Cervical spondilysis

Cervical Spondilysis

cervical-spondolysis

Definition

  • Cervical spondylosis is a common, age-related condition that affects the joints and discs in your neck. It develops from wear and tear of the cartilage and bones found in your cervical spine, which is in your neck.

Epidemiology and burden of Cervical Spondilysis

  • Neck pain is the fourth leading cause of disability, with an annual prevalence rate exceeding 30%. Most episodes of acute neck pain will resolve with or without treatment, but nearly 50% of individuals will continue to experience some degree of pain or frequent occurrences. (Mayo Clin Proc.2015 Feb;90(2):284-99)
  • The overall prevalence of neck pain in the general population ranges between 0.4% and 86.8% (mean: 23.1%); point prevalence ranges from 0.4% to 41.5% (mean: 14.4%); and 1 year prevalence ranges from 4.8% to 79.5% (mean: 25.8%). (Best Pract Res Clin Rheumatol.2010 Dec;24(6):783-92)
  • 1-year prevalence Scandinavian countries report higher mean estimates than the rest of Europe and Asia. (Eur Spine J.2006 Jun;15(6):834-48)

Treatment for Cervical Spondilysis

  • The study proved that there is no significant difference in the incidence of surgical complications between LAMP and LAMT. (Journal of Orthopaedic Surgery and Research20138:45)
  • Anterior cervical discectomy and fusion (ACDF) has more advantages compared to anterior cervical corpectomy and fusion (ACCF) in the treatment of CSM. (BMJ Open2014;4:e004581)
  • There is a strong evidence for short-term effectiveness, but little evidence for long-term effectiveness of yoga for chronic spine pain in the patient-centered outcomes. (Int J Yoga. 2015 Jan-Jun; 8(1): 3–14)
  • Combination of manual therapy and acupuncture treatment was beneficial in reducing pain, improving function, ADL in patient with cervical spondyloticwith radicular pain. (J Nov Physiother 5:263. doi:10.4172/2165-7025.1000263)

Secondary Complication of Cervical Spondilysis

  • Cervical spondylosis may be one of the causes of secondary hypertension. Early treatment for resolution of symptoms of cervical spondylosis may have a beneficial impact on cardiovascular disease risk in patients with cervical spondylosis. (Medicine (Baltimore).2015 Mar;94(10):e618)
  • Surgical CSM patients have a higher risk of perioperative complications if they have a greater number of comorbidities, coexisting diabetes mellitus, OPLL, and a longer operative duration. (2016 Jul;79(1):33-44)

Risk factors for Cervical Spondilysis

  • A larger vertebral body (sagittal diameter), smaller spinal canal (transverse and sagittal diameters), and a smaller Torg/Pavlov (T/P) ratio are associated with an increased risk of CSM. In 2009 Pavlov defined a T/P ratio, the ratio of the sagittal diameter of the spinal canal to the anteroposterior diameter of the vertebral body, of 0.82 as indicative of congenital stenosis. (Evid Based Spine Care J. 2012 Aug; 3(3): 35–42)
  • One study has reported a relationship between various polymorphisms of the vitamin D receptor gene and CSM, specifically patients who are ApaI “A” and Taq “T” allele carriers have an increased risk. (Clin Chim Acta.2010 Jun 3;411(11-12):794-7)
  • A decreasing proportion of cervical spondylosis with aging occurs in the elderly, while the proportion of cervical spondylosis increases with aging in the young and the adults. (Clin Interv Aging.2016 Jan 12;11:47-53)
  • Sitting at work for more than 95% of the working time seems to be a risk factor for neck pain and there is a trend for a positive relation between neck flexion and neck pain. (Occup Environ Med. 2001 Mar; 58(3): 200–207)
  • Some retrospective studies support the hypothesis that frequent computer operation is associated with neck pain. (J Can Chiropr Assoc. 2008 Aug; 52(3): 161–167)

Systematic reviews

  • Surgical outcomes of elderly patients with cervical spondylotic myelopathy: a meta-analysis.more..
  • Cervical Spine rotation: A Meta-Analysis of the Evidence with implications for Professional Practice.more..
  • Systematic review and meta-analysis of the efficacy of tuina for cervical spondylosis.more..
  • Laminoplasty and laminectomy for cervical sponydylotic myelopathy: a systematic review.more..

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