Alternative Diagnostic Tools
Cervical spondylosis can lead to clinical symptoms of both cervical radiculopathy and myelopathy or a combination of the two. Clinical decision-making is based on a foundation of a detailed history and physical examination, combined with the appropriate imaging studies, such as plain static and dynamic radiographs, magnetic resonance imaging (MRI), computed tomography (CT), and, occasionally, myelography with post-myelography CT imaging. However, in certain situations, additional diagnostic testing may be required. The clinician may decide to use additional studies such as electromyography with nerve conduction studies, motor or sensory evoked potentials, diagnostic selective nerve root blocks, or other less frequently used diagnostic tools in order to guide clinical decision-making. This chapter will delineate the basics of these alternative diagnostic tools in the preoperative setting.
KeywordsCervical spondylosis Electromyography Nerve conduction study Selective nerve root blocks Alternative diagnostic tools or studies
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