In discartrosis cervical more narrow sense it refers to spinal osteoarthritisthe agerelated wear and tear of the spinal column, which is the most common cause of spondylosis. Cervical spondylotic myelopathy is a progressive degenerative condition of the cervical spine. While much has been written in recent years about cervical spondylosis, 15,8,9,1116 little attention has been given to lumbar spondylosis. Cervical spondylosis symptoms and causes mayo clinic.
Cervical spondylosis presents itself in three symptomatic forms as neck pain, cervical radiculopathy, and cervical myelopathy. Cervical spondylosis and spondylotic cervical myelopathy. A clinical study of 2 cases article pdf available in medicine 9410. Degenerative changes to the joints around the vertebrae and osteophyte formation produce areas of narrowing which may nip the nerve. Cervical radiculopathy and cervical myelopathy cervical spondylosis can progress to cause cervical radiculopathy or cervical myelopathy described below. You can often manage short spells of neck pain yourself using overthe counter painkillers and gentle stretches. Other things can sometimes cause or contribute to neck pain, such as worry or stress, sleeping awkwardly, an accident whiplash or a flareup of cervical spondylosis, which can happen as the discs and joints in the spine age. The degenerative process in osteoarthritis chiefly affects the vertebral bodies, the neural foramina and the facet joints facet syndrome. These changes can alter thealignment and stability of the spine.
Cervical spondylosis samitivej hospital bangkok thailand. The lancet original articles prevalence of cervical spondylosis in a general practice d. This is sometimes called a slipped disc although the disc does not actually slip. Neck pain and cervical radiculopathy nerve root involvement can be acute, subacute, or chronic conditions resulting from various stages along the degenerative cascade. Cervical spondylotic myelopathy is the most common cause of cervical spinal cord dysfunction in individuals older than 55 2.
A gp should check more serious cases affecting the spine. Spondylosis patients should avoid making any sudden movements like twisting the neck or the body all of a sudden. This pain usually responds to activity modification, neck immobilization, isometric exercises, and medication. Several acute and chronic symptoms can occur that start with neck pain and may progress into cervical radiculopathy. Previous neck injuries appear to increase the risk of cervical spondylosis. The aims of this article are to present cervical spondylotic myelopathy, a spinal condition caused by bony, ligament and disc alterations that results in spinal cord. Dyspnea as the presenting symptom of cervical spondylotic. Cervical spondylosis due to osteoarthritis is common. Ageing causes wear and tear to muscles and bones called cervical spondylosis. A previous neck injury may also lead to the condition. Surgical treatment of cervical spondylosis in patients 80. Get a printable copy pdf file of the complete article 2. Cervical spondylosis refers to common agerelated changes in the area of the spine at the back of the neck.
Growth factors prp platelet rich plasma ozone discolysis herniated disc. Although there are other causes of radiculopathy, cervical spondylosis is a common cause. Occasionally, particularly when the spinal canal is congenitally narrow cervical spondylosis is a common cause. Cervical spondylosis is a chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral disks of the neck in the form of, for example, disk herniation and spur formation, as well as the contents of the spinal canal nerve roots andor spinal cord. Cervical radiculopathy, commonly called a pinched nerve occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. However, it may be useful to be aware of the symptoms that suggest they may be happening, particularly as some of them may develop slowly. In the more narrow sense it refers to spinal osteoarthritis, the agerelated wear and tear of the spinal column, which is the most common cause of spondylosis. Cervical spondylosis causes neck pain often in the over 50s. The greatest risk factor for cervical spondylosis is aging. Cervical radiculopathy pinched nerve orthoinfo aaos.
If caused by an accident, the explanation is relatively straightforward, as the injury can cause the intervertebral discs in the neck area to be moved or to compress either the spinal cord or nerves. Cervical spondylosis is caused by degenerative disc disease and usually produces intermittent neck pain in middleaged and elderly patients. Cervical myelopathy is less frequent in the spondylotic patient and. Cervical spondylosis often develops as a result of changes in your neck joints as you age. Combined cervical and lumbar spondylosis jama neurology.
Causes and symptoms of cervical spondylosis cervical spondylosis can develop either with or without an injury or accident. Jobs that involve repetitive neck motions, awkward positioning or a lot of overhead work put extra stress on your neck. Cervical spondylosis is the most common cause of nontraumatic spastic paraparesis and quadriparesis. Cervical spondylotic myelopathy open access journals. Cervical spondylosis occurs because of longterm degeneration and wearandtear of the cervical spine. This may cause pain that radiates into the shoulder, as well as numbness that travels down the arm and into the hand. Newcastle general practitioner, ashington, northumberland 1 1 this paper is based upon material included in an m. The most important donts for cervical spondylosis is to avoid sleeping on the stomach, as sleeping in such a position can restrict the neck from resting in a naturally aligned manner.
With age, the vertebrae thecomponent bones of the spine gradually form bone spurs, and their shockabsorbing disks slowly shrink. Steroids were given during hospitalization, and the patient was discharged 5 days thereafter with preserved neurologic function. Spondylosis is the degeneration of the vertebral column from any cause. Cervical spondylosis can be complicated by myelopathy or radiculopathy, although cervical disc prolapse, plexopathy, motor neurone disease, or other diseases can cause similar symptoms2. Cervical spondylosis and neck pain pubmed central pmc.
1121 246 1195 1467 1067 1286 556 112 1284 683 1257 1336 1389 1573 1344 846 619 1108 1465 748 1369 769 677 6 605 533 1385 852 810 846 1562 1579 451 1251 75 194 292 1084 1211 427 1194 1267 1201 40