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Cervical spondylosis.

I Macnab

    Clinical Orthopaedics and Related Research
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Cervical disk degeneration (CDD) causes arm pain and instability, potentially from root or vertebral artery compression. Conservative treatment is primary, but anterior cervical discectomy and fusion is preferred for surgery.

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    Area of Science:

    • Spine surgery
    • Degenerative disc disease
    • Cervical spine disorders

    Background:

    • Cervical disk degeneration (CDD) is a common condition.
    • CDD can lead to segmental instability and referred arm pain.
    • It may cause root compression via disk rupture or osteophytes, and potentially vertebral artery compression.

    Purpose of the Study:

    • To review the clinical presentation and management of cervical disk degeneration.
    • To highlight the potential complications of CDD, including radiculopathy and vertebral artery compromise.
    • To compare surgical options for CDD when conservative management fails.

    Main Methods:

    • Review of literature on cervical disk degeneration.
    • Analysis of clinical cases presenting with arm pain and segmental instability.

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  • Evaluation of treatment outcomes for conservative and surgical interventions.

    • Main Results:

    • Cervical disk degeneration can present as arm pain without direct root compression.
    • Neurocentral osteophytes secondary to CDD can compress neural structures and the vertebral artery.
    • Conservative management is the initial approach for CDD.
    • Anterior cervical discectomy and fusion is favored over posterior decompression for surgical cases.

    Conclusions:

    • Cervical disk degeneration is a significant cause of neck and arm pain.
    • Early diagnosis and appropriate management are crucial to prevent complications.
    • Anterior cervical discectomy and fusion offers a preferred surgical option for managing severe CDD.