Revisión de la literatura: actualización en radiculopatía cervical

Autores/as

  • Andrés Mauricio Álvarez Pinzón rograma de Investigación Clínica Ortopédica y Neurocirugía Cleveland Clinic.Miami,EEUU
  • Michael Krill Florida Atlantic.Florida

DOI:

https://doi.org/10.18270/rce.v8i8.553

Palabras clave:

Vértebras cervicales, Desplazamiento del disco intervertebral-complicaciones, Dolor de cuello-etiología, Eadiculopatía-diagnóstico

Resumen

La radiculopatía cervical es una disfunción de una raíz nerviosa de la columna cervical. La séptima raíz (C7) se compromete en un 60% de los casos y la sexta (C6) en un 25%. A menudo, las raíces nerviosas cervicales son las más afectadas en nuestro medio. Aproximadamente el 10% de la población adulta ha tenido dolor en el cuello en algún momento de su vida. Esta prevalencia es similar al dolor lumbar, pero muy pocos pacientes con dolor cervical se incapacitan y menos del 1% desarrolla déficit neurológico. Los trastornos clínicos que afectan la columna cervical pueden ser categorizados como la causa principal del dolor en el cuello. Estos trastornos son los que con mayor frecuencia causan dolor en las extremidades o disfunción neurológica. Las patologías que involucran dolor en el cuello son: esguince cervical, síndrome de compresión interna de disco o dolor discogénico, dolor cervical de tipo latigazo de origen neuropático y dolor miofascial. Los trastornos que de manera predominante causan síntomas en las extremidades o con disfunción neurológica incluyen la radiculopatía cervical y mielopatía cervical espondilótica. Los factores asociados con mayor riesgo son el trabajo manual pesado que requiere el levantamiento de más de 25 libras, el tabaquismo y conducir o utilizar equipo vibratorio. Otras causas menos frecuentes son los tumores de la columna vertebral, una ampliación de quiste sinovial, condromatosis sinovial, arteritis y las infecciones de la columna vertebral.En este artículo se estudian los conceptos contemporáneos del tratamiento de la radiculopatía cervical mediante la evaluación 

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Andrés Mauricio Álvarez Pinzón, rograma de Investigación Clínica Ortopédica y Neurocirugía Cleveland Clinic.Miami,EEUU

Médico Cirujano, Especialista en Bioética, MBA Salud , Médico Adscrito. Programa de Investigación Clínica Ortopédica y Neurocirugía Cleveland Clinic.Miami,EEUU

Michael Krill, Florida Atlantic.Florida

Biólogo, Médico Cirujano,Phd (c).Florida Atlantic.Florida, EEUU

Referencias bibliográficas

Caridi J, Pumberger M, Hughes A. Cervical radiculopathy: a review. HSS 2011 Journal 7:3, 265-272

Korinth M. Treatment evolution in management of cervical disc disease. 2012: 1747-1756.

Sánchez D, Leoni G, Palazuelos M. Dolores musculoesqueléticos. Radiculopatías. Afectación de partes blandas. Artritis aguda. Medicine - Programa de Formación Médica Continuada. 2011; 10:89, 6023-6040.

Salt E, Wright C, Sulle K. A systematic literature review on the effectiveness of non-invasive therapy for cervicobrachial pain. Manual Therapy. 2011; 16:1, 53-65.

Ahmed M, Modic MT. Neck and low back pain: neuroimaging. Neurological Clin. May 2007; 25(2): 439-471.

Alrawi MF, Khalil NM, Mitchell P, Hughes SP. The value of neurophysiological and imaging studies in predicting outcome in the surgical treatment of cervical radiculopathy. Eur Spine J. Apr 2007; 16(4): 495-500.

Balasubramanian C, Price R, Brydon H. Anterior cervical microforaminotomy for cervical radiculopathy results and review. Minim Invasive Neurosurg. 2008; 51(5): 258-262.

Anderberg L, Annertz M, Rydholm U, Brandt L, Saveland H. Selective diagnostic nerve root block for the evaluation of radicular pain in the multilevel degenerated cervical spine. Eur Spine J. Jun 2006; 15(6): 794-801.

Anderberg L, Saveland H, Annertz M. Distribution patterns of transforaminal injections in the cervical spine evaluated by multi-slice computed tomography. EuroSpine J. Oct 2006; 15(10): 1465-1471.

Ashkan K, Johnston P, Moore AJ. A comparison of magnetic resonance imaging and neurophysiological studies in the assessment of cervical radiculopathy. Br J Neurosurg. Apr 2002; 16(2): 146-148.

Baron EM, Loftus CM, Ducker TB, Nakagawa H. Dynamic computed tomography myelography for the investigation of cervical degenerative disease: Commentary. Neurol Med Chir (Tokyo). 2006; 46(4): 215-216.

Bartlett RJ, Hill CA, Devlin R, Gardiner ED. Two-dimensional MRI at 1.5 and 0.5 T versus CT myelography in the diagnosis of cervical radiculopathy. Neuroradiology. Feb 1996; 38(2): 142-147.

Bartlett RJV, Hill CR, Gardiner E. A comparison of T2 andgadolinium enhanced MRI with CT myelography in cervical radiculopathy. Br JRadiol. Jan 1998; 71(JAN.): 11-19.

Bell GR. The anterior approach to the cervical spine. Neuroimag Clin N Am. 1995; 5(3): 465-479.

Bell GR, Ross JS. Diagnosis of nerve root compression: myelography, computed tomography, and MRI. Orthop Clin North Am. 1992; 23(3): 405-419.

Ben-Eliyahu DJ. Thermographic imaging of pathoneurophysiology due to cervical disc herniation. J Manipulativeand Physiol Ther. 1989; 12(6): 482-490.

Coric D, Nunley PD, Guyer RD, Musante D, et al. Prospective, randomized, multicenter study of cervical arthroplasty: 269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article. J Neurosurg Spine. 2011 Oct; 15(4): 348-58.

Coumans Abd-Alrahman N, Dokmak AS, Abou-Madawi A. Anterior cervical discectomy (ACD) versus anterior cervical fusion (ACF), clinical and radiological outcome study. Acta Neurochir (Wien). 1999; 141(10): 1089-1092.

Shabat S, Leither Y, David R, Folman. The correlation between spurling test and imaging studies in detecting cervical radiculopathy. Journald of Neuroimaging. 2012; 22; 4: 375-378.

Alexandre A, Coro L, Azuelos A, et al. Intradiscal injection of oxygen-ozone gas mixture for the treatment of cervical disc herniations. Acta Neurochir Suppl. 2005; 92: 79-82.

Al-Hami S. Cervical monosegmental interbody fusion using titanium implants in degenerative, intervertebral disc disease. Minim Invasive Neurosurg. Mar 1999; 42(1): 10 -17.

.Slater B, Hall H, Lee T, Briffa G. Quantitative sensory testing somatosensory profiles in patients with cervical radiculopathy are distinct from those in patients with nonspecific neck-arm pain, PAIN -AMSTERDAM-2012, 153; 12, 2403-2414.

Alvarez JA, Hardy RW. Anterior cervical discectomy for one- and two-level cervical disc disease: the controversy surrounding the question of whether to fuse, plate, or both. Crit Rev Neurosurg. Jul 1999; 9(4): 234-251.

An HS. Cervical root entrapment. Hand Clin. Nov 1996; 12(4): 719-730. An HS, Ahn NU. Posterior decompressive procedures for the cervical spine. Instr Course Lect. 2003; 52: 471-477.

Anderberg L, Annertz M, Brandt L, Saveland H. Selective diagnostic cervical nerve root block--correlation with clinical symptoms and MRI-pathology. Acta Neurochir (Wien). Jun 2004; 146(6): 559-565;discussion 565.

Anderberg L, Annertz M, Persson L, Brandt L, Saveland H. Transforaminal steroid injections for the treatment of cervical radiculopathy: a prospective and randomised study. Eur Spine J. Mar 2007; 16(3): 321-328.

Drakeley M, Longbottom E. A single case report of physiotherapy and acupuncture treatment for cervical

radiculopathy. European Journal of Integrative Medicine. 2012; 4: 2, e223-e229.

Thoomes E, Scholten-Peeters G, Boer A. Lack of uniform diagnostic criteria for cervical radiculopathy in conservative intervention studies: a systematic review. European Spine Journal Mir H. Ali, Frank M. Phillips. 2012. Cervical Disk Herniation, 1-13.

Konstantinovic A, Ljubica M, Cutovic, Milisav R. Low-level laser therapy for acute neck pain with radiculopathy: a double-blind placebo-controlled randomized study. Pain Medicine 11:8, 1169-117.

Jagannathan J, Sherman J, Szabo T, Shaffrey C. The posterior cervical foraminotomy in the treatment of cervical disc/osteophyte disease: a single-surgeon experience with a minimum of 5 years’ clinical and radiographic follow-up. Journal of Neurosurgery: Spine 2009 10: 4,347-356.

Fukui S, Ohseto K, Shiotani M, Ohno K, Karasawa H, Naganuma Y, Yuda Y. Referred pain distribution of the cervical zygapophyseal joints and cervical dorsal rami. Pain 1996; 68: 79-83.

Sasso R, Anderson P, Riew D, Results of cervical arthroplasty compared with anterior discectomy and fusion: four-year clinical outcomes in a prospective, randomized controlled trial. The Journal of Bone & Joint Surgery. 2011 Sep;9 3(18): 1684-1692.

Reyes-Sánchez A, Patwardhan A, Block J. The M6 artificial cervical disc. 2008; 272-276.

Cannon D, Dillingham T, Musculoskeletal disorders in referrals for suspected cervical radiculopathy. Archives of Physical Medicine and Rehabilitation. 2007; 88: 10, 1256-1259.

Pasqualucci A, Varrassi G, Braschi A, Peduto V, Epidural local anesthetic plus corticosteroid for the treatment of cervical brachial radicular pain: single injection versus continuous infusion. The Clinical Journal of Pain. 2007; 23: 7, 551-557.

Fayad F, Rannou F, Drapé J, Rahmani L, Lefevre-Colau M, Intradiscal corticosteroid injections in spondylotic cervical radiculopathy. European Radiology. 2007; 17: 5, 1156-1161.

Carroll LJ, Holm LW, Hogg-Johnson S, et al. Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the bone and joint decade task force on neck pain and its associated disorders. Spine (Phila Pa 1976). 2008; 33:S83.

Krakenes J, Kaale BR. Magnetic resonance imaging assessment of craniovertebral ligaments and membranes after whiplash trauma. Spine (Phila Pa 1976). 2006; 31:2820.

Pobereskin LH. Whiplash following rear end collisions: a prospective cohort study. J Neurol Neurosurg Psychiatry. 2005; 76:1146.

Kasch H, Qerama E, Kongsted A, et al. The risk assessment score in acute whiplash injury predicts outcome and reflects biopsychosocial factors. Spine (Phila Pa 1976). 2011; 36:S263.

Ferrari R, Lang C. A cross-cultural comparison between Canada and Germany of symptom expectation for whiplash injury. J Spinal Disord Tech. 2005; 18:92.

Ferrari R, Obelieniene D, Russell A, et al. Laypersons’ expectation of the sequelae of whiplash injury. A cross-cultural comparative study between Canada and Lithuania. Med Sci Monit. 2002; 8:CR728.

Cameron ID, Rebbeck T, Sindhusake D, et al. Legislative change is associated with improved health status in people with whiplash. Spine (Phila Pa 1976). 2008; 33:250.

Resnick D, Berthiaume MJ, Sartoris D. Textbook of Rheumatology, 4th ed, Kelley WN, Harris ED, Ruddy S, Sledge CB (Eds), WB Saunders, Philadelphia 1993.

Kasch H, Bach FW, Jensen TS. Handicap after acute whiplash injury: a 1-year prospective study of risk factors. Neurology 2001; 56:1637.

Viikari-Juntura E, Porras M, Laasonen EM. Validity of clinical tests in the diagnosis of root compression in cervical disc disease. Spine (Phila Pa 1976) 1989; 14:253.

Tong HC, Haig AJ, Yamakawa K. The spurling test and cervical radiculopathy. Spine (Phila Pa 1976) 2002; 27:156.

Wainner RS, Fritz JM, Irrgang JJ et al. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine (Phila Pa 1976). 2003; 28:52.

Rubinstein SM, Pool JJ, van Tulder MW, et al. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J 2007; 16:307.

ACR-Cronic Neck pain. [Internet] [Accessed on January 24, 2012] acceded at: http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_

Review of the literature: cervical radiculopathy. An updateRevisión de la literatura: actualización en radiculopatía cervicalRevisão da literatura: atualização sobre radiculopatia cervicalcriteria/pdf/ExpertPanelonMusculoskeletalImaging/ChronicNeckPainDoc9.aspx

White AP, Biswas D, Smart LR, et al. Utility of flexion-extension radiographs in evaluating the degenerative cervical spine. Spine (Phila Pa 1976). 2007; 32:975.

Mezzadri J. Discectomía cervical anterior con o sin injerto: metanálisis de la evolución y fusión. Rev. argent. neurocir. [Internet]. 2009 Mar, [citado 2012 Oct 10]; 23(1):1-7. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850-15322009000100002&lng=es

Angevine PD, Arons RR, McCormick PC. National and regional rates and variations of cervical discectomy with and without anterior fusion, 1990-1999. Spine. 2003; 28: 931-40.

Chen CJ, Hsu HL, Niu CC, et al. Cervical degenerative disease at flexion-extension MR imaging: prediction criteria. Radiology. 2003; 227:136.

Nordin M, Carragee EJ, Hogg-Johnson S, et al. Assessment of neck pain and its associated disorders: results of the bone and joint decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008; 33:S101.

Anderson SE, Boesch C, Zimmermann H, et al. Are there cervical spine findings at MR imaging that are specific to acute symptomatic whiplash injury? A prospective controlled study with four experienced blinded readers. Radiology. 2012; 262:567.

Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ. Oct 7 2009; 339: b3883.

Cohen SP, Gupta A, Strassels SA, Christo PJ, Erdek MA, Griffith SR, et al. Effect of MRI on treatment results or decision making in patients with lumbosacral radiculopathy referred for epidural steroid injections: a multicenter, randomized controlled trial. Arch Intern Med. Dec 12 2011.

Friedly J, Deyo RA. Imaging and uncertainty in the use of lumbar epidural steroid injections: comment on “effect of MRI on treatment results or decision making in patients with lumbosacral radiculopathy referred for epidural steroid injections”. Arch Intern Med. Dec 12 2011.

American Society of Interventional Pain Physicians. Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. National Guideline Clearinghouse. [Internet]. Available: http://guideline.gov/summary/summary.aspx?doc_id=10531. Accessed March 25, 2012.

Michael O. Malley Spinal conditions. [Internet]. [Accessed October 10 2012]. Available at: http://www.spinesurgeon.co.uk/content/spinal_conditions

Pobiel RS, Schellhas KP, Eklund JA, Golden MJ, Johnson BA, Chopra S, et al. Selective cervical nerve root blockade: prospective study of immediate and longer term complications. AJNR Am J Neuroradiol. Mar 2009; 30(3): 507-11.

Van Zundert J, Patijn J, Kessels A, Lamé I, van Suijlekom H, van Kleef M. Pulsed radiofrequency adjacent to the cervical dorsal root ganglion in chronic cervical radicular pain: a double blind sham controlled randomized clinical trial. Pain. Jan 2007; 127(1-2): 173-82.

Griffiths C, Dziedzic K, Waterfield J, Sim J. Effectiveness of specific neck stabilization exercises or a general neck exercise program for chronic neck disorders: a randomized controlled trial. J Rheumatol. Feb 2009; 6(2): 39 0 -7.

Ahlgren BD, Garfin SR. Cervical radiculopathy. Orthop Clin North Am. Apr 1996; 27(2): 253-63.

Carragee EJ, Hurwitz EL, Cheng I et al. And the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Treatment of neck pain: injections and surgical interventions: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine. Feb 15 2008; 33(4 suppl): S153-69.

Chiba S, Koge N, Oda M, et al. Synovial chondromatosis presenting with cervical radiculopathy: a case report. Spine. Oct 1 2003; 28(19): E396-400.

Dreyfus P. The cervical spine: non-surgical care. Presented at: The Tom Landry Sports Medicine and Research Center. April 8, 1993; Dallas, Tex.

Friedenberg ZB, Edeiken J, Spencer HN, Tolentino SC. Degenerative changes in the cervical spine. J Bone Joint Surg Am. Jan 1959; 41-A(1): 61-70 passim.

Leblhuber F, Reisecker F, Boehm-Jurkovic H, Witzmann A, Deisenhammer E. Diagnostic value of different electrophysiologic tests in cervical disk prolapse. Neurology. Dec 1988; 38(12): 1879-81.

Lipetz JS, Malanga GA. Oral medications in the treatment of acute low back pain. Occup Med. Jan-Mar 1998; 13(1): 151-66.

Lo YL, Chan LL, Leoh T, et al. Diagnostic utility of F waves in cervical radiculopathy: electrophysiological and magnetic resonance imaging correlation. Clin Neurol Neurosurg. Jan 2008; 110(1): 58-61.

Malanga GA, Campagnolo DI. Clarification of the pronator reflex. Am J Phys Med Rehabil. Sep-Oct 1994; 73(5): 338-40.

Marks MR, Bell GR, Boumphrey FR. Cervical spine injuries and their neurological implications. Clin Sports Med. Apr 1990; 9(2):2 63-78.

Miwa M, Doita M, Takayama H et al. An expanding cervical synovial cyst causing acute cervical radiculopathy. J Spinal Disord Tech. Aug 2004; 17(4): 331-3.

Thomas M, Bell GB. Radiologic evaluation and imaging of the spine. In: Nicholas JA, Hershman EB, eds. The Lower Extremity and Spine in Sports Medicine. 2nd ed. 1995:1096-7.

Wilbourn AJ, Aminoff MJ. AAEE minimonograph #32: the electrophysiologic examination in patients with radiculopathies. Muscle Nerve. Nov 1988; 11(11): 1099-114

Descargas

Publicado

2018-09-13

Cómo citar

Álvarez Pinzón, A. M., & Krill, M. (2018). Revisión de la literatura: actualización en radiculopatía cervical. Revista Colombiana De Enfermería, 8, 131–145. https://doi.org/10.18270/rce.v8i8.553

Número

Sección

Articulos de Investigación