Cervical spondylosis; incidence and implications.
Cervical spondylosis; incidence and implications.
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颈椎病;
DOI：
10.1093/brain/77.2.274
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发表时间：
1954
期刊：
影响因子：
--
通讯作者：
JOHN D. Spillane
中科院分区：
文献类型：
--
作者：
Christopher A. Pallis;Arthur M. Jones;JOHN D. Spillane
颈椎病(或慢性颈椎退行性疾病)是当今常见的诊断方法。考虑到它对一些常见但以前相当鲜为人知的临床疾病的合理解释，这并不令人惊讶。以前被称为“臂神经炎”或“神经痛”的颈根区的大部分障碍，现在被归因于颈部的骨性关节炎。最近，很大程度上由于脊髓造影术的使用越来越多，颈椎病已经成为老年人痉挛截瘫的常见原因。还描述了类似肌萎缩侧索硬化症和其他表现为上肢大体感觉共济失调的形式。这种疾病非常常见，实际上可能是在综合医院的神经科实践中看到的脊髓或颈根疾病的最常见原因。神经学家和神经外科医生目前对颈椎病的看法还没有被大多数普通医学教科书所接受。这可能是因为许多临床医生不愿将特殊的重要性归因于毕竟是一种极其常见的放射学研磨。现在很多人都做了颈部X光检查，经常会发现“脊椎病”。有一种流行的假设认为，这种损害就像动脉硬化一样不可避免，而且他们的研究将被证明是没有回报的。结果是不幸的。“颈椎骨关节炎”的诊断往往被接受，而不是充分分析X光照片的各个组成部分。临床结果就很难解释了。无症状颈椎病的详细临床和放射学研究似乎还没有被尝试过。然而，在查明有关受影响人员的事实之前，要评估
CERVICAL spondylosis (or chronic degenerative disease of the cervical spine) is nowadays a frequently made diagnosis. This is scarcely surprising in view of the plausible interpretation it gives of a number of common but previously rather obscure clinical disorders. The majority of disturbances in the territory of the cervical roots, formerly labelled" brachial neuritis" or" neuralgia," are now attributed to osteoarthritis in the neck. More recently still, largely as a result of the increasing use of myelography, cervical spondylosis has become accepted as a frequent cause of spastic paraplegia in the elderly. Forms simulating amyotrophic lateral sclerosis and others presenting with gross sensory ataxia in the upper limbs have also been described. The disease is very common and may in fact be the commonest cause of disorders of the spinal cord or cervical roots seen in the neurological practice of a general hospital. The current views of neurologists and neurosurgeons about cervical spondylosis have not as yet gained ready acceptance in most textbooks of general medicine. This may be due to the fact that many clinicians are loath to attribute special importance to what is, after all, an extremely common radiological rinding. Many people have their necks x-rayed nowadays and" spondylosis" is frequently detected. There is a prevalent assumption that such lesions are as inevitable as arteriosclerosis and a feeling that their study will prove unrewarding. The results are unfortunate. Diagnoses of" cervical osteoarthritis" are too often accepted without the various components of the radiographic picture being fully analysed. The clinical findings are then difficult to interpret. Detailed clinical and radiological studies of asymptomatic cervical spondylosis do not seem to have been attempted. Yet until the facts about persons so affected are ascertained it will always prove difficult to assess the