Do I need an operation for cervical spondylosis? (Indications for surgery for cervical spondylosis)

  For patients with more serious cervical spondylosis, surgical methods are used to remove the protruding disc or bone flab from compressing the nerve roots, spinal cord and vertebral artery. The majority of surgical treatments are very effective and patients can be cured or significantly improved. Wu Yongchao, Department of Orthopedics, Wuhan Union Medical College Hospital Zheng Qixin, Department of Orthopedics, Wuhan Union Medical College Hospital Spinal cord cervical spondylosis (for more details, please click on my article – spinal cord cervical spondylosis) The current view is that the effect of non-surgical treatment for spinal cord cervical spondylosis is not as good as surgical treatment, especially early surgery can be basically cured, so early surgical treatment is advocated.    Therefore, patients with cervical spondylosis causing pain, numbness, weakness and unstable walking in the hands and legs due to compression of the spinal cord need surgery as early as possible. Neurogenic cervical spondylosis (For details, please click my article – Neurogenic cervical spondylosis) Surgery can be considered for those who have the following conditions: (1) Invalidated by regular non-surgical therapy for more than 3 months, with consistent clinical manifestations, imaging findings and neurological localization. (2) There is progressive muscle atrophy and severe pain. (3) Although the non-surgical therapy is effective, it affects work, study and life due to recurrent symptoms.    Therefore, patients with cervical spondylosis causing pain and weakness in one hand due to compression of the cervical nerve can be treated conservatively (medication, traction, physiotherapy) for 3 months first, and then surgically if it is ineffective or intolerable.