Cervical spondylosis of the latest diagnostic criteria

Cervical disease is in the common diseases of the elderly, one of the frequently-occurring disease. Cervical disease is generally refers to cervical spine disease after the performance of the clinical symptoms and signs. At present, cervical spondylosis of the latest diagnostic criteria:

(1) clinical findings consistent with the Imaging, can be confirmed.

(2) with typical clinical manifestations of cervical disease, and Imaging see normal, except for the attention of other patients before the diagnosis of cervical spondylosis.

(3) Imaging performance only abnormal cervical disease without clinical symptoms, diagnosis should not be cervical spondylosis.

Diagnosis are as follows:

(1) Cervical: ① complained of head, neck, shoulder pain, and other unusual feeling and tenderness associated with the corresponding point. ② X-ray showed that the upper cervical spine curvature change or instability, such as intervertebral joint performance. ③ other diseases should be the exception of the neck (Stiff Neck, omarthritis, rheumatic inflammation of muscle fiber organization, neurasthenia and other non-disc degeneration caused by the shoulder and neck pain).

(2) nerve root type: ① root with more typical symptoms (numbness, pain), and the scope of the cervical spinal nerve dominated by the region in line. ② pressure head testing or test positive brachial plexus traction. ③ Imaging findings consistent with the clinical manifestations. ④ pain points to close an markedly effective (who may need a clear diagnosis of this test). ⑤, except cervical lesions (thoracic outlet syndrome, tennis elbow, carpal tunnel syndrome, cubital tunnel syndrome, omarthritis, biceps tenosynovitis, etc.) due mainly to upper-limb pain of the disease.

(3) of the spinal cord: ① neck of a ridge on the strong performance of the damage. ② X-ray on display after the margin of vertebral bone hyperplasia, spinal stenosis. Imaging confirmed in the spinal cord compression. ③ of spinal muscular atrophy except for cases of bladder cable sclerosis, spinal cord tumors, spinal cord injury, secondary adhesive spinal inflammation, multiple peripheral neuritis.

(4) vertebral artery type: on the vertebral artery in the diagnosis of cervical disease is to be on the issue. ① had damping-off attack. And neck with vertigo. ② test positive spin neck. ③ X-ray showed that segmental instability or joint-axial bone hyperplasia. ④ more sympathetic with symptoms. ⑤ except eye-derived, ear-derived vertigo. ⑥ except I vertebral artery (6 transverse hole into the neck before the vertebral artery) and vertebral artery III (to enter the intracranial previous cervical vertebral artery) compression caused by the basilar artery supplying incomplete. ⑦ before the surgery required to vertebral artery digital subtraction angiography or vertebral artery angiography (DSA).

(5) sympathetic type: clinical manifestations of dizziness, vertigo, tinnitus, hand Ma, tachycardia, heart pain and a series of pre-sympathetic symptoms, x-ray is instability or degeneration. Vertebral artery imaging negative.

(6) other type: the former Ukrainian mouth cervical vertebra hyperplasia oppression caused esophageal dysphagia (transesophageal barium examination confirmed).