Cervical Spondylosis

Cervical spondylosis is degenerative disease of cervical spine with disc degeneration, osteophytes, ligamentum flavum hypertrophy. Types: radiculopathic, myelopathic, vertebral artery, sympathetic, mixed. Clinical: neck pain/stiffness, radicular arm pain, myelopathy (hand clumsiness/gait instability), vertigo. Diagnosis: cervical X-ray/MRI. Treatment: conservative: NSAIDs, muscle relaxants, gabapentin/pregabalin, soft collar, cervical traction, PT (isometric strengthening, posture), activity modification; epidural/nerve-root injections; surgical: ACDF, posterior laminectomy/foraminotomy for myelopathy, refractory radiculopathy; follow-up orthopedics/neurosurgery/neurology/PT.

Common Symptoms

Neck pain; arm pain; stiffness; vertigo; myelopathy signs

Causes and Pathogenesis

Degenerative disc/osteophyte/ligament changes cause cord/root/vascular compression.

Treatment

NSAIDs/PT/traction; ACDF/laminectomy for myelopathy/refractory

Preventive Measures

Neck posture; ergonomics; avoid trauma; early diagnosis.

Department to Visit

It is recommended to visit the Orthopedics/Neurosurgery/Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.