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Cervical radiculopathy is a common clinical scenario. Patients with radiculopathy typically present with neck pain, arm pain, or both. We review the epidemiology of cervical radiculopathy and discuss the diagnosis of this condition. This includes an overview of the pertinent findings on the patient history and physical examination. We also discuss relevant clinical syndromes that must be considered in the differential diagnosis including peripheral nerve entrapment syndromes and shoulder pathology. The natural history of cervical radiculopathy is reviewed and options for management are discussed. These options include conservative management, non-operative modalities such as physical therapy, steroid injections, and operative intervention. While the exact indications for surgical intervention have not yet been elucidated, we provide an overview of the available literature regarding indications and discuss the timing of intervention. The surgical outcomes of anterior cervical decompression and fusion (ACDF), cervical disc arthroplasty (CDA), and posterior cervical foraminotomy (PCF) are discussed.
KeywordsCervical radiculopathy Physical examination Non-operative management ACDF Cervical disc arthroplasty Posterior cervical foraminotomy
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Conflict of interest
Sravisht Iyer declares that he has no conflict of interest.
Han Jo Kim reports personal fees from Medtronic, Biomet, K2M, Stryker and Depuy, as well as grants from CSRS, outside the submitted work.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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