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cervical spondylosis, stenosis, and Rheumatoid (颈椎病、狭窄和类风湿)
cervical spondylosis, stenosis, and
Rheumatoid Arthritis
Matthew McDonnell, MD, and Phillip Lucas, MD
CerviCAl sponylosis/stenosis The uncovertebral joints hypertrophy, clinical Presentations
Cervical spondylosis is common and which may lead to foraminal stenosis. The Axial Neck Pain
progresses with increasing age. It is the posterior zygoapophyseal joints can also Neck pain is an extremely common
result of degenerative changes in the cer- become arthritic, causing foraminal nar- but nonspecific presenting symptom.
vical spine, including disc degeneration, rowing. The ligamentum flavum thickens It is often associated with stiffness and
facet arthropathy, osteophyte formation, and sometimes buckles as a result of the headaches. The pain or soreness is usu-
ligamentous thickening and loss of cervi- loss of disk height. These degenerative ally in the paramedian neck muscles
cal lordosis. Spinal stenosis, or narrowing changes can result in cervical stenosiswith posteriorly, with radiation toward the
of the spinal canal, may occur as a result spinal cord compression. Concomitant occiput or into the shoulder, arm and
of progression of spondylotic changes. straightening of cervical lordosis (or even periscapular regions. The referred pain
Spinal cord or nerve root function may kyphosis), disk herniations or protru- does not follow a dermatomal distribu-
be affected, resulting in symptoms of sions often may accentuate the problem t
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