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Is neck pain treatable with surgery?
Andrea Redaelli1, Stephen R Stephan2, K Daniel Riew3,4
1GSpine4, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
Summary
Neck pain diagnosis is complex, and while cervical spine surgery treats radiculopathy, its use for isolated neck pain is debated. This review aids accurate diagnosis and treatment to prevent mistreatment.
Area of Science:
- Orthopedics
- Neurosurgery
- Pain Management
Background:
- Neck pain is a prevalent clinical complaint with diverse etiologies.
- Cervical spine surgery is established for radiculopathy and myelopathy but controversial for isolated neck pain.
- Accurate diagnosis of neck pain sources is challenging, risking inappropriate treatment.
Purpose of the Study:
- To comprehensively review and compare various causes of neck pain.
- To provide expert insights into diagnosing and treating cervical spine pathology.
- To offer diagnostic pearls to prevent misdiagnosis and mistreatment of neck pain.
Main Methods:
- Extensive literature review on neck pain causes.
- Expert analysis by a senior author on cervical spine pathology treatment.
- Comparative discussion of different diagnostic and therapeutic approaches.
Main Results:
- Detailed comparison of various etiologies contributing to neck pain.
- Identification of diagnostic challenges and subtle pain sources.
- Discussion of treatment strategies and their appropriateness based on pain origin.
Conclusions:
- This study offers an in-depth understanding of neck pain presentations.
- It provides insights into effective treatment strategies for cervical spine pathology.
- Highlights diagnostic pearls to prevent mistreatment and improve patient outcomes.
