Cervical spondylosis, also known as cervical syndrome, is the general name of cervical osteoarthritis, hyperplastic cervicitis, cervical nerve root syndrome and cervical disc herniation, and it is a disease based on degenerative diseases. It is mainly due to long-term strain of cervical vertebra, hyperosteogeny, or disc herniation, ligament thickening, compression of cervical spinal cord, nerve root or vertebral artery, leading to a series of clinical syndromes of dysfunction. It is characterized by unstable and loose vertebral segments; Protrusion or prolapse of nucleus pulposus; Bone spur formation; Ligament hypertrophy and secondary spinal stenosis stimulate or compress adjacent nerve roots, spinal cord, vertebral artery and cervical sympathetic nerve, causing a series of symptoms and signs.
The clinical symptoms of cervical spondylosis are complicated. Mainly neck and back pain, upper limb weakness, finger numbness, lower limb weakness, difficulty in walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and dysphagia. The clinical symptoms of cervical spondylosis are related to the lesion site, the degree of tissue involvement and individual differences.
1. Cervical spondylotic radiculopathy
(1) has typical root symptoms (numbness, pain), and the range is consistent with the area dominated by cervical spinal nerve.
(2) Positive head test or brachial plexus traction test.
(3) Imaging findings are consistent with clinical manifestations.
(4) The pain point is closed and has no obvious effect.
(5) Diseases caused by external neck diseases such as thoracic outlet syndrome, carpal tunnel syndrome, cubital tunnel syndrome and scapulohumeral periarthritis are excluded.
2. Cervical spondylotic myelopathy
Clinical manifestations of (1) cervical spinal cord injury.
(2)X-ray film showed hyperosteogeny and spinal canal stenosis at the posterior edge of vertebral body. Imaging confirmed the existence of spinal cord compression.
(3) Except amyotrophic lateral sclerosis, spinal cord tumor's disease, spinal cord injury and multiple peripheral neuritis.
3. Vertebral artery type cervical spondylosis
(1) has collapsed. Accompanied by cervical vertigo.
(2) The neck rotation test was positive.
(3)X-ray film showed segmental instability or hyperosteogeny of the axis joint.
(4) Sympathetic symptoms are common.
(5) Except for ocular vertigo and otogenic vertigo.
(6) Insufficient blood supply to the basilar artery caused by the compression of vertebral artery ⅰ (the vertebral artery before entering the transverse foramen of neck 6) and vertebral artery ⅲ (the vertebral artery before leaving the cervical vertebra and entering the skull).
(7) Vertebral angiography or digital subtraction angiography (DSA) should be performed before operation.
4. Sympathetic cervical spondylosis
The clinical manifestations are dizziness, dizziness, tinnitus, numbness in both hands, tachycardia, precordial pain and a series of sympathetic symptoms, and the X-ray film of cervical vertebra is unstable or degenerated. Vertebral arteriography was negative.
5. Cervical spondylosis of esophageal compression type
The bird's beak hyperplasia in front of the cervical vertebra presses the esophagus, causing dysphagia (confirmed by barium meal examination of esophagus).
6. Cervical spondylosis
Cervical spondylosis, also known as local cervical spondylosis, is the pain of fingers, shoulders, neck, arms and corresponding tender points. There are no obvious degenerative changes such as intervertebral space stenosis on X-ray film, but there may be changes in cervical physiological curve, instability between vertebral bodies and mild hyperosteogeny.