Abstract: Objective: To explore the clinical effect of spinal (fixed-point) rotational repositioning method in the treatment of cervical spondylolisthesis causing ergonomics: Methods: Retrospectively analyze the clinical data of 32 patients with cervical spondylolisthesis causing ergonomics, and review the relevant literature. RESULTS The 32 patients were quickly cured by spinal (fixed-point) rotational repositioning to correct cervical spondylolisthesis and eliminate cervical small joint capsule swelling at the same time. Conclusion: The effect of spinal (fixed-point) rotational repositioning method in treating cervical spondylosis-induced ergonomics is exact. Liu Yi-shan, Department of Chinese and Western Medicine Combined Orthopedic Treatment, Air Force General Hospital Keywords: cervical spondylosis/complications; orthopedic manipulation; ergotism/etiology CCTS: R274.06; R565.402.5 Literature identification code: A Treatment of cervical syndrome with singultus by FSM(Feng,s spina manipulation) LJU Yi-shan,GUO Wei,ZHAO Ping (Center of Integrated Traditional and Western Medicine for Manipulative Orthopedics, General Hospital of Air Force, Beijing 1000, China). (Center of Integrated Traditional and Western Medicine for Manipulative Orthopedics, General Hospital of Air Force, Beijing 100036, China) Abstract: Objective To evaluate the clinical treatment effect of FSM on cervical syndrome, vith singultus. Methods 32 cases of cervical syndrome with singultus were analyzed by retrospectiYe method.Results All patients were cured completely by treatment of FSM Results All patients were cured completely by treatment of FSM through redressing spinous process displacement and receding swelling of little joint capsule in cervical vertebra.Conclusion FSM is a very effective Conclusion FSM is a very effective method in treating the patient of cervical syndrome with singultus. Key words: Cervical spondylosis/complications; Bone setting manipulation; Hiccup etiology Cervical spondylosis can cause the symptom of hiccups. The symptoms of hiccups are usually caused by diaphragmatic spasm, digestive system diseases, etc. The symptoms of hiccups caused by cervical spondylosis are often unrecognized, which makes it easy to be misdiagnosed clinically. My department l996～2006 asked a total of 32 cases of this disease, is analyzed and reported as follows. 1 data and methods 1.1 study subjects male ll people, age l6-52 years old, average 40.5 ± 3 years old. There were 8 cases of moderate eruption and 3 cases of mild eruption. The number of treatments with spinal (fixed-point) rotational repositioning method ranged from 1 to 6 times, with an average of 3.5 times. There were 21 females, age 24 to 55 years, mean 45.3±4 years. There were 2 cases of severe eruption, l6 cases of moderate eruption and 3 cases of mild eruption. The number of treatments of spinal (fixed-point) rotational repositioning method ranged from 1 to 6 times. Average 4.5 times; 1.2 Methods Diagnostic criteria for cervical ergonomics: based on the criteria published in the Chinese Journal of Surgery in 1984: (1) symptoms and signs are typical. X-ray film is not typical can be diagnosed as cervical ergonomics; (2) X-ray film is typical (including imaging changes), symptoms and signs are not typical can not be diagnosed as cervical ergonomics; (3) diagnosis of cervical ergonomics must be combined with a comprehensive judgment of the symptoms, signs, and imaging tests. 1.3 Differential diagnosis of cervical ergonomics The patient sits in a seated position, fixes the head with one hand, and when the thumb of the other hand exerts mild force forward to press on the misplaced spinous processes, the symptoms of ergonomics gradually disappear. Withdrawal of the thumb pushes forward and persistent symptoms of hiccups reappeared. 1.4 Treatment plan (1) Spinal (fixed-point) rotational reset method[1] (referred to as manipulation) to correct cervical spinous process misalignment twice a week. (2) Cervical small joint capsule closure treatment (2% lidocaine injection 2 ml + dexamethasone 2 mg) once a week. (3) cervical spine herbal medicine chasing fou generation 2 / d, each time 20 min. (4) cervical ultrashort wave physiotherapy injection l / d, each time 20 min, 10 times for l course of treatment. 2 results of 32 patients, uh-oh symptoms no longer appear, neck and shoulder pain basically disappeared. Physical examination: cervical curvature is still available, cervical spine sequence and mobility are normal, cervical spine small joint capsule swelling disappeared, brachial plexus nerve pulling test (-), intervertebral foraminal compression test (-), all of them reached the clinical cure standard. No recurrence was observed in 1 month of follow-up. 2 patients with intractable ergonomics were treated with spinal (fixed-point) rotational repositioning and achieved significant therapeutic effects. Six patients (2 males and 4 females) were clinically cured after only 3-6 treatments with the spinal rotation method. 3 DISCUSSION Cervical sphenoidal subluxation causing eruption symptoms is relatively rare and often misdiagnosed clinically. The Department of Orthopaedic Surgery of our hospital has seen only 32 cases among more than 400,000 outpatient visits for cervical spondylosis. The phrenic nerve consists of the cervical 3-5 nerves, which are the main branches of the cervical plexus, first on the lateral side of the upper end of the anterior oblique angle muscle, then descending to the medial side along the anterior aspect of the muscle, entering the thorax through the upper thoracic opening between the subclavian arteries and veins, and then passing through the thoracic cavity ahead of the lung roots, and descending between the mediastinum and the pericardium to reach the diaphragm. The motor fibers of the phrenic nerve innervate the diaphragm, and sensory fibers are distributed to the pericardium, diaphragm, mediastinum, pleura, and a portion of the thoracic cribriform membrane [2]. Our patient was characterized by the presence of significant symptoms of radiculopathy of the cervical spine along with chronic intractable ergotism, and physical signs and X-ray changes were considered to be caused by radiculopathy of the cervical spine. The cervical nerve and its branches travel between the muscles, ligaments, bones and fibrofascia in the lateral and posterior cervical region. Due to frequent extension and flexion of the cervical joints and rotation, the cervical nerve is stimulated in the paravertebral soft tissues or bony fibrous canals, resulting in inflammatory pathological changes such as chronic edema and fibrosis, and pathological damage to the peripheral effector and central neuron can be induced by the change in axial plasma flow. At the same time, long-term chronic injury to the cervical nerve roots can lead to persistent spasm and fibrosis of the innervated head, neck, shoulder, and back muscle groups, and the spastic cervical muscle groups can partially or completely entrap the cervical nerve and brachial plexus nerves, which can cause pain and hyperalgesia in the corresponding innervated areas. The phrenic nerve is composed of fibers from the cervical 3 to 5 nerves, and travels downward in the paravertebral soft tissues. When the cervical small joints are dislocated and the cervical small joint capsule is swollen, the phrenic nerve in the neck will be stimulated or compressed to appear the phenomenon of ergonomics, and the treatment of cervical spondylosis causing ergonomics symptoms of the patients should firstly exclude ergonomics not caused by the cervical spondylosis such as diaphragm spasm and digestive system diseases. If the pressure changes the position of the affected child, the hiccup disappears or improves, it is an important identification of hiccups caused by cervical spondylotic subluxation Methods: At present, the main methods of treating hiccups caused by cervical spondylotic subluxation are manipulation, nerve block and other methods, and Pan Zhiqing [3] reported that cervical spondylosis can cause hiccup symptoms. It was found that the cervical 3-5 spinous processes were misaligned, and the transverse processes were distorted with pressure pain. The use of manipulation reset. And with the water acupuncture treatment, received good results. Pei Aizhen et al [4] reported that cervical paravertebral injection method cured 43 cases of chronic intractable hiccups caused by neurogenic cervical spondylosis, Guo Chun-oi et al [5] treated 36 cases of intractable hiccups with acupuncture and push with good results, Liu Qin-Xiang et al [6] compared the clinical efficacy of 120 cases of intractable hiccups with three kinds of nerve blocking methods of the stellate ganglion, phrenic nerve, and the fourth cervical vertebral foramen, and concluded that the three kinds of nerve blocking methods are completely and effectively blocking the phrenic nerve, vagus nerve and vagus nerve. It is concluded that all three nerve block methods can completely and effectively block the phrenic nerve, vagus nerve and cervical sympathetic nerve. It was concluded that all three types of nerve blocks were completely effective in blocking the phrenic nerve, vagus nerve and cervical sympathetic nerve, reducing the stress of the phrenic nerve, interrupting and alleviating the attacks of hiccups: stellate ganglion block was safe, reliable and more effective. Liu Hongbo [7] used cervical spine wrenching method to treat intractable ergotism also has obvious effect, this group of 32 patients simply using spinal (fixed point) rotational reset method of treatment, that is, to achieve obvious efficacy. Among them, 6 patients were clinically cured after only 3-6 times of spinal (fixed-point) rotational repositioning treatment. Therefore. Timely and correctly correct the cervical spinal subluxation, while eliminating the cervical small joint capsule swelling is the key to treating cervical spondylosis caused by ergonomic symptoms. The method of spinal (fixed-point) rotational repositioning for the treatment of cervical spondylosis-induced ergonomics deserves to be widely promoted. References [1] Feng Tianyou. Editor-in-chief. Clinical Research on Combination of Chinese and Western Medicine in the Treatment of Soft Tissue Injuries [M]. Beijing: China Science and Technology Press, 2002.30. [2] Zheng Si-Qing. Human Anatomy (Higher Medical Sciences) [M]. Human Anatomy (Textbook for Higher Medical Colleges and Universities) [M]. Beijing: People’s Health Publishing House, 1996.296 [3] Pan Zhiqing. Editor-in-chief. Practical spinal pathology [M]. Shandong: Shandong Science and Technology Press, l999.919. [4] Pei Aizhen, Wang Shijie. Du Yumin. Neurogenic cervical spondylosis causing chronic intractable ergonomics in 43 cases [J]. Shandong Medicine, 2003, 43(13):69. [5] Guo Chunyuan. Treatment of intractable eruption with acupuncture and push[J]. 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