, Osteophyte surgery, Osteotomy, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery, Tomography, X-Ray Computed, Treatment Outcome, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae surgery, Deglutition Disorders etiology, Osteophyte complications, Spinal Osteophytosis complications
- Published
- 2018
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18. Anterior cervical osteophytosis as a cause of dyspnoea and stridor.
- Author
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Casimiro HJ, Carreira J, Navarro B, and Parreira MR
- Subjects
- Aged, Humans, Male, Spinal Osteophytosis diagnostic imaging, Cervical Vertebrae diagnostic imaging, Dyspnea etiology, Respiratory Sounds etiology, Spinal Osteophytosis complications
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2017
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19. An Intriguing Cause of Dysphagia.
- Author
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Chhabra P, Brar R, and Bhasin DK
- Subjects
- Barium Sulfate administration & dosage, Contrast Media administration & dosage, Deglutition Disorders diagnosis, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Osteophyte diagnostic imaging, Osteophyte surgery, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae surgery, Deglutition Disorders etiology, Osteophyte complications, Spinal Osteophytosis complications
- Published
- 2017
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20. A Rare Cause of Weight Loss in an 80y Old Ankylosing Spondylitis Patient.
- Author
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Westhovens I, Thielens I, De Vlam K, Westhovens R, and Delva T
- Subjects
- Aged, 80 and over, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae pathology, Diagnosis, Differential, Endoscopy, Digestive System methods, Humans, Male, Radiography methods, Cachexia diagnosis, Cachexia etiology, Deglutition Disorders diagnosis, Deglutition Disorders etiology, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis physiopathology, Spondylitis, Ankylosing complications, Spondylitis, Ankylosing physiopathology
- Published
- 2017
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21. Relationship between spinal osteoarthritis and vertebral fractures in men older than 50 years: data from the Camargo Cohort Study.
- Author
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Pariente E, Olmos JM, Landeras R, Nan D, González-Macías J, and Hernández JL
- Subjects
- Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prospective Studies, Lumbar Vertebrae diagnostic imaging, Lumbar Vertebrae metabolism, Osteoarthritis, Spine complications, Osteoarthritis, Spine diagnostic imaging, Osteoarthritis, Spine epidemiology, Osteoarthritis, Spine metabolism, Spinal Fractures diagnostic imaging, Spinal Fractures epidemiology, Spinal Fractures etiology, Spinal Fractures metabolism, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis epidemiology, Spinal Osteophytosis etiology, Spinal Osteophytosis metabolism, Thoracic Vertebrae diagnostic imaging, Thoracic Vertebrae metabolism
- Abstract
Spinal osteoarthritis has been suggested as a risk factor for vertebral fractures. However, results are conflicting: most of the data are focused on the lumbar region, and referred to postmenopausal women, whereas data for men are scarce. The aim of this study is to assess the relationship between spinal osteoarthritis and vertebral fractures in men over 50 years of age. We conducted a cross-sectional study, nested in a prospective population-based cohort, including 507 community-dwelling men, 93 of them with at least one vertebral fracture. Vertebral fractures, osteophytosis, and disc space narrowing (DSN) were assessed by lateral thoracic and lumbar radiographs. Anthropometric, clinical, and densitometric variables were also analyzed. A multiple logistic regression model was performed. Eighty-five percent of vertebral fractures were located at the thoracic spine. Osteophytosis and DSN showed a bimodal distribution, with major frequency peaks at mid- and distal lumbar spine. The three distributions overlapped around the T9 vertebra. We did not find any relationship between lumbar osteoarthritis and vertebral fractures. Nevertheless, thoracic osteophytosis (OR, 1.84; 95 % CI, 1.05-3.17; p = 0.03) and DSN (OR, 2.52; 95 % CI, 1.43-4.46; p = 0.001) were found to be independently associated with prevalent vertebral fractures, after adjusting for confounders. Our results suggest a positive relationship between radiologic osteoarthritic changes at the thoracic spine and prevalent vertebral fractures in men more than 50 years of age. Osteoarthritis may act as a local risk factor, in addition to other mechanical factors, resulting in a greater propensity to fracture, especially at the mid-thoracic region.
- Published
- 2017
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22. Cervical Osteophytes Increase the Risk for Foreign Body Impaction: A 171-Patient Case-Control Study.
- Author
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Shoffel-Havakuk H, Cahanovitc S, Adi M, Cohen O, Haimovich Y, Lahav Y, and Halperin D
- Subjects
- Adult, Aged, Case-Control Studies, Female, Foreign Bodies diagnostic imaging, Humans, Logistic Models, Male, Middle Aged, Osteophyte diagnostic imaging, Osteophyte pathology, Retrospective Studies, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis pathology, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae pathology, Esophagus, Foreign Bodies complications, Osteophyte complications, Spinal Osteophytosis complications
- Abstract
The aim of this study is to define the relationship between anatomical and pathological cervical structures and the impaction of ingested foreign bodies (FBs). The effects of such structures on deglutition have been previously discussed, however their contribution to FB impaction has not yet been examined. This was a retrospective case-control study of 171 patients who underwent computed tomography (CT) scans over the period 2008-2014: 57 patients with an esophageal or hypopharyngeal FB; the other 114 comprised the control group, selected using the 'neighbor control' method. CT scans were reviewed for measurements of cervical structures. The mean age was 63 ± 13 years and 55 ± 17 years in the case and control groups, respectively (p-value = 0.003). Age was the only demographic or clinical characteristic which demonstrated a significant difference. Overall, 24 patients had cervical osteophytes: 28 %(16) with an impacted FB, compared with 7 %(8) from the control group (p-value < 0.001). Of the patients with osteophytes and impacted FBs, 62.5 % had the FB lodged at a vertebral level corresponding to their osteophytes, while another 18.75 % had the FB within three vertebral levels above the osteophytes. Stepwise logistic regression revealed that osteophytes were a significant factor, independent of older age (p-value = 0.004). Adjusted odds ratio for FB impaction in the presence of osteophytes was 4.04. Ventral cervical osteophytes increase the risk for FB impaction in the upper digestive tract. This risk is independent of older age. These findings can be of value in preventive medicine, and emphasize the importance of looking for spinal changes in patients with recurrent FB impaction.
- Published
- 2016
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23. Uncommon back pain after cardiac surgery: Left atrium deformed by huge osteophyte.
- Author
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Muretti M, Manca M, and Portoghese M
- Subjects
- Aged, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Back Pain diagnosis, Heart Atria diagnostic imaging, Humans, Male, Multidetector Computed Tomography, Osteophyte diagnostic imaging, Osteophyte drug therapy, Pain Measurement, Pain, Postoperative diagnosis, Risk Factors, Severity of Illness Index, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis drug therapy, Spondylarthritis diagnostic imaging, Spondylarthritis drug therapy, Sternotomy adverse effects, Treatment Outcome, Back Pain etiology, Cardiac Surgical Procedures adverse effects, Mitral Valve surgery, Osteophyte complications, Pain, Postoperative etiology, Spinal Osteophytosis complications, Spondylarthritis complications, Thoracic Vertebrae diagnostic imaging
- Published
- 2016
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24. Prognosis of posterior osteophyte after anterior cervical decompression and fusion in patients with cervical spondylotic myelopathy using three-dimensional computed tomography study.
- Author
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Liu Y, Luo X, Zhou J, Li N, Peng S, Rong P, and Wang W
- Subjects
- Adult, Female, Humans, Imaging, Three-Dimensional, Male, Middle Aged, Osteophyte diagnostic imaging, Osteophyte surgery, Prognosis, Retrospective Studies, Tomography, X-Ray Computed, Cervical Vertebrae surgery, Decompression, Surgical methods, Decompression, Surgical statistics & numerical data, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery, Spondylosis diagnostic imaging, Spondylosis surgery
- Abstract
Background: Inadequacy of posterior osteophyte resection in anterior cervical decompression and fusion (ACDF) surgery has long been a clinical concern as it may influence surgical outcome. There has been no agreement on the prognosis in the presence of remnant posterior osteophytes., Methods: This study retrospectively investigated 26 cervical spondylotic myelopathy patients after ACDF in whom a remnant posterior osteophyte was identified by long-term follow-up CT scans (minimum of 2 years). Remnant posterior osteophytes and osseous spinal canal were measured and compared between pre-operation CT and long-term post-operation CT. The post-operative clinical outcomes were also studied., Results: The remnant osteophytes did not obviously decrease in size in any patient and significantly enlarged in 10 patients, with a new posterior osteophyte developing in one patient. In patients whose remnant osteophyte is enlarged, the incidence of pseudoarthrosis, as well as clinical deterioration during follow-up was significantly higher than patients with stable osteophytes., Conclusion: Contrary to previous reports, none of the remnant posterior osteophytes decreased obviously in size during follow up. Despite the persistence of posterior osteophytes, ACDF is still effective in CSM treatment. Posterior osteophyte enlargement at fused segment appears to be associated with symptomatic pseudoarthrosis and clinical deterioration after surgery.
- Published
- 2016
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25. Complex cervical spondylotic myelopathy: a report of two cases and literature review.
- Author
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Ma Z, Ma X, Yang H, Feng H, and Chen C
- Subjects
- Aged, Female, Humans, Hypertrophy diagnostic imaging, Intervertebral Disc Displacement complications, Intervertebral Disc Displacement diagnostic imaging, Ligaments, Articular diagnostic imaging, Ligaments, Articular pathology, Ligamentum Flavum diagnostic imaging, Ligamentum Flavum pathology, Spinal Cord Compression complications, Spinal Cord Compression diagnostic imaging, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Spondylosis diagnostic imaging, Cervical Vertebrae diagnostic imaging, Spondylosis etiology
- Abstract
Study Design: A report of two cases with complex cervical spondylotic myelopathy (CSM) and review of the literature., Objective: To describe two unique patients with complex CSM due to simultaneous anomalies as anteroposterior compressions of the spinal cord in both upper and lower cervical spine, caused by hypertrophic transverse ligament of atlas (TLA), dysplasia of the posterior arch of atlas, disc herniation, hypertrophic ligamentum flavum and osteophytes., Methods: We present such two cases with clinical, imageological presentations, and describe the surgical procedure, to which both patients responded favorably., Results: The neurological functions of both patients gradually improved according to the JOA scores and VAS scores in preoperative clumsiness and gait disturbance during the mean follow-up period lasted for 18 months. The latest plain radiographs and computed tomography (CT) revealed good fusion without instrumental failure and magnetic resonance imaging (MRI) showed good decompression of C1-7 spinal cord of both patients. Both patients are progressively followed-up., Conclusion: Posterior surgical approach as C1-7 laminectomy with fixations or occipital-cervical fusions may obtain better reconstructions of the cervical spine and good neurological recovery for the patients with complex CSM we present. However, the incidence and ethnic predisposition for the patients with complex CSM are still unclear.
- Published
- 2016
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26. Transpedicular surgical approach for the management of thoracic osteophyte-induced intracranial hypotension refractory to non-operative modalities: case report and review of literature.
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Dash D, Jalali A, Harsh V, and Omeis I
- Subjects
- Adult, Blood Patch, Epidural, Dura Mater injuries, Female, Humans, Intracranial Hypotension diagnostic imaging, Magnetic Resonance Imaging, Spinal Osteophytosis diagnostic imaging, Thoracic Vertebrae diagnostic imaging, Tomography, X-Ray Computed, Intracranial Hypotension etiology, Spinal Osteophytosis complications, Spinal Osteophytosis surgery, Thoracic Vertebrae surgery
- Abstract
Purpose: In this article, we aim to describe the presentation and management of a case of spontaneous intracranial hypotension caused by a dural tear from a ventral thoracic osteophyte at the T12 level that was refractory to non-surgical treatment modalities. A review of the literature has been performed. Also a proposal of diagnostic and treatment algorithm is presented. Intracranial hypotension and CSF leak as a result of dural tear is a common phenomenon. However, the detection of the source of CSF leak from a thoracic spinal osteophyte has rarely been reported., Methods: Diagnostic workup including MRI and CT Myelogram as well as application of epidural blood patches and surgical technique of hemilaminectomy and osteophytectomy by transpedicular approach have been described. Literature review was conducted using relevant search terms in PubMed., Results: The patient's spontaneous intracranial hypotension symptoms resolved and this persisted on follow up visits. Review our experience as well as similar cases in the literature pointed us towards a diagnostic and treatment algorithm., Conclusions: Spontaneous resolution is the norm for intracranial hypotension of most etiologies and management of all such cases begins with fluid resuscitation coupled with bed rest. On failure of conservative therapy, autologous epidural blood patches into the spinal epidural space should be tried, which often produce an immediate relief of symptoms. Osteophyte-induced dural tear and consequent intracranial hypotension may require surgical intervention if the symptoms are refractory to conservative treatment. Under all circumstances a careful step-wise approach for diagnosis and treatment of spontaneous intracranial hypotension needs to be followed, as we have proposed in our article.
- Published
- 2016
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27. Using self-reports of pain and other variables to distinguish between older women with back pain due to vertebral fractures and those with back pain due to degenerative changes.
- Author
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Clark EM, Gooberman-Hill R, and Peters TJ
- Subjects
- Aged, Back Pain diagnostic imaging, Case-Control Studies, Diagnosis, Differential, Female, Humans, Intervertebral Disc Degeneration diagnostic imaging, Middle Aged, Osteoporosis, Postmenopausal complications, Osteoporotic Fractures diagnostic imaging, Pain Measurement methods, Radiography, Risk Factors, Self Report, Social Class, Spinal Fractures diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Surveys and Questionnaires, Back Pain etiology, Intervertebral Disc Degeneration complications, Osteoporotic Fractures complications, Spinal Fractures complications, Spinal Osteophytosis complications
- Abstract
Unlabelled: Women with back pain and vertebral fractures describe different pain experiences than women without vertebral fractures, particularly a shorter duration of back pain, crushing pain and pain that improves on lying down. This suggests a questionnaire could be developed to identify older women who may have osteoporotic vertebral fractures., Introduction: Approximately 12 % of postmenopausal women have vertebral fractures (VFs), but less than a third come to clinical attention. Distinguishing back pain likely to relate to VF from other types of back pain may ensure appropriate diagnostic radiographs, leading to treatment initiation. This study investigated whether characteristics of back pain in women with VF are different from those in women with no VFs., Methods: A case control study was undertaken with women aged ≥60 years who had undergone thoracic spinal radiograph in the previous 3 months. Cases were defined as those with VFs identified using the algorithm-based qualitative (ABQ) method. Six hundred eighty-three potential participants were approached. Data were collected by self-completed questionnaire including the McGill Pain Questionnaire. Chi-squared tests assessed univariable associations; logistic regression identified independent predictors of VFs. Receiver operating characteristic (ROC) curves were used to evaluate the ability of the combined independent predictors to differentiate between women with and without VFs via area under the curve (AUC) statistics., Results: One hundred ninety-seven women participated: 64 cases and 133 controls. Radiographs of controls were more likely to show moderate/severe degenerative change than cases (54.1 vs 29.7 %, P = 0.011). Independent predictors of VF were older age, history of previous fracture, shorter duration of back pain, pain described as crushing, pain improving on lying down and pain not spreading down the legs. AUC for combination of these factors was 0.85 (95 % CI 0.79 to 0.92)., Conclusion: We present the first evidence that back pain experienced by women with osteoporotic VF is different to back pain related solely to degenerative change.
- Published
- 2016
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28. Dysphagia Caused by Diffuse Idiopathic Skeletal Hyperostosis.
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Smart RJ and Ghali GE
- Subjects
- Aged, Airway Obstruction etiology, Bronchoscopy methods, Cervical Vertebrae diagnostic imaging, Diagnosis, Differential, Humans, Hyperostosis, Diffuse Idiopathic Skeletal diagnosis, Hyperostosis, Diffuse Idiopathic Skeletal diagnostic imaging, Male, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed methods, Deglutition Disorders etiology, Hyperostosis, Diffuse Idiopathic Skeletal complications
- Abstract
Diffuse idiopathic skeletal hyperostosis, or Forestier disease, is a relatively common disease in the elderly population. Although reported in the orthopedic and rheumatology literature, it has not, to date, been reported in the maxillofacial or dental literature. It is a disease entity that often presents with head and neck symptoms that might go unrecognized by the consultant oral and maxillofacial surgeon., (Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
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29. Unsuspected cervical osteophytes and complex endoscopy: there is cause for concern!
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Sbaraglia F, Spinazzola G, Costamagna G, and Sammartino M
- Subjects
- Aged, 80 and over, Cervical Vertebrae, Cholangiopancreatography, Endoscopic Retrograde, Humans, Male, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging
- Published
- 2016
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30. Superior Mesenteric Artery Syndrome Caused by Massive Lumbar Osteophytes: A Case Report.
- Author
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Booka E, Kawakubo H, Ishii K, Hikata T, Fukuda K, Nakamura R, Takahashi T, Wada N, Ishii Y, Takeuchi H, and Kitagawa Y
- Subjects
- Aged, 80 and over, Endoscopy, Gastrointestinal, Humans, Male, Spinal Osteophytosis surgery, Tomography, X-Ray Computed, Lumbar Vertebrae, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Superior Mesenteric Artery Syndrome diagnosis, Superior Mesenteric Artery Syndrome etiology
- Abstract
Study Design: Case report., Objective: To present a rare case of superior mesenteric artery (SMA) syndrome caused by massive lumbar osteophytes., Summary of Background Data: SMA syndrome is a relatively rare condition thought to be secondary to functional obstruction. Although several risk factors for SMA syndrome have been reported, no other previous reports have suggested that lumbar osteophytes caused SMA syndrome., Methods: A rare case of SMA syndrome caused by massive lumbar osteophytes was treated by resecting the osteophytes., Results: An 82-year-old man, with a history of polysurgery, presented with frequent vomiting. He was diagnosed with SMA syndrome after endoscopic and several radiological examinations, and was successfully treated by the resection of the osteophytes., Conclusion: To the best of our knowledge, a case of SMA syndrome secondary to lumbar osteophytes has not been reported in the literature. The possibility of SMA syndrome caused by massive lumbar osteophytes should be taken into consideration when the cause of SMA syndrome is unknown. In addition, the resection of osteophytes could be a less invasive treatment in such cases., Level of Evidence: 5.
- Published
- 2015
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31. Impaled aorta: a rare case of aortic perforation with a vertebral outgrowth.
- Author
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Afifi RO, Sandhu HK, Fraser CD 3rd, and Estrera AL
- Subjects
- Aged, Aneurysm, False diagnostic imaging, Aneurysm, Infected diagnostic imaging, Aneurysm, Ruptured diagnostic imaging, Aneurysm, Ruptured surgery, Aortic Aneurysm, Thoracic diagnostic imaging, Aortography methods, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae physiopathology, Female, Follow-Up Studies, Humans, Rare Diseases, Risk Assessment, Severity of Illness Index, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed methods, Treatment Outcome, Aneurysm, False surgery, Aneurysm, Infected surgery, Aneurysm, Ruptured etiology, Aortic Aneurysm, Thoracic surgery, Spinal Osteophytosis complications
- Abstract
We describe an unusual case of aortic perforation by a vertebral osteophyte, complicated by a mycotic pseudoaneurysm, in a patient who underwent successful repair. To our knowledge, no similar case has been reported previously., (Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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32. Cortical shell unwrapping for vertebral body abnormality detection on computed tomography.
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Yao J, Burns JE, Muñoz H, and Summers RM
- Subjects
- Aged, Algorithms, Artificial Intelligence, Female, Humans, Male, Radiographic Image Enhancement methods, Reproducibility of Results, Sensitivity and Specificity, Imaging, Three-Dimensional methods, Pattern Recognition, Automated methods, Radiographic Image Interpretation, Computer-Assisted methods, Spinal Fractures diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed methods
- Abstract
The vertebral body is the main axial load-bearing structure of the spinal vertebra. Assessment of acute injury and chronic deformity of the vertebral body is difficult to assess accurately and quantitatively by simple visual inspection. We propose a cortical shell unwrapping method to examine the vertebral body for injury such as fractures and degenerative osteophytes. The spine is first segmented and partitioned into vertebrae. Then the cortical shell of the vertebral body is extracted using deformable dual-surface models. The cortical shell is then unwrapped onto a 2D map and the complex 3D detection problem is effectively converted to a pattern recognition problem on a 2D plane. Characteristic features adapted for different applications are computed and sent to a committee of support vector machines for classification. The system was evaluated on two applications, one for fracture detection on trauma CT datasets and the other on degenerative osteophyte assessment on sodium fluoride PET/CT. The fracture CAD achieved 93.6% sensitivity at 3.2 false positive per patient and the degenerative osteophyte CAD achieved 82% sensitivity at 4.7 false positive per patient., (Published by Elsevier Ltd.)
- Published
- 2014
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33. Comparison of vertebral and intervertebral disc lesions in aging humans and rhesus monkeys.
- Author
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Bailey JF, Fields AJ, Liebenberg E, Mattison JA, Lotz JC, and Kramer PA
- Subjects
- Aged, Animals, Cadaver, Disease Progression, Female, Humans, Intervertebral Disc diagnostic imaging, Intervertebral Disc pathology, Intervertebral Disc Degeneration diagnostic imaging, Lumbar Vertebrae diagnostic imaging, Male, Middle Aged, Osteoarthritis, Spine diagnostic imaging, Radiography, Severity of Illness Index, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis pathology, Thoracic Vertebrae diagnostic imaging, Aging pathology, Intervertebral Disc Degeneration pathology, Lumbar Vertebrae pathology, Macaca mulatta, Osteoarthritis, Spine pathology, Thoracic Vertebrae pathology
- Abstract
Objective: To compare gross and histologic patterns of age-related degeneration within the intervertebral disc and adjacent vertebra between rhesus monkeys and humans., Materials and Methods: We examined age-related patterns of disc degeneration from mid-sagittal sections of the intervertebral disc and adjacent vertebral bodies (VB) among six rhesus monkey thoracolumbar and seven human lumbar spines. Gross morphology and histopathology were assessed via the Thompson grading scheme and other degenerative features of the disc and adjacent bone., Results: Thompson grades ranged from 3 through 5 for rhesus monkey discs (T9-L1) and 2 through 5 for the human discs (T12-S1). In both rhesus monkey and human discs, presence of distinct lesions was positively associated with Thompson grade of the overall segment. Degenerative patterns differed for radial tears, which were more prevalent with advanced disc degeneration in humans only. Additionally, compared to the more uniform anteroposterior disc degeneration patterns of humans, rhesus monkeys showed more severe osteophytosis and degeneration on the anterior border of the vertebral column., Conclusions: Rhesus monkey spines evaluated in the present study appear to develop age-related patterns of disc degeneration similar to humans. One exception is the absence of an association between radial tears and disc degeneration, which could reflect species-specific differences in posture and spinal curvature. Considering rhesus monkeys demonstrate similar patterns of disc degeneration, and age at a faster rate than humans, these findings suggest longitudinal studies of rhesus monkeys may be a valuable model for better understanding the progression of human age-related spinal osteoarthritis (OA) and disc degeneration., (Copyright © 2014 Osteoarthritis Research Society International. All rights reserved.)
- Published
- 2014
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34. An increase in height of spinous process is associated with decreased heights of intervertebral disc and vertebral body in the degenerative process of lumbar spine.
- Author
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Paholpak P, Wang Z, Sakakibara T, and Kasai Y
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Intervertebral Disc diagnostic imaging, Intervertebral Disc pathology, Male, Middle Aged, Observer Variation, Reproducibility of Results, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis pathology, Tomography, X-Ray Computed standards, Tomography, X-Ray Computed statistics & numerical data, Zygapophyseal Joint diagnostic imaging, Zygapophyseal Joint pathology, Intervertebral Disc Degeneration diagnostic imaging, Intervertebral Disc Degeneration pathology, Lumbar Vertebrae diagnostic imaging, Lumbar Vertebrae pathology, Tomography, X-Ray Computed methods
- Abstract
Purpose: Currently degeneration of the intervertebral disc and joint in the degenerative process of the lumbar spine has mainly attracted the attention, however, there are very few literatures focusing on the height of the spinous process. Our objective was to examine in what generation the change in spinous process height occurs and how the change is involved in the degenerative process of the lumbar spine., Methods: CT or CT myelography of 1,015 patients, 536 males and 579 females were measured in 6 items, including the heights of the L4 and L5 vertebral bodies, the L4 and L5 spinous processes, the L4/5 intervertebral disc, and the L5/S1 intervertebral disc. All data of the 6 items were analyzed and compared between gender in 5 age groups (40s, 50s, 60s, 70s and 80s)., Results: The results indicated a significant increase in the height of the L4 and L5 spinous process (P < 0.01) in the 60- to 70-year-old group for both genders, and also showed that the L4 and L5 vertebral body height was significantly decreased in the 50- to 60-year-old group (P < 0.01 in males, P < 0.001 in females)., Conclusions: Changes in the spinous process morphology followed degenerative changes of the intervertebral disc and vertebral body in the degenerative process of the lumbar spine. This result may suggest that the morphological change of an increase in the height of the spinous process may be a kind of biological defense reaction to stabilize the intervertebral portion.
- Published
- 2013
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35. Extreme elongation of the thoracic osteophytes in diffuse idiopathic skeletal hyperostosis.
- Author
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Eom KS and Kim TY
- Subjects
- Aged, Humans, Hyperostosis, Diffuse Idiopathic Skeletal diagnostic imaging, Male, Spinal Osteophytosis diagnostic imaging, Thoracic Vertebrae diagnostic imaging, Tomography, X-Ray Computed, Hyperostosis, Diffuse Idiopathic Skeletal pathology, Magnetic Resonance Imaging, Spinal Osteophytosis pathology, Thoracic Vertebrae pathology
- Published
- 2013
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36. [Radiographic comparison of anterior cervical fusion after two-level discectomy or single-level corpectomy for two-level cervical spondylotic myelopathy].
- Author
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Yu FB, Chen DY, Wang XW, and Liu XW
- Subjects
- Aged, Bone Transplantation, Cervical Vertebrae diagnostic imaging, Diskectomy methods, Female, Fracture Fixation, Internal methods, Humans, Male, Middle Aged, Radiography, Retrospective Studies, Spinal Fusion methods, Spinal Osteophytosis diagnostic imaging, Cervical Vertebrae surgery, Spinal Osteophytosis surgery
- Abstract
Objective: To compare the pre- and post-operative radiographic data of a single-level anterior cervical corpectomy and fusion (ACCF)or a two-level anterior cervical discectomy and fusion (ACDF) for patients with two-level cervical spondylotic myelopathy., Methods: We retrospectively reviewed the lateral cervical radiographs of 110 patients undergoing a single-level ACCF or a two-level ACDF for the treatment of cervical myelopathy from March 2005 to May 2008. All of them underwent anterior cervical fusion using poly ether ether ketone (PEEK) cage or titanium meshes packed with autogenous bone and fixed-screw titanium plate fixation. A single-level ACCF (group of ACCF, n = 48) or a two-level ACDF (group of ACDF, n = 62) was performed. The following parameters were analyzed: cervical sagittal alignment, Cobb angles of fusion segments, graft collapse, adjacent-segmental degeneration and rate of bone fusion., Results: During a follow-up period of 24 - 60 months, no significant differences existed in sagittal alignment, adjacent-segmental degeneration and rate of bone fusion between two groups. Graft subsidence and loss of Cobb angles of fusion occurred significantly more during the first 2 months post-operation than after 2 months in each group (P < 0.01). However, the group of ACCF subsided and lost more than the group of ACDF (P < 0.05). Caudal endplate subsidence significantly progressed after the first 2 months in the Group of ACCF (P < 0.05)., Conclusion: Graft subsidence and loss of fusion segmental lordosis of two groups occur mainly in an early post-operation stage (first 2 months). The group of ACDF with PEEK cage is superior to the group of ACCF with titanium meshes in maintaining the height and lordosis of fusion segments. Single-level ACCF with titanium meshes continues subsiding at the caudal endplate of fusion segments even after 2 months.
- Published
- 2012
37. [Effectiveness of cervical disc replacement for cervical myelopathy].
- Author
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Yan D, Xiao Z, Shen C, and Huang Y
- Subjects
- Adult, Aged, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae pathology, Female, Humans, Intervertebral Disc diagnostic imaging, Intervertebral Disc Displacement diagnostic imaging, Intervertebral Disc Displacement surgery, Joint Prosthesis, Male, Middle Aged, Pain Measurement, Postoperative Complications epidemiology, Radiography, Range of Motion, Articular, Retrospective Studies, Spinal Osteophytosis diagnostic imaging, Total Disc Replacement instrumentation, Treatment Outcome, Cervical Vertebrae surgery, Intervertebral Disc surgery, Spinal Osteophytosis surgery, Total Disc Replacement methods
- Abstract
Objective: To evaluate the effectiveness of cervical disc replacement for cervical myelopathy., Methods: Between October 2006 and October 2008, 20 patients (26 segments) with cervical myelopathy underwent single-level (14 segments) or bi-level (6 segments) cervical disc replacement. There were 8 males and 12 females with an average age of 46 years (range, 26-65 years). The disease duration ranged 2-18 months (mean, 7 months). The effectiveness was evaluated using visual analogue scale (VAS) score, cervical range of motion (ROM), and the Odom et al. criteria. Heterotopic ossification (HO), osteophyte formation, and prosthesis loosening were observed., Results: All incisions healed by first intention, with no severe complication. Twenty patients were followed up 30-48 months (mean, 34 months). At 28 months after operation, according to Odom et al, criteria, the results were excellent in 17 cases and good in 3 cases. The VAS scores of the neck, shoulder, and upper limb were significantly improved when compared with preoperative scores (P < 0.05). At 30 months after operation, X-ray films showed that 20 replaced segments were mobile and ROM was (10.6 +/- 4.5) degrees, showing no significant difference (P > 0.05) when compared with that of upper adjacent segment (10.8 +/- 3.7) degrees and lower adjacent segment (7.5 +/- 4.2) degrees. HO occurred in 10 cases (13 segments). No displacement, subsidence, or loosening occurred except 1 case of retrodisplacement of the prosthesis., Conclusion: Cervical disc replacement can obtain good effectiveness. It can maintain normal cervical ROM and physiological curvature. But it needs further long-term follow-up to evaluate the function and the influence on the adjacent segments.
- Published
- 2012
38. A radiographic analysis of degenerative spondylolisthesis at the L4-5 level.
- Author
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Anderson DG, Limthongkul W, Sayadipour A, Kepler CK, Harrop JS, Maltenfort M, Vaccaro AR, Hilibrand A, Rihn JA, and Albert TJ
- Subjects
- Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Male, Middle Aged, Radiography, Severity of Illness Index, Spinal Osteophytosis classification, Spondylolisthesis classification, Databases, Factual, Intervertebral Disc diagnostic imaging, Lumbar Vertebrae diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Spondylolisthesis diagnostic imaging
- Abstract
Object: Lumbar degenerative spondylolisthesis (LDS) is common and has generally been characterized as a homogeneous disease entity in the literature and in clinical practice. Because disease variability has not been carefully characterized, stratification of treatment recommendations based on scientific evidence is currently lacking. In this study, the authors analyzed radiographic parameters of patients with LDS at the L4-5 level to better characterize this entity., Methods: Demographic data were collected from 304 patients (200 women and 104 men) with LDS at the L4-5 level. Plain radiographs including anteroposterior, lateral, and flexion-extension lateral radiographs were analyzed for disc height, segmental angulation, segmental translation, and osteophyte formation. Correlations were sought between the variables of age, sex, disc height, segmental angulation, segmental translation, and osteophyte formation., Results: The mean patient age was 63.8 years (range 40-86 years). The mean mid-disc height was 7 mm (range 0-14 mm) on the neutral lateral view. The mean angulation between the superior endplate of L-5 and the inferior endplate of L-4 was 6° of lordosis (range 13° of kyphosis to 23° lordosis) on the neutral lateral view. The mean angular change between flexion and extension lateral radiographs was 5° (range 0°-17°). The mean translation on the neutral lateral view was 6 mm (range 0-15 mm). The mean change in translational between flexion and extension was 2 mm (range 0-11 mm). Twenty patients (7%) exhibited spondylolisthesis only on the flexion view. A significant positive correlation was found between the change in angulation and the change in translation on flexion and extension views (ρ = 0.18, p = 0.001). No significant correlation was found between anterior osteophyte size and mobility with flexion-extension radiographs., Conclusions: The wide range in all radiographic parameters for LDS confirms the heterogeneous nature of this condition and suggests that a grading system to subclassify LDS may be clinically useful. On flexion and extension radiographs, increased translational motion correlated with increased angular motion. Anterior osteophyte size was not found to be predictive of segmental stability. This data set should prove beneficial to those seeking to subcategorize LDS in the future.
- Published
- 2012
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39. New instrument for creating bone graft cavities for anterior cervical decompression and fusion: the anterior fusion spinal fork.
- Author
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Yamazaki T, Yasuda S, Uemura K, and Matsumura A
- Subjects
- Adult, Aged, Cervical Vertebrae diagnostic imaging, Coloring Agents, Durapatite, Equipment Design, Female, Gait Disorders, Neurologic etiology, Gentian Violet, Humans, Hypesthesia etiology, Male, Middle Aged, Neck Injuries complications, Neck Injuries surgery, Prostheses and Implants, Radiography, Retrospective Studies, Spinal Cord Compression etiology, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis surgery, Spondylosis complications, Spondylosis surgery, Bone Transplantation instrumentation, Cervical Vertebrae surgery, Decompression, Surgical methods, Diskectomy methods, Spinal Cord Compression surgery, Spinal Fusion methods
- Abstract
Sufficient bone decompression of osteophytes is important for positive functional outcomes in anterior cervical spine surgery. Achieving good alignment and bone fusion in anterior cervical decompression and fusion requires a bone graft bed of the optimum size and shape. We have developed a stainless steel instrument named the anterior fusion spinal fork, which is designed to aid in accurately drilling the bone cavity, thus enabling selection of the correct size of bone graft or bone graft substitutes. The device has an open design with 4 prongs, and resembles a three-dimensional fork. This instrument assists in guiding the direction of drilling, and marking the drilling point of the graft cavity with pyoctanin markers. We have used this instrument in 40 cases of anterior cervical spine surgery using the modified Smith-Robinson procedure since March 2000. This simple instrument allowed us to design and construct a bone graft cavity of the correct size and shape for iliac bone graft or bone graft substitutes for anterior cervical spine surgery.
- Published
- 2012
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40. When the bone in your swallow is your own.
- Author
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Ramphul N and Gilligan P
- Subjects
- Aged, Female, Humans, Radiography, Spinal Osteophytosis complications, Cervical Vertebrae diagnostic imaging, Deglutition Disorders etiology, Dysphonia etiology, Spinal Osteophytosis diagnostic imaging
- Published
- 2011
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41. Longitudinal study of radiographic spinal osteoarthritis in a macaque model.
- Author
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Duncan AE, Colman RJ, and Kramer PA
- Subjects
- Aging pathology, Animals, Body Weight, Disease Models, Animal, Female, Longitudinal Studies, Macaca mulatta, Male, Osteoarthritis, Spine complications, Osteoarthritis, Spine pathology, Radiography, Spinal Osteophytosis etiology, Spinal Osteophytosis pathology, Spine pathology, Osteoarthritis, Spine diagnostic imaging, Spinal Osteophytosis diagnostic imaging
- Abstract
Cross-sectional analyses of naturally occurring spinal osteoarthritis (OA) in primates have shown that age and body mass are significant predictors, but whether or not these relationships hold true in longitudinal evaluations remains unclear. Because spinal OA manifests similarly in humans and monkeys and macaque monkeys age >3 times the rate of humans, macaque models offer opportunities for longitudinal study that are difficult in humans. Our objective was to characterize the longitudinal development over 11 years of spinal OA in 68 Macaca mulatta (41 males, 27 females, aged 11-32 years). Average disc space narrowing (DSN) and osteophytosis (OST) scores were computed for the thoracolumbar spine (T8-L7). Our longitudinal analyses confirmed the cross-sectional results: age and body mass (p < 0.001) significantly predicted 50% and 39% of the variability in OST and DSN, respectively. Rates of change in DSN, but not OST, were associated with age at first radiograph. This study represents the first long-term longitudinal assessment of OA in primates and establishes that the relationship among the covariates in the cross-sectional and longitudinal approaches is similar., (Copyright © 2011 Orthopaedic Research Society.)
- Published
- 2011
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42. Can a giant cervical osteophyte cause dysphagia and airway obstruction? A case report.
- Author
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Kapetanakis S, Vasileiadis I, Papanas N, Goulimari R, and Maltezos E
- Subjects
- Aged, 80 and over, Airway Obstruction diagnostic imaging, Deglutition Disorders diagnostic imaging, Diagnosis, Differential, Humans, Image Processing, Computer-Assisted, Male, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed, Airway Obstruction etiology, Cervical Vertebrae diagnostic imaging, Deglutition Disorders etiology, Spinal Osteophytosis complications
- Abstract
Cervical spondylosis is a common disorder mainly affecting elderly people. It frequently presents with excessive bone formation (osteophytes). These may lead to pain and neurological deficits due to root compression. Dysphagia and airway obstruction due to a giant anterior osteophyte of the cervical spine are extremely rare. We present the case of an 81-year-old patient suffering from dysphagia and slight dyspnoea due to a giant cervical osteophyte. Osteophyte resection was performed and the patient was relieved from symptoms. This case highlights that a large cervical osteophyte may, albeit rarely, be the cause of simultaneously presenting dysphagia and dyspnoea, and should, therefore, be included in the diagnostic workup in such cases.
- Published
- 2011
- Full Text
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43. Porcine small intestine submucosa matrix (Surgisis) for esophageal perforation.
- Author
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Clough A, Ball J, Smith GS, and Leibman S
- Subjects
- Aged, 80 and over, Animals, Cervical Vertebrae injuries, Delayed Diagnosis, Foreign Bodies surgery, Humans, Jejunostomy, Male, Postoperative Care methods, Radiography, Spinal Injuries complications, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Swine, Bioprosthesis, Esophageal Perforation etiology, Esophageal Perforation surgery, Esophagus surgery, Foreign Bodies complications, Intestinal Mucosa transplantation, Surgical Mesh
- Abstract
We present a case of traumatic cervical esophageal perforation complicated by delayed diagnosis and foreign body presence successfully repaired with acellular matrix biomaterial made from porcine submucosa (Surgisis mesh [Wilson-Cook, Winston-Salem, NC]). With metal plating eroding into the esophagus from a spinal fixation procedure, the mesh was applied to the defect just under the cricopharyngeus. The patient re-commenced oral intake after 7 days, and an endoscopy at 4 weeks revealed a well-incorporated mesh in an intact esophagus with normal caliber. In this case, Surgisis mesh (Wilson-Cook) proved effective in providing temporary esophageal integrity to allow healing in an infected field where diversion was impossible., (Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
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44. Young adult and giant cervical exostosis.
- Author
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Abbas M, Khan AQ, Siddiqui YS, and Khan BR
- Subjects
- Adult, Deglutition Disorders etiology, Exostoses, Humans, Male, Neck Pain etiology, Radiography, Spinal Osteophytosis complications, Spinal Osteophytosis diagnostic imaging, Cervical Vertebrae, Spinal Osteophytosis diagnosis
- Abstract
Degenerative changes in the spine can result in the formation of osteophytes on the anterior surface of the cervical spine. Depending on their site, osteophytes can bring on clinical manifestations such as dysphagia, hoarseness, and stridor. We discuss an interesting case of a young adult patient who presented with dysphagia along with neck discomfort, and on investigation was found to be suffering from diffuse idiopathic skeletal hyperostosis. Here, we briefly portray the presenting features, radiographic findings, and management options.
- Published
- 2011
45. [Diagnosis of cervical spondylotic myelopathy with MRI of low magnetic field].
- Author
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Zhang YC, Li SH, Zhou S, and Zhu XZ
- Subjects
- Adult, Aged, Cervical Vertebrae diagnostic imaging, Female, Humans, Male, Middle Aged, Radiography, Young Adult, Magnetic Resonance Imaging instrumentation, Magnetic Resonance Imaging methods, Spinal Osteophytosis diagnosis, Spinal Osteophytosis diagnostic imaging
- Published
- 2010
46. Optimal embedding for shape indexing in medical image databases.
- Author
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Qian X, Tagare HD, Fulbright RK, Long R, and Antani S
- Subjects
- Cervical Vertebrae diagnostic imaging, Humans, Information Storage and Retrieval methods, Lumbar Vertebrae diagnostic imaging, Radiographic Image Enhancement methods, Reproducibility of Results, Sensitivity and Specificity, Abstracting and Indexing methods, Algorithms, Diagnostic Imaging classification, Pattern Recognition, Automated methods, Radiographic Image Interpretation, Computer-Assisted methods, Radiology Information Systems, Spinal Osteophytosis diagnostic imaging
- Abstract
This paper addresses the problem of indexing shapes in medical image databases. Shapes of organs are often indicative of disease, making shape similarity queries important in medical image databases. Mathematically, shapes with landmarks belong to shape spaces which are curved manifolds with a well defined metric. The challenge in shape indexing is to index data in such curved spaces. One natural indexing scheme is to use metric trees, but metric trees are prone to inefficiency. This paper proposes a more efficient alternative. We show that it is possible to optimally embed finite sets of shapes in shape space into a Euclidean space. After embedding, classical coordinate-based trees can be used for efficient shape retrieval. The embedding proposed in the paper is optimal in the sense that it least distorts the partial Procrustes shape distance. The proposed indexing technique is used to retrieve images by vertebral shape from the NHANES II database of cervical and lumbar spine X-ray images maintained at the National Library of Medicine. Vertebral shape strongly correlates with the presence of osteophytes, and shape similarity retrieval is proposed as a tool for retrieval by osteophyte presence and severity. Experimental results included in the paper evaluate (1) the usefulness of shape similarity as a proxy for osteophytes, (2) the computational and disk access efficiency of the new indexing scheme, (3) the relative performance of indexing with embedding to the performance of indexing without embedding, and (4) the computational cost of indexing using the proposed embedding versus the cost of an alternate embedding. The experimental results clearly show the relevance of shape indexing and the advantage of using the proposed embedding., (Copyright (c) 2010 Elsevier B.V. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
47. Trans-oesophageal echo in patients with vertebral osteophytes: not a harmless procedure.
- Author
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Elsayed H, Rammohan K, and Shackcloth M
- Subjects
- Aged, 80 and over, Esophagus diagnostic imaging, Fatal Outcome, Female, Humans, Spinal Osteophytosis diagnostic imaging, Tomography, X-Ray Computed, Ultrasonography, Interventional adverse effects, Echocardiography, Transesophageal adverse effects, Esophagus injuries, Spinal Osteophytosis complications
- Published
- 2010
- Full Text
- View/download PDF
48. Inflammatory and degenerative sacroiliac joint disease in a primary back pain cohort.
- Author
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O'Shea FD, Boyle E, Salonen DC, Ammendolia C, Peterson C, Hsu W, and Inman RD
- Subjects
- Adolescent, Adult, Arthritis diagnostic imaging, Arthritis immunology, Back Pain epidemiology, Back Pain immunology, Cohort Studies, Female, Humans, Intervertebral Disc Degeneration diagnostic imaging, Lumbar Vertebrae diagnostic imaging, Male, Middle Aged, Ontario epidemiology, Osteosclerosis diagnostic imaging, Osteosclerosis epidemiology, Prevalence, Radiography, Sacroiliac Joint immunology, Sex Distribution, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis epidemiology, Young Adult, Arthritis epidemiology, Back Pain diagnostic imaging, Intervertebral Disc Degeneration epidemiology, Sacroiliac Joint diagnostic imaging
- Abstract
Objective: The prevalence of sacroiliac (SI) joint abnormalities in a primary low back pain population remains unresolved. The aims of our study were to define the prevalence of SI joint disease in this cohort, and to identify clinical features that might accurately predict radiographic changes in the SI joint and spine., Methods: Lumbar spine and anteroposterior pelvis radiographs taken over a 3-year period for the evaluation of back pain at a major chiropractic college were scored for the presence of inflammatory or degenerative features. Data were subsequently extracted by means of a predetermined template from the clinical notes. The outcomes were correlated using Spearman's correlation coefficients., Results: We identified 315 patients (173 men, 142 women), ages 18-60 years. Of these, 100 patients (31.7%) demonstrated SI joint abnormalities: 75 (23.8%) degenerative, 25 (7.9%) inflammatory. Sex was strongly associated with type of SI joint pathology; degenerative disease was predominantly found in women (68%), whereas inflammatory disease was predominantly found in men (63%). In women there was no correlation between degenerative SI joint abnormalities and degenerative changes in the lumbar spine. Of the clinical descriptors evaluated, none were associated with the radiographic findings with the exception of buttock pain, which was associated with inflammatory sacroiliitis. Neither being overweight nor pregnancy history was associated with degenerative changes in the SI joint., Conclusion: In a primary back pain cohort, degenerative SI joint disease may be an under-recognized clinical entity. It is strongly influenced by sex but is unrelated to degenerative changes in the lumbar spine. Currently proposed clinical discriminators performed poorly in correlating with radiographic changes in the SI joint.
- Published
- 2010
- Full Text
- View/download PDF
49. Lumbosacral transitional vertebrae in cats and their effects on morphology of adjacent joints.
- Author
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Newitt AL, German AJ, and Barr FJ
- Subjects
- Animals, Cats, Female, Hip Dislocation veterinary, Joint Instability diagnostic imaging, Male, Radiography, Retrospective Studies, Spinal Diseases diagnostic imaging, Spinal Osteophytosis diagnostic imaging, Spinal Osteophytosis veterinary, Spondylosis diagnostic imaging, Spondylosis veterinary, Cat Diseases diagnostic imaging, Joint Instability veterinary, Lumbar Vertebrae diagnostic imaging, Lumbosacral Region diagnostic imaging, Spinal Diseases veterinary
- Abstract
The present study aimed to describe the radiographic appearance of lumbosacral transitional vertebrae in the cat and compare prevalence of hip dysplasia and lumbosacral spondylosis with a population of cats without transitional vertebrae. Pelvic radiographs of cats were reviewed retrospectively, providing a population of 100 cats without transitional vertebrae and 14 examples of lumbosacral transitional vertebrae. All cats were assessed for hip dysplasia and lumbosacral spondylosis; the lumbosacral transitional vertebrae identified were also assessed for asymmetry or rotation of sacro-iliac (SI) attachment. The transitional vertebrae demonstrated a wide variety of morphology; six cats had asymmetry or rotation of SI attachment in a dorsal plane; four of those six cats had lumbosacral spondylosis and two of these had hip dysplasia. No further examples of degenerative changes were identified in the remaining eight cats with lumbosacral transitional vertebrae. The frequency of lumbosacral spondylosis was higher in the population with lumbosacral transitional vertebrae, but this was not statistically significant. There was a marked trend towards lumbosacral spondylosis in cats with pelvic rotation or asymmetry. The frequency of hip dysplasia in cats with lumbosacral transitional vertebrae was very similar to those without.
- Published
- 2009
- Full Text
- View/download PDF
50. A case of obstructive sleep apnoea with anterior cervical osteophytes.
- Author
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Ando E, Ogawa T, Shigeta Y, Hirai S, Ikawa T, Ishikawa C, and Nejima J
- Subjects
- Aged, Humans, Male, Sleep Apnea, Obstructive etiology, Snoring etiology, Spinal Osteophytosis complications, Tomography, X-Ray Computed, Cervical Vertebrae diagnostic imaging, Sleep Apnea, Obstructive diagnostic imaging, Snoring diagnostic imaging, Spinal Osteophytosis diagnostic imaging
- Abstract
Osteophytes of the cervical spine are usually seen in elderly adults. When prominent, they have been blamed for dysphagia, cough, dysphonia and dyspnoea. This paper reports on an obstructive sleep apnoea (OSA) patient with cervical spinal osteophytes, one cause of airway obstruction. A 75-year-old male complained of pronounced snoring. The diagnosis was mild OSA, apnoea hypopnoea index was 9.4. Patient reported no restrictions in neck movements, experiences of neck pain or neck trauma. Previously, patient underwent a tonsillectomy due to discomfort in the pharyngeal region. A lateral cephalometric image was taken to observe airway before oral appliance therapy. The image revealed the presence of large osteophytes or sclerotic enthesopathy, lying on anterior surfaces from the fourth to seventh cervical vertebrae. A computed tomography (CT) image revealed the relationship of airway position to the spine. In the reconstructed three-dimensional (3D) image, the airway appeared displaced to the right of the craniomandiblar bone, with the hyoid bone similarly displaced in a manner to that of the airway. The spine also appeared displaced to the left side ofcraniomandiblar bone. Additionally, the 3D image revealed calcification of the stylohyoideum ligament and ligamentum nuchae. This present case highlights the necessity of CT examination for OSA patients. There were several ligament calcifications in the head and neck region. Cervical spine osteophytes, as a component of Forestier's or cervical spine disease, have been associated with dysphagia and dysphonia. It was reported that bilateral vocal cord paralysis was caused by osteophytes compressing the post-cricoid area of larynx.
- Published
- 2009
- Full Text
- View/download PDF
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