1 Richtlijn Behandeling van cervicaal radiculair syndroom ...

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$Conceptrichtlijn Osteoporose en fractuurpreventie - Nederlandse ...$

Inhoudsopgave Verantwoording ................................................................................................................................. 5 Probleemdefinitie .............................................................................................................................. 5 Te beantwoorden vragen ............................................................................................................... 6 Zoekstrategie ..................................................................................................................................... 7 Opbouw richtlijn ................................................................................................................................ 9 Referentie ........................................................................................................................................ 9 Aanbevelingen .................................................................................................................................. 10 Conservatieve therapie................................................................................................................. 12 Halskraag ....................................................................................................................................... 13 Fysiotherapie ................................................................................................................................ 14 Corticosteroïd injecties ............................................................................................................. 16 Conclusies ...................................................................................................................................... 18 Aanbeveling .................................................................................................................................. 19 Referenties .................................................................................................................................... 20 Timing overweging chirurgie ...................................................................................................... 22 Conclusie ........................................................................................................................................ 24 Aanbeveling .................................................................................................................................. 24 Referenties .................................................................................................................................... 25 Chirurgische therapie .................................................................................................................... 27 Anterieure chirurgische behandelmethoden .................................................................... 27 Anterieure Microforaminotomie ......................................................................................... 27 Cervicale anterieure discectomie ...................................................................................... 28 2
Cervicale anterieure discectomie zonder fusie ............................................................ 28 Cervicale anterieure discectomie met fusie .................................................................. 29 Cervicale anterieure discectomie met discusprothese ............................................. 29 Complicaties .............................................................................................................................. 31 Conclusies .................................................................................................................................. 37 Aanbeveling .............................................................................................................................. 38 Referenties ................................................................................................................................ 39 Dorsale benadering (dorsale cervicale foraminotomie) ............................................... 43 Minimaal invasieve dorsale benadering ......................................................................... 45 Conclusies .................................................................................................................................. 47 Aanbeveling .............................................................................................................................. 47 Referenties ................................................................................................................................ 48 Minimaal invasieve methoden ............................................................................................... 49 Conclusies .................................................................................................................................. 52 Aanbeveling .............................................................................................................................. 52 Referenties ................................................................................................................................ 53 Postoperatief beleid ....................................................................................................................... 55 Radiologisch onderzoek ............................................................................................................ 55 Kraag/Werkhervatting/Sport/Fysiotherapie ..................................................................... 55 Conclusies ...................................................................................................................................... 58 Aanbeveling .................................................................................................................................. 59 Referenties .................................................................................................................................... 59 Factoren om resultaat <strong>van</strong> de behandeling te beoordelen ............................................. 60 Bijlage 1: zoekstrategie literatuur ........................................................................................... 63 Bijlage 2: Lijst <strong>van</strong> afkortingen ................................................................................................. 64 Bijlage 3: Overzicht Studies ....................................................................................................... 65 3
Page 1: Richtlijn Behandeling van cervicaal
Page 5 and 6: Verantwoording Een veelheid aan mog
Page 7 and 8: - Wat is de optimale tijd om chirur
Page 9 and 10: Tabel 2: niveau van conclusies Conc
Page 11 and 12: is niet zinvol en wordt derhalve on
Page 13 and 14: in de groep die zich alleen present
Page 15 and 16: Voorts zijn de behandelingen vaak b
Page 17 and 18: gezegd worden dat er geen verschil
Page 19 and 20: Aanbeveling Een onderzoek naar de o
Page 21 and 22: Treatment of neck pain: noninvasive
Page 23 and 24: Op grond van de beschikbare gegeven
Page 25 and 26: Referenties 1. Eriksen EF, Buhl M,
Page 27 and 28: Chirurgische therapie Sinds het ein
Page 29 and 30: implantaten zijn niet aanwezig bij
Page 31 and 32: etreffen het allemaal operaties in
Page 33 and 34: hogere druk is de doorbloeding van
Page 35 and 36: Een veel voorkomende complicatie ge
Page 37 and 38: Conclusies Niveau Conclusie literat
Page 39 and 40: Referenties 1. Matz PG, Holly LT, G
Page 41 and 42: 18. Jung A, Schramm J, Lehnerdt K,
Page 43 and 44: Dorsale benadering (dorsale cervica
Page 45 and 46: patiënten betreft, geeft het obser
Page 47 and 48: Conclusies Niveau Conclusie Literat
Page 49 and 50: endoscopes: a prospective, randomiz
Page 51 and 52: decompressie. Cesaroni 5 geeft aan
Page 53 and 54:
groep van patiënten die hiervoor i
Page 55 and 56:
Postoperatief beleid Radiologisch o
Page 57 and 58:
In de postoperatieve fase is het ni
Page 59 and 60:
Aanbeveling In de regel herstellen
Page 61 and 62:
afhankelijk van de soort behandelin
Page 63 and 64:
Bijlage 1: zoekstrategie literatuur
Page 65 and 66:
Bijlage 3: Overzicht Studies (lette
Page 67 and 68:
Persson, 1997/2001 5,6 RCT: CADF, f
Page 69 and 70:
Hurwitz, 2008 10 Systematisch overz
Page 71 and 72:
termijn. 71
Page 73 and 74:
Gaetani, 1995 20 Brigham, 1995 21 K
Page 75 and 76:
Resnick, 2007 25 Systematische over
Page 77 and 78:
wegens cHNP op een niveau. CADP sco
Page 79 and 80:
afwijkingen. klachten. Jung, 2005 3
Page 81 and 82:
Mendoza- Lattes,2008 43 McAfee, 201
Page 83 and 84:
Bartels, 2005 48 RCT: open techniek
Page 85 and 86:
Tabel 4: Dorsale Foraminotomie Aute
Page 87 and 88:
Heary, 2009 59 Systematisch overzic
Page 89 and 90:
Minimaal invasieve behandeling Aute
Page 91 and 92:
Referenties 1. Anderberg L, Annertz
Page 93 and 94:
diskectomy compared with healthy su
Page 95 and 96:
45. Heese O, Schroder F, Westphal M
Page 97 and 98:
68. Hellinger J. Complications of n
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