Degenerative instability in pathogensis of cervical syndrome / 中国矫形外科杂志

ABSTRACT

[Objective]To analyse the significance of degenerative instability in pathogensis of cervical syndrome.[Method]A total of 216 patients who underwent neck and shoulder pain and/or cervical spondylotic radiculopathy(CSR)were followed-up.There were 143 males and 73 females,aged from 29 to 41,with the average of 37.8.Number of patients with neck and shoulder pain were 173,with cervical spondylotic radiculopathy were 28,with neck and shoulder and CSR were 15.According to cervical degenerative instable radiology standard,instable group included 82 cases,stable group included 134 cases.All patients were treated by physiotherapy and/or local caging therapy.[Result]All the patients were followed-up for 2～7 years,with an average of 4.3 years.In the instable group,4 patients were found osteophyma at the instable vertebra,3 were intervertebral disk hernia,6 were intervertebral disk hernia and osteophyma,3 were T_2 high intensive sign(T_2 HIS)in spinal cord at the instable vertebra.In the stable group,2 were found intervertebral disk hernia at C_(4~5),2 were found osteophyma at C_5 vertebra.The incidence of cervical syndrome was 19.51% in instable group and 2.99% in stable group.There was significant statistical difference(P