颈椎退行性病变

没有必要进行常规颈部 X 线或者 MRI 检查，因为在患者 40 岁之前，这些异常几乎 100% 无症状。[1]Matsumoto M, Fujimura Y, Suzuki N, et al. MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br. 1998 Jan;80(1):19-24. https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620X.80B1.0800019 http://www.ncbi.nlm.nih.gov/pubmed/9460946?tool=bestpractice.com [3]Braga-Baiak A, Shah A, Pietrobon R, et al. Intra- and inter-observer reliability of MRI examination of intervertebral disc abnormalities in patients with cervical myelopathy. Eur J Radiol. 2008 Jan;65(1):91-8. http://www.ncbi.nlm.nih.gov/pubmed/17532165?tool=bestpractice.com [4]Siivola SM, Levoska S, Tervonen O, et al. MRI changes of cervical spine in asymptomatic and symptomatic young adults. Eur Spine J. 2002 Aug;11(4):358-63. http://www.ncbi.nlm.nih.gov/pubmed/12193998?tool=bestpractice.com