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Cervical Spondylosis

Crystal L. Hnatko, DO, CAQSM Reviewed 06/2018
 


BASICS

DESCRIPTION

Cervical spondylosis is degenerative joint disease (DJD) of the cervical spine. These degenerative changes in the intervertebral disks, vertebrae, facet joints, and ligamentous struc...

DIAGNOSIS

HISTORY

  • Onset can be either insidious (typical) or acute (after fall or hyperextension injury).

  • Three basic clinical presentation, depending on the presence or absence of nerve root (radiculop...

TREATMENT

GENERAL MEASURES

  • Treat patients without neurologic findings conservatively:

    • Oral analgesics (NSAIDs) (2)[C]

    • Muscle relaxants

    • Soft cervical collar (2)[C]

    • Avoid provocative activities.

    • Physical ther...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Refer for continued severe pain despite conservative treatment, significant or progression of neurologic deficits, or myelopathy. 

Patient Monitoring

Due to the var...

REFERENCES

1
Kelly JC, Groarke PJ, Butler JS, et al. The natural history and clinical syndromes of degenerative cervical spondylosis. Adv Orthop.  2012;2012:393642. {L-End} [View Abstract on Ovid...

ADDITIONAL READING

  • Corey DL, Comeau D. Cervical radiculopathy. Med Clin North Am.  2014;98(4):791–799.

  • Ferrara LA. The biomechanics of cervical spondylosis. Adv Orthop.  2012;2012:493605.

  • Pers...

SEE ALSO

Neck Stretches 

CODES

ICD10

  • M47.812 Spondylosis w/o myelopathy or radiculopathy, cervical region

  • M47.12 Other spondylosis with myelopathy, cervical region

  • M47.892 Other spondylosis, cervical region

  • M47.22 Other spondylos...

CLINICAL PEARLS

  • Spondylosis is noninflammatory degenerative arthritis of the facet joints and intervertebral disks.

  • Most patients with cervical spondylosis remain asymptomatic. Symptomatic patients fal...

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