Cervical hyperplasia and cervical spondylosis, although the disease names are different, but the pathogenesis causes, as well as the symptoms feel the same, so mild patients can feel uncomfortable neck, aching pain, heavy cause compression of arteries and nerves, the corresponding clinical manifestations, we categorize it as four types. 1, compression of nerve root type: the response appears neck, shoulder and back pain, burning-like cutting pain in the nerve distribution, a string of numbness, upper limb sinking, grip strength weakening, soreness of the affected limb when sleeping, finger numbness. 2.Compression of vertebral artery type: vertigo, headache, sudden collapse, visual disturbance, tinnitus, nausea, vomiting, etc. appear during the attack accordingly. 3.Compression of sympathetic nerve type: headache or migraine, heavy head, dizziness, nausea, blurred and dry vision, panic, high blood pressure, excessive sweating, stomach distension, insomnia are often present. 4. Compression of the spinal cord: weakness of the limbs, weakness of the legs, such as numbness, soreness, pain, shaking or tripping, sponge-like sensation on the soles of the feet, tight binding sensation of the limbs, which can seriously cause abnormal urination and defecation, paralysis, weakness and difficulty in moving. What is the difference between cervical spondylosis and cervical spondylolisthesis? 1. Both cervical spondylosis and cervical spondylolisthesis belong to neck disorders, and they are closely related to each other. When cervical spine osteophytes irritate or compress nerves, spinal cord and arteries and cause a series of symptoms, it is cervical spondylosis. The long-term development of cervical spondylosis and the imbalance between the internal and external balance of the cervical muscle can also lead to hyperplasia. Luoning County Women’s and Children’s Health Hospital Orthopedic Department He Xifeng 2, cervical spondylosis, also known as cervical joint syndrome, is a group of clinical syndrome due to degenerative changes in the cervical disc, a series of pathological changes in the surrounding bones, small joints and soft tissues to compress or stimulate the cervical nerve root, spinal cord, vertebral artery and other tissues. In mild cases, the head, neck, shoulders and arms are numb and painful, and in severe cases, the limbs may be sore and weak. Cervical spine osteophytes are a state that manifests itself as the loss of normal form and abnormalities in certain parts of the cervical spine during the process of growth, development and its completion of function. The formation of osteophytes is varied, with different manifestations depending on where they are located. The degree of hyperplasia or osteophytes may be asymptomatic or mildly symptomatic when they are not in critical areas. 3, cervical spondylosis is a big concept, which includes a series of lesions such as cervical disc lesions, small joint disorders, soft tissue injuries and osteophytes. The relationship between the two is also close, and there is a mutually inclusive and mutually influential relationship. Therefore, some clinical treatments for cervical spondylosis and cervical hyperplasia can be generalized to each other. The concept of cervical disc herniation The cervical disc is mainly a structure that connects the cones and has a certain elasticity to play the role of cushioning external forces. After adulthood, the disc begins to degenerate and the nucleus pulposus begins to lose water and elasticity, which, when subjected to trauma, especially flexion injury, leads to rupture of the annulus fibrosus and posterior longitudinal ligament and protrusion of the nucleus pulposus to compress the cervical medulla. The fibrous ring and posterior longitudinal ligament of the posterior lateral cervical disc are relatively weak, so they are most likely to rupture and protrude and compress the nerves, causing the corresponding clinical symptoms, which constitute cervical disc herniation. According to the location of the herniated disc, it can be divided into central and postero-lateral herniation. Due to the different compression tissues, the former mainly compresses the spinal cord, while the latter compresses the nerve roots and has their own different clinical symptoms. In the central type, complete or incomplete paralysis of the extremities, urinary incontinence or retention, constipation and other symptoms occur due to compression of the spinal cord, while in the posterior lateral type, numbness and pain in the upper extremity of one side are the main manifestations due to compression of the nerve root, accompanied by painful limitation of movement in the neck. Because the cervical 5-7 disc has the most activity and is more damaged. Therefore, degeneration is the earliest and easy to be injured. Therefore, it is common for clinical symptoms of cervical 5-6 or 6-7 discs to appear mostly on the lateral side of the forearm, thumb, index finger, and middle finger. The diagnosis of cervical disc herniation, like cervical spondylosis, also requires some imaging examinations, mainly CT and MRI, which can observe the site, direction, size, and degree of compression of the herniated disc, especially MRI, where the soft tissues are seen more clearly and the contrast is obvious. x-ray cannot see the shadow of the herniated disc, but can understand the size of the intervertebral space and the loss of physiological curvature or retroflexion. There is no osteophyte at the edge of the cone, and the intervertebral foramen becomes smaller, etc. Inflammatory and tumor lesions of the cervical spine can also be excluded. The diagnosis of cervical disc herniation can be made with the above medical history, plus the intervertebral herniation seen on CT or MRI.