With the development of the process of aging and the development of nuclear magnetic resonance, the incidence of cervical spondylosis seems
With the development of the process of aging and the development of nuclear magnetic resonance, the incidence of cervical spondylosis seems to be improved! Desk work for a long time and learning, cervical spondylosis has the young tendency. The proportion of patients with cervical spondylosis in outpatient department is increasing year by year. As ordinary people, how to understand whether they suffer from cervical spondylosis? We may wish to learn about the knowledge of cervical spondylosis.
Cervical spondylosis is generally divided into five types:
1, nerve root type: shoulder back pain and upper limb numbness;
2, vertebral artery type: more common in women, with neck discomfort, dizziness and headache;
3, sympathetic type: to neck and shoulder discomfort, chest tightness and palpitation, sweating;
4, spinal cord type: cervical spondylosis in patients with the most serious damage, manifested as limb or unilateral body numbness, pain, or sensory barriers, walking weakness, gait instability.
5, mixed type: merge with two or more symptoms.
Patients with these symptoms should be treated in a timely manner, the doctor should make a comprehensive physical examination, to determine whether there is cervical spondylosis? Which type? There is no sign of weakness and pathology; cervical light required to take X tablets, serious person should do cervical CT and MRI, dizziness, tinnitus, hearing loss patients should do cerebral blood flow examination, ear vestibular function tests and audiometry examination; electromyography examination should do patients with numbness of limbs. Generally through the above examination and exclusion, basically can be clearly diagnosed.
Most cases of cervical spondylosis is the choice of conservative treatment, but for the spinal cord, nerve root type cervical spondylosis is a serious need for surgical treatment of the spinal cord; especially the type of cervical spondylosis, often because of the compression of spinal cord ischemia and degeneration, if because of the fear of surgery, delay the best timing of surgery, lost function recovery the opportunity! According to the needs of patients with surgical methods of anterior and posterior surgery, some patients require anterior and posterior surgery. According to the patient's age, the elderly patients may choose to fusion (interbody fusion with anterior plate), young and middle-aged patients with non fusion surgery (cervical disc replacement).
About the risk of surgery: there is a risk of any operation. Surgeons need to undergo rigorous training and good surgical skills. Preoperative health education, tracheal training (anterior approach), intraoperative careful operation, postoperative care, surgical risk is controllable! For the general cervical disease, surgery can achieve very good results, some patients can feel immediate effect after surgery.
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