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Cervical Spondylosis

Crystal L Hnatko, DO, CAQSM Reviewed 04/2024
 


BASICS

DESCRIPTION

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

DIAGNOSIS

HISTORY

  • Often identified as an incidental finding on cervical spine radiographs

  • Three basic clinical presentations vary based on the presence or absence of nerve root (radiculopathy) or spinal...

TREATMENT

GENERAL MEASURES

  • Cervical spondylosis is a nonsurgical often asymptomatic condition

  • Initial conservative treatment typically consists of a combination of: 

    • Oral analgesics

    • Physical therapy

    • Soft c...

REFERENCES

1
Theodore N. Degenerative Cervical Spondylosis. N Engl J Med. 2020;383(2):159–168.
2
Prablek M, Gadot R, Xu DS, Ropper AE. Neck Pain: Differential Diagnosis and Management. Neurol Clin. 2023;...

ADDITIONAL READING

SEE ALSO

Chou R, Côté P, Randhawa K, et al. The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to...

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

  • Degenerative cervical spondylosis results in a variety of presentations: asymptomatic, axial pain, radiculopathy, myelopathy, or overlapping features.

  • Early identification of DCM and pr...

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