Prevention and treatment of geriatric cervical spondylosis

  China has 50 million to 150 million cervical spondylosis patients, the patient’s age is trending toward younger, and the incidence is increasing year by year, so it should be of great concern. As the weather turns cooler, elderly patients with cervical spondylosis should pay particular attention to prevention.  Prevention 1, often do some aerobic exercise, pay attention to the neck to keep warm, correct bad posture, long-term low head work to have intermediate rest and activities.  2.Prevent certain activities from accidentally damaging the cervical spine.  3.For acute tonsillitis, cervical lymphadenitis, mastoiditis, upper respiratory tract infection, soft tissue infection of the neck, etc., some people’s cervical spine will be invaded, acute neck pain, unfavorable activities, muscle spasm, serious cases may occur myoclinal squint.  4, to develop a good sleeping posture, the pillow should not be too high, generally 10cm, in line with the physiological curvature of the human cervical spine, soft and hard moderate.  5, the weather is getting cooler, the wind and cold in the neck will induce the recurrence of cervical spondylosis, cervical muscle will spasm, myofibrillar tissue inflammation, etc., so pay attention to keep warm.  6, appropriate to do neck activity exercises such as: duck drinking action and head shaking action 7, pay attention to the diet structure, daily meals are not easy too fine, to eat more beans, cereals, vegetables, more fish, shrimp, milk, eggs to supplement food calcium, prevent osteoporosis.  Treatment In the past, the main force in the treatment of cervical spondylosis was orthopedic surgeons. With the increasing understanding of the pathogenesis of cervical spondylosis, changes in the medical model, and the improvement of people’s health needs, orthopedic surgeons increasingly feel the necessity and urgency of joining hands with personnel from rehabilitation, trauma neurology, sports medicine and bioengineering, psychology and other disciplines to prevent and treat cervical spondylosis, and the concept of treatment has changed dramatically for doctors and patients, with a minimum The treatment concept has changed dramatically for both physicians and patients, with the least risk factor and the least trauma in exchange for the best treatment results.  Regardless of the duration of the disease, if the symptoms and signs are obvious, the imaging performance is obvious, the conservative treatment is ineffective for three months or the effect is not good, there is no bony spinal stenosis, and the herniated disc compression is the main recommendation to do minimally invasive treatment.  2.For heavy symptoms, obvious signs, imaging manifestations of bony spinal stenosis, compression of the spinal cord to surgery.  3.For those who are not heavily symptomatic, with mild signs and obvious imaging, indicating good development of the spinal canal and good compensatory properties, they can be treated conservatively and observed dynamically.  4.For those with heavy symptoms, obvious signs, and non-significant imaging manifestations of compression, minimally invasive + conservative treatment should be performed.  5.For those with mild symptoms, mild signs and light imaging performance to be treated conservatively.  6.Fractional treatment.