Estudio retrospectivo de pacientes con cervicobraquialgia sometidos a rmn e emg, 2020
Estudio retrospectivo de 184 pacientes con cervicobraquialgia en el contexto clínico de hernia di... more Estudio retrospectivo de 184 pacientes con cervicobraquialgia en el contexto clínico de hernia discal y/o espondilosis, y sospecha de radiculopatía cervical. Se analizaron los hallazgos RMN y EMG. Las hernias y osteofitos más prevalentes aparecieron en el C5-C6, seguido de C6-C7. Los elementos de espondilosis presentaron relación con el envejecimiento (p<0,01). La alineación vertebral sagital más frecuente fue la rectificación cervical. La raíz con mayor número de hallazgos neurógenos fue C7, seguida de C8-T1. El desbalance anatómico entre el nivel de las lesiones en la RMN y los hallazgos en la EMG sugiere que las raicillas se dañan cranealmente al agujero de conjunción, dentro del canal vertebral.
Background The aim of this study is to describe the alterations in complementary tests (MRI and E... more Background The aim of this study is to describe the alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age.Methods Retrospective study of 184 patients with cervicobrachialgia who underwent an MRI and/or EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1.Results Average age 53.65±11.96 years. The patients were evaluated for the presence of osteophytes (n = 111), arthropathy (n = 76), spondylolisthesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), herniated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosi...
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervi-cal MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteo-phytes (n = 111), arthropathy (n = 76), spondylolis-thesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), her-niated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appeared in 124 patients. Spondylosis increases with age. Disc herni-ations, disc protrusions and motor radiculopathy are more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectifi-cation is more common than the normal lordosis.
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervical MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteophytes (n = 111), arthropathy (n = 76), spondylolisthesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), herniated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appea...
Introduction: Low back pain is an important cause of disability and absenteeism from work. Its pa... more Introduction: Low back pain is an important cause of disability and absenteeism from work. Its pathophysiological substrate, in a majority way, is radiculopathy by lumbar spondylosis with anatomical alterations in the spine. The objective of this study is to describe the alterations in the complementary tests (MRI and EMG), in patients with lumbociatalgia, with clinical suspicion of lumbosacral radiculopathy, in the context of herniated disc or spondylosis. Materials and methods: Retrospective study of 217 patients in which age and sex were analyzed; by MRI protrusions and herniated discs, disc-osteophyte complexes, arthropathy, spondylolisthesis, canal stenosis, hypertrophy of the yellow ligament, sagittal vertebral alignment; neurogenic findings in muscles dependent on the spinal nerves from L3 to S1 have been analyzed by electrodiagnosis. Results: The mean age was 57.54 ± 12.31 years. The mean number of protrusions and herniated discs per spine was 1.26 ± 1.99. The number of patients with elements of spondylosis was: osteophytes n = 75, listhesis n = 40, canal stenosis n = 35, arthropathy n = 133, hypertrophy of the yellow ligament n = 72. Higher incidence of protrusions and herniated discs in L4-L5 (n = 144), of discoosteophytic complexes in L5-S1 (n = 42) and of neurogenic findings in the L5 spinal nerve (n = 169). The most characteristic vertebral alignment was preserved lordosis (n = 151). The elements of spondylosis increased with age significantly. Motor radiculopathies and discopathies increased with age in a non-significant way. Arthropathy, osteophytes, and L4 and L5 motor radiculopathies were more frequent in men. Conclusions: The poor anatomical correlation between neurogenic findings in muscles of a specific spinal nerve, and space-occupying lesions at the spinal level of that specific nerve, suggests that the axons of the cauda equina are damaged within the vertebral canal, due to space-occupying lesions, cranial to the expected intervertebral foramen.
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervi-cal MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteo-phytes (n = 111), arthropathy (n = 76), spondylolis-thesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), her-niated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appeared in 124 patients. Spondylosis increases with age. Disc herni-ations, disc protrusions and motor radiculopathy are more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectifi-cation is more common than the normal lordosis.
Estudio retrospectivo de pacientes con cervicobraquialgia sometidos a rmn e emg, 2020
Estudio retrospectivo de 184 pacientes con cervicobraquialgia en el contexto clínico de hernia di... more Estudio retrospectivo de 184 pacientes con cervicobraquialgia en el contexto clínico de hernia discal y/o espondilosis, y sospecha de radiculopatía cervical. Se analizaron los hallazgos RMN y EMG. Las hernias y osteofitos más prevalentes aparecieron en el C5-C6, seguido de C6-C7. Los elementos de espondilosis presentaron relación con el envejecimiento (p<0,01). La alineación vertebral sagital más frecuente fue la rectificación cervical. La raíz con mayor número de hallazgos neurógenos fue C7, seguida de C8-T1. El desbalance anatómico entre el nivel de las lesiones en la RMN y los hallazgos en la EMG sugiere que las raicillas se dañan cranealmente al agujero de conjunción, dentro del canal vertebral.
Background The aim of this study is to describe the alterations in complementary tests (MRI and E... more Background The aim of this study is to describe the alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age.Methods Retrospective study of 184 patients with cervicobrachialgia who underwent an MRI and/or EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1.Results Average age 53.65±11.96 years. The patients were evaluated for the presence of osteophytes (n = 111), arthropathy (n = 76), spondylolisthesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), herniated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosi...
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervi-cal MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteo-phytes (n = 111), arthropathy (n = 76), spondylolis-thesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), her-niated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appeared in 124 patients. Spondylosis increases with age. Disc herni-ations, disc protrusions and motor radiculopathy are more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectifi-cation is more common than the normal lordosis.
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervical MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteophytes (n = 111), arthropathy (n = 76), spondylolisthesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), herniated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appea...
Introduction: Low back pain is an important cause of disability and absenteeism from work. Its pa... more Introduction: Low back pain is an important cause of disability and absenteeism from work. Its pathophysiological substrate, in a majority way, is radiculopathy by lumbar spondylosis with anatomical alterations in the spine. The objective of this study is to describe the alterations in the complementary tests (MRI and EMG), in patients with lumbociatalgia, with clinical suspicion of lumbosacral radiculopathy, in the context of herniated disc or spondylosis. Materials and methods: Retrospective study of 217 patients in which age and sex were analyzed; by MRI protrusions and herniated discs, disc-osteophyte complexes, arthropathy, spondylolisthesis, canal stenosis, hypertrophy of the yellow ligament, sagittal vertebral alignment; neurogenic findings in muscles dependent on the spinal nerves from L3 to S1 have been analyzed by electrodiagnosis. Results: The mean age was 57.54 ± 12.31 years. The mean number of protrusions and herniated discs per spine was 1.26 ± 1.99. The number of patients with elements of spondylosis was: osteophytes n = 75, listhesis n = 40, canal stenosis n = 35, arthropathy n = 133, hypertrophy of the yellow ligament n = 72. Higher incidence of protrusions and herniated discs in L4-L5 (n = 144), of discoosteophytic complexes in L5-S1 (n = 42) and of neurogenic findings in the L5 spinal nerve (n = 169). The most characteristic vertebral alignment was preserved lordosis (n = 151). The elements of spondylosis increased with age significantly. Motor radiculopathies and discopathies increased with age in a non-significant way. Arthropathy, osteophytes, and L4 and L5 motor radiculopathies were more frequent in men. Conclusions: The poor anatomical correlation between neurogenic findings in muscles of a specific spinal nerve, and space-occupying lesions at the spinal level of that specific nerve, suggests that the axons of the cauda equina are damaged within the vertebral canal, due to space-occupying lesions, cranial to the expected intervertebral foramen.
The aim of this study is to describe the anatomical alterations in complementary tests (MRI and E... more The aim of this study is to describe the anatomical alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 patients with cervicobrachialgia who underwent cervi-cal MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1. Average age was 53.65±11.96 years. The patients were evaluated for the presence of osteo-phytes (n = 111), arthropathy (n = 76), spondylolis-thesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), her-niated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appeared in 124 patients. Spondylosis increases with age. Disc herni-ations, disc protrusions and motor radiculopathy are more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectifi-cation is more common than the normal lordosis.
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