PMID: 9648195Jul 2, 1998Paper

Cervical myeloradiculopathy with entrapment neuropathy: a study based on the double-crush concept

Spinal Cord
H BabaK Tomita

Abstract

In an attempt to formulate a standardised approach to the diagnosis and management of patients with the double-crush syndrome, we reviewed 65 surgical cases (39 men and 26 women) with cervical myeloradiculopathy associated with entrapment neuropathy in the arm by examining the clinical features, results of nerve conduction velocity studies and distribution of the vertebral levels of compression. Fifty-three patients (average age, 43 years) presented with a carpal tunnel syndrome at the wrist and cervical lesions (41 with spondylosis and 12 with ossified posterior longitudinal ligament), while 12 had a cubital tunnel syndrome at the elbow with cervical lesions (eight with spondylosis and four with ossification of the posterior longitudinal ligament). In the former group, the lesions were found mostly at C5-6 and C6-7 levels, while in the latter group involvement of C6-7 was frequently observed. Two patients in each group required additional cervical decompression after carpal or cubital tunnel release. A retrospective review of our patients suggested that it is reasonable to pursue an accurate diagnosis followed by treatment based on individual neurological and electrophysiological findings, but taking into consideration the sig...Continue Reading

Citations

Aug 10, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sheng-Dan JiangLi-Yang Dai
Aug 18, 2009·Neurosurgical Review·Marcelo GalarzaJamal Taha
Feb 3, 2007·Postgraduate Medical Journal·Steven Cutts
Apr 22, 2003·Orthopaedic Nursing·Sharon G Childs
Mar 8, 2013·The Journal of Hand Surgery·William J Molinari, John C Elfar
Oct 16, 2007·Clinical Neurology and Neurosurgery·Ali Moghtaderi, Shahrokh Izadi
Aug 27, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Patrick M KaneEdward Akelman
Jan 22, 2005·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Daniel Bocchese NoraIrenio Gomes
Sep 4, 2015·Hand : Official Journal of the American Association for Hand Surgery·Kristen M DavidgeSusan E Mackinnon
Oct 19, 2016·The Journal of Hand Surgery·Brian H CohenPatrick M Kane
Aug 22, 2007·Journal of Orthopaedic Surgery·G TimbihuriraH Baba
Mar 2, 2021·British Journal of Neurosurgery·Hai-Jiang RenWen-Dong Xu
Nov 2, 2020·Neuro-Chirurgie·D Ochoa-CaciqueE A Castañeda-Ramírez

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