Navegando por Palavras-chave "Spondylosis"

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    Avaliação do uso de imobilização externa após descompressão e fusão cervical por via anterior: Revisão sistemática
    (Sociedade Brasileira de Coluna, 2013-01-01) Gotfryd, Alberto Ofenhejm; El Dib, Regina Paolucci [UNIFESP]; Botelho, Ricardo Vieira; Poletto, Patrícia Rios [UNIFESP]; Santa Casa da Misericórdia de Santos; Universidade Estadual Paulista (UNESP); Hospital do Servidor Público Estadual Francisco Morato de Oliveira; Universidade Federal de São Paulo (UNIFESP)
    This study aims to evaluate safety and effectiveness of the use of orthesis in postoperative degenerative disorders of the cervical spine. Although widely used, there are not defined criteria for the use of cervical collars, and their importance on cervical arthrodesis. A systematic literature review was undertaken and a multicentre controlled clinical trial comprising 32 specialized services, with a total of 257 patients who met the inclusion criteria of the review. Clinical and radiographic outcomes were compared in post surgical patients that used or not rigid cervical collar during 6 to 12 weeks after surgery. The evidence available on literature, although weak, suggests that cervical collar decreases the clinical scores in first weeks after surgery. Furthermore, it does not alter the rate of fusion when used concomitantly with plaque and screws through anterior access in cervical degenerative diseases on a single anatomical level.
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    Cervical spondylotic myelopathy: what the neurologist should know
    (Soc Brasil Cirurgia Cardiovasc, 2016) Vilaca, Celmir de Oliveira; Orsini, Marco; Leite, Marco A. Araujo; de Freitas, Marcos R. G.; Davidovich, Eduardo; Fiorelli, Rossano; Fiorelli, Stenio; Fiorelli, Camila; Oliveira, Acary Bulle [UNIFESP]; Pessoa, Bruno Lima
    Cervical spondylotic myelopathy is a wellknown cause of disability among older people. A significant amount of these patients is asymptomatic. Once the symptoms start the worsening may follow a progressive manner. We should suspect of spondylotic myelopathy in any individual over 55 years presenting progressive changes in gait or losing fine motor control of the upper limbs. Despite its frequent prevalence, this condition is still neglected and many times confused with other supratentorial lesions regarding diagnostic. Here we address some of most important aspects of this disease, calling attention to pathophysiology, the natural history. presentation, differential diagnosis, clinical assessment and treatment.