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A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
51% of 39 patients had good or excellent results after rotatory manipulation of the spine under anesthesia. Of patients with positive myelograms, 37% (10 of 27) had good to excellent results three years or more after manipulation. All patients received a single procedure dose. [32] Krumhansl and Nowacek
Cervical radiculopathy has an annual incidence rate of 107.3 per 100,000 for men and 63.5 per 100,000 for women, whereas lumbar radiculopathy has a prevalence of approximately 3-5% of the population. [ 26 ] [ 27 ] According to the AHRQ 's 2010 National Statistics for cervical radiculopathy, the most affected age group is between 45 and 64 years ...
Cervical collars are also used therapeutically to help realign the spinal cord and relieve pain, [7] although they are usually not worn for long periods of time. [8] Another use of the cervical collar is for strains, sprains, or whiplash. [4] [5] If pain is persistent, the collar might be required to remain attached to help in the healing process.
Mechanical traction can be used for patients with cervical and lumbar spinal disorders such as cervical radiculopathy or lumbar spinal stenosis. Lumbar traction has been widely used in the clinic, previous meta-analyses have confirmed that mechanical traction in the supine position can relieve short-term pain in patients with radiculopathy. [4]
It can be classified by the part of the spine affected into cervical, thoracic, and lumbar stenosis. [2] Lumbar stenosis is the most common, followed by cervical stenosis. [2] Diagnosis is generally based on symptoms and medical imaging. [4] Treatment may involve medications, bracing, or surgery. [6]
Occipito-cervical junction This disorder may result from rheumatoid arthritis, causing the hypermobility of the connection between the neck and head, resulting in paralysis or pain. [ 6 ] Cerebrovascular disease Cerebrovascular disease is a type of cervical spine disorder that can cause tetraplegia .
In most cases of herniated disks and stenosis, rest, injections or surgery have similar general pain-resolution outcomes on average after one year. In the United States , acute low back pain is the fifth most common reason for physician visits and causes 40% of missed work days. [ 8 ]
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