Degenerative Cervical Spondylosis
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Chronic progressive degeneration of the cervical spine due to aging is known as degenerative cervical spondylosis. It is caused by arthritic changes in the intervertebral disks, facet joints, and ligaments of the cervical spine. Symptoms include neck pain and radiculopathy, with myelopathy occurring in more severe cases. Treatment is usually nonsurgical for pain and mild radiculopathy, involving analgesics, physical therapy, and cervical traction. Surgery is recommended for neurological deficits like persistent myelopathy or severe nerve root compression. Maintaining physical activity, good posture, and a healthy lifestyle can help prevent degenerative cervical spondylosis.
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Cervical spinal stenosis and myelopathy
Also visit: http://www.ineuro.be/Welcome.html - A must have for every osteopath and health care provider. Simple to use and no unnecessary information. It keeps your knowledge sharp for daily patient care!
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Swann2009
Cervical spondylosis is a degenerative condition affecting the bones and joints in the neck. It causes pain, stiffness, and weakness and can compress nerves leading to sensory and motor problems. Symptoms range from mild neck pain to major dysfunction. While it mainly affects older adults, injuries or occupations involving heavy lifting or straining of the neck can also trigger it. Treatment focuses on relieving pain and addressing weakness, sensory loss, and other symptoms through analgesics, cervical collars, physiotherapy, surgery if needed, and encouraging patients to seek medical help. Healthcare assistants should explain cervical spondylosis to patients and ensure any problems are referred to doctors.
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Degenerative Cervical Spondylosis
- 1. Ade Wijaya, MD; July 2020
- 2. Chronic progressive degeneration of osseocartilaginous components of the cervical spine aging Synonims: degenerative cervical spondylosis, cervical degenerative disease, cervical spondylosis, cervical osteoarthritis, and neck arthritis N Engl J Med 2020;383:159-68.
- 3. Intervertebral disks Facet Joints Cervical spinal ligaments Berenbaum F. Osteoarthritis as an in-f lammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage 2013; 21: 16-21.2. Haseeb A, Haqqi TM. Immunopatho-genesis of osteoarthritis. Clin Immunol 2013; 146: 185-96.
- 4. 80 to 90% of people have disk degeneration on magnetic resonance imaging (MRI) by the age of 50 years (not always symptomatic) A review of the global burden of low back and neck pain estimated that in 2015, more than a third of a billion people worldwide had mechanical neck pain of at least 3 months’ duration Cervical radiculopathy: 83 cases per 100,000 persons) Cervical myelopathy : approximately 4 per 100,000 Peak incidence between the ages of 40 and 60 years for both men and women N Engl J Med 2020;383:159-68.
- 5. Intervertebral disk avascular Age-related changes such as vertebral bony end-plate calcification decrease the limited exchange of nutrient and waste products Such events may have a genetic basis or may be related to previous spinal trauma, including subclinical and unnoticed injuries N Engl J Med 2020;383:159-68.
- 6. Up-regulation of proinflammatory cytokines Production of hydrophilic proteoglycans is decreased Disk desiccation Central nervous system may become sensitized and perpetuate neck discomfort in patients with chronic spinal pain N Engl J Med 2020;383:159-68.
- 9. No neurological deficits: Analgesics Other conservative options, including physical therapy Epidural glucocorticoid Cervical traction Brief immobilization in a cervical orthosis Massage Psychology support Neurological deficits: surgical N Engl J Med 2020;383:159-68.
- 10. Staying physically active Maintaining good posture Preventing neck injuries Avoid smoking Manage obesity Kadow T, Sowa G, Vo N, Kang JD. Molecular basis of intervertebral disc degeneration and herniations: what are the important translational questions? Clin Orthop Relat Res 2015; 473: 1903- 12.
- 11. Degenerative cervical spondylosis is caused by arthritic changes in the osseocartilaginous components of the cervical spine Neck pain, radiculopathy, myelopathy Treatment is generally nonsurgical, especially for pain and mild radiculopathy, which are typically self-limiting. However, surgery is generally indicated to treat myelopathy and may be indicated for persistent and severe nerve-root compression
- 12. Adios