Talk about the diagnosis and surgical treatment of cervical spondylosis and the risks

  Talking about the methods and risks of diagnosis and surgical treatment of cervical spondylosis, the incidence of cervical spondylosis seems to have increased with the aging process of the society and the development of MRI technology, and there is a trend of cervical spondylosis becoming younger with long hours of ambulatory work and study. The proportion of cervical spondylosis patients attending orthopedic clinics is increasing year by year. As an ordinary citizen, how do you know if you have cervical spondylosis? You may want to learn about cervical spondylosis.  Cervical spondylosis is usually clinically divided into five types, namely: 1. neurogenic type: pain in the back of the shoulder and numbness in the upper limbs; 2. vertebral artery type: common in women, with neck discomfort, dizziness and headache; 3. sympathetic type: neck and shoulder discomfort with panic, chest tightness and sweating; 4. spinal cord type: the most serious damage to patients in cervical spondylosis, manifesting as numbness, pain, or sensory impairment in the extremities or unilateral body. Walking weakness and unstable gait; 5. Mixed type: combined with two or more symptoms.  Patients with the above symptoms should consult a doctor in a timely manner, and the doctor should perform a comprehensive orthopedic physical examination to initially determine whether the patient has cervical spondylosis? Which type is it? Patients with dizziness, tinnitus and hearing loss should undergo cerebral hemogram, ear vestibular function test and electroacoustic examination; patients with numbness of limbs should undergo electromyography of limbs. Generally, through the above examination and exclusion, the diagnosis can be basically clarified.  Most cervical spondylosis is clinically treatable by conservative treatment, but for spinal cord type and severe nerve root type cervical spondylosis requires surgery; especially for spinal cord type cervical spondylosis, ischemic degeneration often occurs because of spinal cord compression, if the best time for surgery is delayed because of the fear of surgery, the opportunity for functional recovery is lost; according to the condition, the methods of surgery are anterior surgery and posterior surgery, and some patients Some patients need a combination of anterior and posterior surgery. Depending on the age of the patient, older patients can choose fusion surgery (intervertebral fusion plus anterior plate), while middle-aged and young people can choose non-fusion surgery (cervical artificial disc replacement).  Regarding the risks of surgery: risks exist with any surgery, as does cervical spine surgery. The surgeon needs to be highly trained and have good surgical skills. With good preoperative health education, tracheal training (anterior surgery), careful intraoperative operation, and careful postoperative care, the risks of surgery are manageable, and for general cervical spondylosis, surgery can achieve good results, and some patients can feel immediate results after surgery.