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Degenerative cervical spine disease

ბოლო მიმოხილვა: 19 Mar 2025
ბოლო განახლება: 05 Mar 2025

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

ძირითადი დიაგნოსტიკური ფაქტორები

  • spontaneous onset of neck pain
  • cervical muscle pain and spasm
  • headaches or occipital pain
  • weakness or numbness
  • presence of radiating arm pain
  • reflex changes
  • proximal arm weakness
  • distal hand weakness
  • gait ataxia
სრული ტექსტი

სხვა დიაგნოსტიკური ფაქტორები

  • cervical muscle spasm
  • decreased cervical range of motion
  • sensory changes
სრული ტექსტი

რისკფაქტორები

  • age >40 years
  • head or neck trauma
  • previous cervical spine surgery
  • previous cervical myofascial strain
  • genetic predisposition
სრული ტექსტი

დიაგნოსტიკური კვლევები

1-ად შესაკვეთი გამოკვლევები

  • cervical MRI
  • cervical x-ray
სრული ტექსტი

Tests to avoid

  • dermatomal somatosensory evoked potentials (SEPs)
სრული ტექსტი

გასათვალისწინებელი კვლევები

  • cervical CT scan
  • cervical CT myelogram
  • cervical/upper extremity electrodiagnostic testing
  • cervical nerve root block
სრული ტექსტი

მკურნალობის ალგორითმი

მწვავე

axial neck pain

cervical spondylotic radiculopathy (CSR)

degenerative cervical myelopathy (DCM)

კონტრიბუტორები

ავტორები

Dennis A. Turner, MA, MD
Dennis A. Turner

Professor

Neurosurgery and Neurobiology

Duke University Medical Center

Durham

NC

Disclosures

DAT is an author of a reference cited in this topic.

Peer reviewers

Ricardo Pietrobon, MD, PhD, MBA

Associate Professor of Surgery

Associate Professor in Anesthesiology

Associate Vice-Chair, Systems Integration

Department of Surgery

Duke University Medical Center

Durham

NC

Disclosures

RP is an author of a number of references cited in this topic.

Allan I. Binder, MD

Consultant Rheumatologist

Lister Hospital

East and North Hertfordshire NHS Trust

Stevenage

UK

Disclosures

AIB is an author of a number of references cited in this topic.

  • Degenerative cervical spine disease images
  • Differentials

    • Whiplash injury (cervical myofascial strain)
    • Acute disk herniation
    • Metastatic malignancy
    More Differentials
  • Guidelines

    • ACR appropriateness criteria: cervical neck pain or cervical radiculopathy
    • A clinical practice guideline for the management of patients with degenerative cervical myelopathy: recommendations for patients with mild, moderate, and severe disease and nonmyelopathic patients with evidence of cord compression
    More Guidelines
  • Patient information

    Back pain (lower back)

    More Patient information
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