The clinical symptoms of cervical spondylosis are more complicated. They mainly include neck and back pain, upper limb weakness, numbness of fingers, lower limb weakness, difficulty in walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and difficulty in swallowing. The clinical symptoms of cervical spondylosis are related to the location of lesions, the degree of tissue involvement and individual differences.
I. Nerve root type cervical spondylosis.
1. having more typical radicular symptoms (numbness and pain) and the scope is consistent with the area innervated by the cervical spinal nerve.
2, positive head compression test or brachial plexus pull test.
3, the imaging findings are consistent with the clinical presentation.
4.No significant effect of painful point closure.
5.Except for extra-cervical spine lesions such as thoracic outlet syndrome, carpal tunnel syndrome, elbow tunnel syndrome, frozen shoulder and other disorders caused by upper limb pain.
Second, spinal cord type cervical spondylosis.
1, clinical manifestations of cervical spinal cord damage.
2.X-ray film shows osteophytes at the posterior edge of the vertebral body and spinal stenosis. Imaging confirms the presence of spinal cord compression.
3. Excluding amyotrophic lateral sclerosis, spinal cord tumor, spinal cord injury, multiple peripheral neuritis, etc.
C. Vertebral artery type cervical spondylosis:
1. There have been sudden collapse episodes. With cervical vertigo.
2.positive rotational neck test.
3.X-ray shows segmental instability or osteophytes of the pivotal joints.
4. mostly accompanied by sympathetic symptoms.
5.Excluding ophthalmogenic and otogenic vertigo.
6, except for the insufficiency of basilar artery supply caused by compression of vertebral artery segment I (the segment of vertebral artery before entering the transverse foramen of cervical 6) and vertebral artery segment III (the segment of vertebral artery before exiting the cervical spine into the skull).
7. Vertebral arteriography or digital subtraction vertebral arteriography (DSA) is required before surgery.
IV. Sympathetic cervical spondylosis
Clinical manifestations include a series of sympathetic symptoms such as dizziness, blurred vision, tinnitus, hand numbness, tachycardia, precordial pain, etc. There is instability or degeneration of the cervical spine on X-ray. Vertebral arteriogram is negative.
V. Esophageal compression type cervical spondylosis
Difficulty in swallowing caused by the compression of the esophagus by bird’s beak-like growth in front of the cervical vertebrae (confirmed by barium examination of the esophagus), etc.
Sixth, cervical cervical spondylosis
Cervical cervical spondylosis, also known as localized cervical spondylosis, refers to pain and corresponding pressure points in the head, shoulder, neck and arm. There are no obvious degenerative changes such as intervertebral space narrowing on X-ray, but there can be changes in the physiological curve of the cervical spine, intervertebral instability and mild osteophytes and other changes.