Cervical spur and cervical spondylosis are different concepts

  Many people think that the bone spurs seen in the cervical spine on X-ray are cervical spondylosis, but they are not. Because cervical spondylosis is a complex clinical syndrome of the cervical spine, it not only has abnormal manifestations on X-rays, but more importantly, it is due to the pathological changes in the cervical spine that cause the stimulation or compression of the nervous system or vertebral artery, etc., and the corresponding clinical symptoms appear. As for the cervical spine spurs seen on X-rays, they are only changes in the cervical spine to adapt to changes in stress, which is a sign of degeneration.  Many studies have shown that 90% of men over 40 years of age and women over 50 years of age can have different degrees of cervical spine osteophytes; people over 70 years of age almost always have changes of osteoarthrosis on X-ray, but most of them do not have clinical symptoms. This is because the bone spur that grows in the cervical spine area is a manifestation of chronic strain or injury to the cervical spine due to people’s long-term work and life, which causes ligament compensation and is also a defensive response of the cervical spine to adapt to changes in stress.  It is physiological and may be transformed into pathological. It can make the cervical spine, which is unstable due to disc degeneration, more stable, but it may also cause compression of the surrounding nerves and blood vessels and the corresponding clinical symptoms. It can be seen that cervical spine spurs can be one of the causes of symptoms, but it is not the main basis for the diagnosis of cervical spondylosis. From clinical observation, the symptoms of cervical spondylosis are not proportional to the presence or absence and size of bone spurs, and cervical spondylosis can have osteophytes, but the presence of osteophytes does not always have the symptoms of cervical spondylosis. It can be seen that not all bone spurs in the cervical spine are cervical spondylosis.  There is no scientific basis for the fear of tetraplegia in the future after some people find cervical spine bone spurs by taking X-rays, which is a more reasonable explanation for the possible stimulation or compression of nerves and spinal cord, but it is not absolute.  A large amount of clinical data also shows that this is only a part of the case, because bone spurs themselves do not mean a disease in most cases, but a tissue reaction that occurs in the physiological process of people’s organism, and it is a physiological degenerative change of the bone and joint in middle and old age, and a manifestation of aging. Therefore, cervical spine bone spur is not a terrible phenomenon, even if bone spur formation is found, it is not the same as a diagnosis of cervical spondylosis, and the absence of osteophytes is not the same as the absence of cervical spondylosis, which requires a detailed examination by a specialist to make a diagnosis.