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Journal of Long-Term Effects of Medical Implants

Publication de 4  numéros par an

ISSN Imprimer: 1050-6934

ISSN En ligne: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Cervical Spinal Stenosis with Coexisting Rotator Cuff Tear: A Nationwide Review of Records from 2005 to 2014

Volume 29, Numéro 3, 2019, pp. 209-214
DOI: 10.1615/JLongTermEffMedImplants.2020033315
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RÉSUMÉ

Rotator cuff tear (RCT) and cervical spinal stenosis (CSS) are common pathologies in the elderly. Both conditions may present with lateral shoulder pain and weakness or numbness of the upper extremity, potentially affecting patients' ability to live independently. Few data are available on the incidence of CSS among patients with concurrent RCT. The purpose of this study was to investigate the incidence of CSS among RCT patients, demographics, and surgical management using a national insurance database. The Medicare database was used to identify patients with RCT and concomitant CSS by ICD-9 codes from 2005-2014. Trends based on age, gender, and body mass index (BMI) were assessed. Utilization of open and arthroscopic rotator cuff repair (RCR) was compared. A total of 86,501 patients were identified. The number of patients diagnosed with RCT and CSS significantly increased (p< 0.0001). The incidence of CSS in patients with RCT increased from 9% to 13% (p < 0.05). Females < 64 years were more likely to exhibit combined pathology than age-matched males (OR 1.15, 95% CI 1.12 to 1.18) or females > 65 years (OR 1.64, 96% CI 1.61 to 1.67). A BMI of 30-40 kg/m2 demonstrated the highest incidence (43%, p < 0.0001). Arthroscopic RCR increased by 2% (p = 0.03) in RCT-CSS. The incidence of CSS in RCT patient is increasing. Orthopedic surgeons should maintain high clinical suspicion for concurrent CSS pathology in patients with RCT, particularly in obese female patients > 65 years with several medical comorbidities. Further investigation into the influence of these concurrent pathologies on patient outcomes is warranted.

RÉFÉRENCES
  1. Li Y, Zheng S, Wu Y, Liu X, Dang G, Sun Y, Chen Z, Wang J, Li J, Liu Z. Trends of surgical treatment for spinal degenerative disease in China: a cohort of 37,897 in patients from 2003 to 2016. Clin Interv Aging. 2019;14:361-6. .

  2. Wang MC, Chan L, Maiman DJ, Kreuter W, Deyo RA. Complications and mortality associated with cervical spine surgery for degenerative disease in the United States. Spine (Phila, Pa; 1976). 2007;32:342-7. .

  3. Deng H, Yue JK, Ordaz A, Rivera EJ, Suen CG, Sing DC. Cervical fusion for degenerative disease: a comprehensive cost analysis of hospital complications in the United States from 2002 to 2014. J Craniovertebr Junction Spine. 2018;9:140-7. .

  4. Kang JR, Sin AT, Cheung EV. Treatment of massive irreparable rotator cuff tears: a cost-effectiveness analysis. Orthopedics. 2017;40:e65-e76. .

  5. Mizutamari M, Sei A, Tokiyoshi A, Fujimoto T, Taniwaki T, Togami W, Mizuta H. Corresponding scapular pain with the nerve root involved in cervical radiculopathy. J Orthop Surg (Hong Kong). 2010;18:356-60. .

  6. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. JBJS. 1995;77:10-15. .

  7. Matsumoto M, Fujimura Y, Suzuki N, Nishi Y, Nakamura M, Yabe Y, Shiga H. MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br. 1998;80:19-24. .

  8. Triplet JJ, Kurowicki J, Momoh E, Law TY, Niedzielak T, Levy JC. Trends in total elbow arthroplasty in the Medicare population: a nationwide study of records from 2005 to 2012. J Shoulder Elbow Surg. 2016;25:1848-53. .

  9. Lee MJ, Cassinelli EH, Riew KD. Prevalence of cervical spine stenosis: anatomic study in cadavers. JBJS. 2007; 89:376-80. .

  10. Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med. 2012;31:589-604. .

  11. Pavlov H, Torg JS, Robie B, Jahre C. Cervical spinal stenosis: determination with vertebral body ratio method. Radiology. 1987;164:771-5. .

  12. Gore DR. Roentgenographs findings in the cervical spine in asymptomatic persons: a ten-year follow-up. Spine. 2001;26:2463-6. .

  13. Teresi LM, Lufkin RB, Reicher MA, Moffit BJ, Vinuela FV, Wilson GM, Bentson JR, Hanafee WN. Asymptomatic degenerative disk disease and spondylosis of the cervical spine: MR imaging. Radiology. 1987;164:83-8. .

  14. Dunn WR, Schackman BR, Walsh C, Lyman S, Jones EC, Warren RF, Marx RG. Variation in orthopaedic surgeons' perceptions about the indications for rotator cuff surgery. JBJS. 2005;87:1978-84. .

  15. Baumgarten KM, Gerlach D, Galatz LM, Teefey SA, Middleton WD, Ditsios K, Yamaguchi K. Cigarette smoking increases the risk for rotator cuff tears. Clin Ortho Related Res. 2010;468:1534-41. .

  16. Carbone S, Gumina S, Arceri V, Campagna V, Fagnani C, Postacchini F. The impact of preoperative smoking habit on rotator cuff tear: cigarette smoking influences rotator cuff tear sizes. J Shoulder Elbow Surg. 2012;21: 56-60. .

  17. Beason DP, Abboud JA, Kuntz AF, Bassora R, Soslowsky LJ. Cumulative effects of hypercholesterolemia on tendon biomechanics in a mouse model. J Ortho Res. 2011;29:380-3. .

  18. Harvie P, Ostlere S, Teh J, McNally EG, Clipsham K, Burston BJ, Pollard TC, Carr AJ. Genetic influences in the aetiology of tears of the rotator cuff. Bone Joint J. 2004;86:696-700. .

  19. Tashjian RZ, Farnham JM, Albright FS, Teerlink CC, Cannon-Albright LA. Evidence for an inherited predispo-sition contributing to the risk for rotator cuff disease. J Bone Joint Surg. Am. 2009;91:1136. .

  20. Maman E, Harris C, White L, Tomlinson G, Shashank M, Boynton E. Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging. JBJS. 2009;91:1898-906. .

  21. Herkowitz HN. A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the surgical management of multiple level spondylotic radic-ulopathy. Spine. 1988;13:774-80. .

CITÉ PAR
  1. Akpinar Berkcan, Vasavada Kinjal, Colasanti Christopher A., Alaia Michael J., Strauss Eric J., Jazrawi Laith M., Concomitant Cervical Spine Stenosis Negatively Affects Subpectoral Biceps Tenodesis Outcomes, Arthroscopy, Sports Medicine, and Rehabilitation, 4, 4, 2022. Crossref

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