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CERVICAL SPONDYLOSIS
CERVICAL SPINE ANATOMY
CERVICAL SPONDYLOSIS
Chronic degenerative lesions of single or multiple intervertebral discs and consequent osteophytosis of related vertebral bodies.
CERVICAL SPONDYLOSIS-NATURAL PROCESS OF AGING
-COMMONEST CAUSE OF:-NECK PAIN-RADICULOPATHY-MYELOPATHY
CERVICAL SPONDYLOSIS
FREQUENCY: - > 40 YEARS- RARE > 30 YEARS
CERVICAL SPONDYLOSISETIOLOGY :- AGING PROCESS- MECHANICAL LOAD APPLIES TO THE
SPINE- MECHANICAL INSTABILITY- ABNORMAL MOVEMENTS
PATHOGENESIS
OF DEGENERATION :
- CHANGE IN OSMOTIC PROPERTIES
- DECREASE OF WATER CONTENT
- SCLEROSIS IN DISC INTERSPACE
- FORMATION OF OSTEOPHYTES
CLINICAL MANIFESTATIONS :- Neck Pain : dull pain, tend to come and go.- Neck Stiffness : particularly after a night’s
rest.- Headaches- “Pins and needles” in part of an arm or hand.
numbness or weakness in a part of a hand or arm (Cervical Radiculopathy).
- Clumsiness of a hand, problems with walking or bladder function (Cervical Myelopathy).
CERVICAL RADICULOPATHY & MYELOPATHY
CERVICAL RADICULOPATHY
This occurs when the root of a nerve is pressed on or damaged as it comes out from the spinal cord in the neck (cervical) region. Although there are other causes of radiculopathy, cervical spondylosis is a common cause. Degenerative changes to the joints around the vertebrae and osteophyte formation produce areas of narrowing which may nip the nerve. Another cause is a prolapsed disc. This is sometimes called a 'slipped disc' although the disc does not actually slip. What happens is that part of the inner softer area of the disc bulges out (prolapses) through a weakness in the outer harder part of the disc. This presses on the nerve as it passes out between the vertebra.
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