Abstract
Cervical spondylosis (CS) is a broad term referring to a common aging phenomenon due to degenerative osteoarthritis of the cervical spine. The majority of patients with CS are asymptomatic even with advanced changes seen on radiographs. Aging and trauma are the main risk factors for developing spondylosis, and no associations have been established with other conditions such as lifestyle, height, obesity, physical activity, smoking, and alcohol use. Pain derived from CS is usually responsive to activity modification including isometric exercises, cervical stabilization, and conservative management with medications. More severe neurologic symptoms are not typical and are seen more commonly in patients with congenital cervical spinal stenosis. Pain due to CS typically arises from cervical facet and uncovertebral joint hypertrophy, as well as disk space collapse. Patients typically complain of neck, occiput, or posterior shoulder pain. Lateral radiography is the initial diagnostic imaging of choice, and MRI can be useful for defining intra-articular effusions and defining abnormalities in the nerve roots and spinal cord. Physical therapy, oral analgesics, and facet injections are first-line treatments. Surgery is reserved for the rare patient with associated neurologic deficits.
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References
Wang R, Ward M. Arthritis of the spine. In: Li S, Yao J, editors. Spinal imaging and analysis. Switzerland: Springer; 2015.
McDonell M, Lucas P. Cervical spondylosis, stenosis, and rheumatoid arthritis. Med Health Rhode Island. 2012;95(4):105–9.
Tubbs RS, Rompala OJ, Verma K, Mortazavi MM, Benninger B, Loukas M, et al. Analysis of the uncinate processes of the cervical spine: an anatomical study. J Neurosurg Spine. 2012;16(4):402–7.
Emery SE. Cervical spondylotic myelopathy: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9(6):376–88.
Kumaresan S, Yoganandan N, Pintar FA, Maiman DJ, Goel VK. Contribution of disc degeneration to osteophyte formation in the cervical spine: a biomechanical investigation. J Orthop Res. 2001;19(5):977–84.
Gellhorn AC, Katz JN, Suri P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol. 2013;9(4):216–24.
Kelly JC, Groarke PJ, Butler JS, Poynton AR, O’Byrne JM. The natural history and clinical syndromes of degenerative cervical spondylosis. Adv Orthop. 2012;2012:393642.
McCormack BM, Weinstein PR. Cervical spondylosis. An update. West J Med. 1996;165(1–2):43–51.
Bogduk N. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am. 2003;14:455–72.
Syrmou PE, Tsitsopoulos P, Marinopoulos D, Tsonidis C, Anagnostopoulos I, Tsitsopoulos PD. Spondylolysis: a review and reappraisal. Hippokratia. 2010;14(1):17–21.
Hirpara KM, Butler JS, Dolan RT, O’Byrne JM, Poynton AR. Nonoperative modalities to treat symptomatic cervical spondylosis. Adv Orthop. 2012;2012:294857.
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Shah, J.M., Wahezi, S.E., Silva, K. (2017). Spondylosis with Generalized Degenerative Disk, Uncovertebral, and Facet Pain. In: Kahn, S., Xu, R. (eds) Musculoskeletal Sports and Spine Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-50512-1_78
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DOI: https://doi.org/10.1007/978-3-319-50512-1_78
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