Tips for preoperative care of cervical spondylosis

  Cervical spondylosis is a degenerative, aging and discontinuous change of the cervical intervertebral disc, which stimulates or compresses the nerve roots and spinal cord, or affects the blood supply, thus causing a series of symptoms and signs. It occurs mostly in men over 40 years old and is clinically classified into: cervical, spinal cord, nerve root, vertebral artery and sympathetic nerve types.  Cervical type: head, neck and shoulder pain and other abnormal sensations, with corresponding pressure points, neck pain, stiffness symptoms can be reduced by rest.  Spinal cord type: numbness of the limbs, unstable walking, walking with a feeling of stepping on cotton, incontinence, and even spastic paralysis of the limbs.  Nerve root type: pain radiating to one or both upper limbs with electric shock-like numbness, positive neck pressure test and upper limb pull test, accompanied by abnormal sensation (numbness, etc.) and motor weakness.  Vertebral artery or sympathetic nerve type: headache, vertigo, tinnitus and sweating, abnormal pupils or heart rate.  Surgical treatment applies to spinal cord type and nerve root type, and surgery is divided into two methods: anterior decompression and posterior decompression.  Key points of preoperative care: 1. From the date of admission, practice urination and defecation in bed, practice deep breathing and coughing, and quit smoking if you are a smoker.  2.Cooperate with the three major routine examinations: blood, urine, stool routine, liver and kidney function, hepatitis B five items, blood sugar, electrolytes.  3, chest X-ray, electrocardiogram, cervical spine X-ray (front and side, double oblique and hyperflexion and hyperextension), cervical spine CT, cervical spine MRI. 4, cervical spine MRI is a mandatory item, which can well show the spinal cord compression.  5.For those who intend to perform posterior surgery, prone position exercise should be performed.  6.After admission to the hospital, it is determined that the proposed anterior surgery, that is, practice tracheal nudge, so training 3-5 days can adapt.  7.The day before surgery, do the drug sensitivity test according to the doctor’s prescription, match blood, take a bath, change clothes, shave the beard in the anterior cervical route in addition to the routine skin preparation of the neck, and prepare the perineal skin for those who take the iliac bone, and shave the hair in the posterior route.  8, one day before surgery, laxative or enema, 1 day before surgery, after 10 pm, no food and drink, prepare the neck circumference.  9, valuables are properly stored, do not enter the operating room, active dentures must be removed.  10.Preparation of materials: cardiac monitor, tracheotomy bag, negative pressure suction, non-folded yarn, oxygen, sputum suction, etc.