I often see patients of all ages coming to the clinic with various degrees of neck and shoulder pain or dizziness, and when asked about their medical history, they have actually endured this discomfort for a long time, and only come to see a doctor when their symptoms worsen and affect their work, study and life. Cervical spondylosis is a common clinical disease, orthopedic surgeons are used to it, but there are a group of cervical spondylosis patients that caused me to think deeply, that is, young patients under the age of 25, especially those primary and secondary school students, and from the current number of patients, cervical spondylosis is increasing at a younger rate, at this rate, cervical spondylosis may become the main disease that plagues people’s work and life in the future, and in the future There is a possibility that half of the diseases that endanger society are cervical spondylosis. Therefore, the prevention and treatment of cervical spondylosis should start with children, and first of all, people should know about cervical spondylosis and its hazards. From the current medical level, there is still a lack of drugs and methods to completely cure cervical spondylosis, and its hazards are not as life-threatening as cancer, but it has a serious impact on people’s daily life and work, especially with age, the condition will gradually worsen. However, young people nowadays know very little about cervical spondylosis, and some parents are not very clear about it. So what causes cervical spondylosis? What can be done to effectively prevent cervical spondylosis? How to recover in the early stage? The first step in understanding cervical spondylosis is to understand the structure and characteristics of the cervical spine. The cervical spine consists of seven cervical vertebrae, six intervertebral discs (there is no intervertebral disc between the 1st and 2nd cervical vertebrae) and the affiliated ligaments. The upper part of the spine is connected to the skull and the lower part to the first thoracic vertebrae, surrounded by cervical muscles, blood vessels, nerves, skin and other tissues, commonly known as the “neck”. Although the cervical vertebrae are the smallest in size, they have the greatest activity and frequency, and the anatomical structure and physiological function are complex. The vertebral body is in the front and the vertebral arch is in the back, and the two surround each other to form the vertebral foramen. Each vertebral foramen is connected to form the spinal canal, which houses the spinal cord. The vertebral body has ridged protrusions on both sides of the posterior periphery of the vertebral body, which are called hooks. The hooked protrusions are joined to the lateral slope of the lower edge of the adjacent upper vertebral body to form the vertebral hook joint (also called the vertebral hemi-joint), which prevents the disc from protruding laterally and posteriorly. When viewed from the side, the cervical vertebrae are arranged in an anterior convex arc. This is called the physiological curvature of the cervical spine, and on X-rays, a smooth curved curve along this curvature is continuous at the trailing edge of each cervical vertebrae pushing the body, called the physiological curve of the cervical spine, with a normal value of 12.5mm. The formation of the cervical curvature is caused by the thick front and thin back of the cervical 4-5 intervertebral discs, which is needed for human physiology. It can enhance the elasticity of the cervical spine, play a – certain role of cushioning oscillation, to prevent brain damage. At the same time, it is also the normal anatomical and physiological needs of the cervical spinal cord, nerves, blood vessels and other important tissues. Whenever trauma and degenerative poor posture occur, they can not only cause changes in the physiological curvature of the cervical spine, but can also cause corresponding pathological changes as a result, resulting in clinical symptoms and X-ray changes, etc. When proliferation occurs due to degenerative changes, the proliferating bone spur may affect the blood circulation of the vertebral artery located lateral to the vertebral hook joint and may compress the nerve root located posterior to it. The intervertebral foramen is formed by the superior and inferior incisions of the upper and lower margins of the vertebral arch, through which the cervical spinal nerve roots and accompanying vessels pass. Usually, the cervical spinal nerve occupies only half of the intervertebral foramen. When the foramen becomes smaller and deformed due to lesions such as osteophytes or ligamentous hypertrophy, the nerve roots are stimulated and compressed, resulting in symptoms such as pain in the upper limbs and numbness in the fingers. The transverse processes of the cervical spine are short, and there are transverse foramina in its middle part, except for the small transverse foramina of the 7th cervical vertebra, through which the vertebral artery passes. When lesions such as osteophytes occur in the cervical spine, they can lead to changes in the hemodynamics of the vertebral artery, affecting the blood supply to the brain and producing symptoms such as vertigo and nausea. The main causes of cervical spondylosis are: ①Strain injury: long-term head and neck in a single position, such as prolonged head-down work or maintaining a position for a long time, prone to cervical spondylosis. ② Trauma to the head and neck: about 50% of medullary cervical spondylosis is related to this. ③Bad posture: such as lying down to watch TV, read books, habitual high pillow, sitting down to sleep, etc. ④Chronic infection: mainly pharyngitis, followed by dental caries, periodontitis, otitis media, etc. These parts of the inflammation stimulate the soft tissues of the neck or through the rich lymphatic system caused by soft tissue lesions in the neck and occipital area, which exacerbates the disease with the interaction of soft tissue chronic strain inflammation. ⑤ wind, cold and wet factors: wind, cold and wet factors of the external environment can reduce the body’s tolerance to pain, which can cause muscle spasm, small blood vessel constriction, lymphatic reflux slowdown, soft tissue blood circulation disorders, followed by aseptic inflammation. Therefore, wind-cold-damp factors are not only causative factors, but also can be used as etiology to cause lesions that produce symptoms. (6) Dysplasia of the cervical spine structure: congenital small spinal canal, cervical degeneration, etc. are the basis for the pathogenesis of some cervical spondylosis. According to incomplete statistics there have been as many as 100 species, accounting for about 80% or more of chronic diseases. Seriously endanger human health. It is generally believed that cervical spondylosis is a common disease in middle and old age. In fact, cervical spondylosis mostly begins in adolescents or young children. It is only because of the early stage of cervical spondylosis, osteophytes and soft tissue damage are not obvious, there is only a slight cervical misalignment, and the clinical manifestations are slight and ignored. It is worth noting that a slight misalignment of the cervical spine, which is not easily detected on X-ray, can cause serious clinical symptoms: headache and dizziness, vertigo, insomnia and dreaminess, tinnitus, memory loss, inattention, slow response dementia, motion sickness and seasickness, etc. Therefore, in order to avoid misdiagnosis and underdiagnosis, the diagnosis of cervical spondylosis should be based on clinical symptoms. Cervical spine osteophytes, hypertrophy and deformation and soft tissue injury seriously affect the stability of the cervical spine after resetting, and it is easy to slip out again. The stability of the cervical spine after cervical spine reset depends on the repair of osteophytes and soft tissue damage. Therefore, the course of treatment is relatively long. Rehabilitation treatment for cervical spondylosis must have the following conditions: long-term adherence to treatment; rectification of the cervical spine with the effect of repairing soft tissue damage; and adherence to physical therapy for locomotion. Acupuncture and massage have obvious advantages in the rehabilitation of cervical spondylosis, which can reduce the side effects of drug treatment on other organs, but the treatment often requires time and professional operation. It is especially important, then, to prevent cervical spondylosis. ①To prevent problems before they occur, in daily life, pay attention not to keep a position for too long, in fact, it does not take much time to change the position and move the cervical spine, 1-2min, or even shorter can be; early and thorough treatment of soft tissue strain in the neck, shoulder and back to prevent the development of cervical spondylosis; ②Prevent injury to the cervical spine: once inadvertently injured, actively treat to avoid residual sequelae; ③Cultivate good habits: do not lie down to read, watch TV, do not sit down to rest, the pillow is generally a fist and a half of their own appropriate, not too high, but also not long-term pillow; ④ active and thorough treatment of chronic inflammatory diseases such as throat, oral cavity; ⑤ avoid cervical spine by wind, cold and wet long-term stimulation; ⑥ often exercise the cervical spine, but do not exceed the physiological range of activity: flexion 35 ° ~ 45 °, extension 35 ° ~ 45 °. Left and right lateral flexion are 45°, left and right rotation are 60°～80°; ⑦ Beware of misdiagnosis and omission of other diseases caused by cervical spondylosis. Such as gastrointestinal diseases, cardiovascular diseases, endocrine diseases, neuropsychiatric diseases, etc. We would like to remind young parents not to neglect their children’s health while paying attention to their children’s academic performance. Once children have symptoms such as neck, shoulder and back discomfort, inability to concentrate, insomnia, etc., it is very necessary to listen to the doctor’s advice, as a genius without a healthy body is miserable for life!