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Surgery for neck pain.

Eric S Wieser1, Jeffrey C Wang

  • 1Arlington Orthopedic Associates, Arlington, Texas, USA.

Neurosurgery
|January 6, 2007
PubMed
Summary
This summary is machine-generated.

For persistent axial neck pain due to cervical spondylosis unresponsive to conservative care, surgery may be considered. Diagnostic methods like discography can help identify specific pain levels for fusion in select patients.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spine Surgery

Background:

  • Axial neck pain is a common symptom of cervical spine disorders.
  • Cervical spondylosis can cause significant axial neck pain, often refractory to non-operative treatments.
  • The optimal treatment strategy for refractory axial neck pain in cervical spondylosis remains debated.

Purpose of the Study:

  • To evaluate the role of cervical discography in identifying pain generators for surgical intervention.
  • To assess the efficacy of cervical fusion for axial neck pain in carefully selected patients.
  • To provide guidance on the surgical indications for axial neck pain in cervical spondylosis.

Main Methods:

  • Review of clinical presentation and treatment outcomes for patients with cervical spondylosis and axial neck pain.

Related Experiment Videos

  • Utilization of cervical discography to confirm specific pain-producing levels.
  • Consideration of psychological evaluation and diagnostic imaging prior to surgical intervention.
  • Surgical management involving cervical fusion at confirmed pain levels.

    • Main Results:

    • Conservative treatment should be exhausted before considering surgical options.
    • Cervical discography, despite some controversy, can aid in identifying specific levels for fusion.
    • Cervical fusion can yield good outcomes in appropriately selected patients with cervical spondylosis and axial neck pain.

    Conclusions:

    • Surgical intervention for axial neck pain in cervical spondylosis should be reserved for cases refractory to extensive conservative management.
    • Pre-operative psychological assessment, diagnostic imaging, and discography are crucial for patient selection.
    • Cervical fusion is a viable option for carefully chosen patients, potentially leading to good clinical results.