Cervical spondylosis
First, what is Cervical spondylosis ?
In the cervical and thoracic between the skull is the smallest in the spine, and maximum flexibility, the highest frequency of activities segments were born later, with the body of the development, growth, cervical spine to take different positions in the various activities to meet its support for the functions and activities of the skull. As constantly subject to various load, fatigue or even minor trauma, degenerative changes gradually emerging. Cervical disc degeneration earliest, and induce or other organizations to promote cervical spine degeneration, a cervical disease, the foundation of development. Organization for cervical disc degeneration and secondary pathological changes tired and surrounding tissue structure (nerve root and spinal cord, vertebral artery, etc.), corresponding to the clinical manifestations, known as cervical spondylosis. Cervical disease in the study of the three images is typical of the intervertebral disc degeneration, and thickening of the ligament osteophyte.
Second, the reasons for the cause of Cervical spondylosis What?
(1) cervical spine injury is an important cause of disease. (2) development of the cervical spinal canal stenosis and the incidence of the disease, and to develop a very close relationship. (3) the head and neck trauma and the incidence of cervical disease and develop a direct relationship. (4) cervical congenital malformations and cervical also linked to the incidence of the disease. (5) In addition, there are some scholars believe that the patients with genetic factors.
Third, the Cervical spondylosis pathology progress
(1), cervical disc degeneration
To the middle-aged people - long-term strain - disc nutrition obstacles - degeneration.
1. Annulus fibrosus: first appeared degeneration, generally more than 20 years after the beginning.
2. Nucleus: more variability in the former on the basis of the secondary. Early water for dehydration and dysfunction, and then replaced by fibrous tissue. If annulus fibrosus complete fracture, the nucleus can be arrived at before the posterior longitudinal ligament longitudinal ligament or below, and even into the spinal canal.
3. Cartilage: degeneration appeared relatively late.
(2), degeneration of the cervical spine
Ultimately forming process to the vertebral canal to the front or the sudden osteophytes.
(C), the changes in the joints and ligaments
1. Small joints: traumatic arthritis.
2. Ligament: thickening and calcification, ossification.
3. Around the longitudinal ligament: fiber hyperplasia, sclerosis and calcification.
4. Of the ligaments: the spine ligament is the ligament on the transitional structure, it is a form of degenerative ligament calcification.
Fourth, in clinical cervical spondylosis at which several types? Each type of cervical spondylosis what clinical performance?
According to the symptoms of patients with the organizations involved, will be divided into cervical carotid disease type, nerve root, spinal cord, vertebral artery type of esophageal oppression and mixed-six.
I. neck cervical spondylosis
Ii. Nerve root type of cervical spondylosis
Iii. Cervical spondylotic myelopathy
Iv. Type of cervical vertebral artery disease
V. esophageal cervical spondylosis
Vi. Mixed type of cervical spondylosis
5, whichCervical spondylosis treatment
(1) non-surgical treatment include: cervical traction, braking cervical, sleep-round pillow law, physical therapy, massage and massage therapy, medication, medical sports.
(B) Surgical treatment
1. Surgical indications: in principle to surgical treatment can be considered null and void surgery.
2. Surgical methods
(1) posterior cervical spine surgery: a. decompression of the intervertebral foramen incision; b. Keyhole nerve root decompression; c. laminectomy decompression; d. cervical spinal canal expansion of the Sheet Metal Forming (including single - open the door, double-door);
(2) anterior cervical spine surgery
1. Lateral anterior cervical decompression surgery for nerve root alone or combined-vertebral artery type.
2. Anterior decompression and interbody fusion.
(3) after treatment: gypsum neck from fixed three months (after the road), 2 months (after posterior)
6, can cure Cervical spondylosis , the prognosis?
1. Cervical Cervical spondylosis : better prognosis;
2. Cervicalspondylotic radiculopathy: early treatment and more than satisfied with the course as long root canal adhesion formation has been widely hyperplasia caused by osteoporosis or radicular pain, not only the treatment of complicated, and the poor prognosis.
3. Disc causes of cervical spondylotic myelopathy caused prognosis satisfied because with narrow spinal sagittal diameter or larger spur the posterior longitudinal ligament calcification, poor prognosis; close to the spinal cord completely transgender poor prognosis.
4. Type of cervical vertebral artery disease: a result of segmental instability caused by the best prognosis, the treatment symptoms of serious cases good prognosis.
5. Oppression of cervical esophageal disease: surgery for a better prognosis.
6. Mixed Cervical spondylosis : a single general prognosis poor.