Acute cervical spondylosis is not a definitive presentation. By cervical fibrosis, we mean such a disease as osteonecrosis, which has a chronic, gradual progression. The essence of this pathology lies in degenerative-dystrophic changes in the cervical vertebrae and the intervertebral discs between them. The main complication of this disease is the formation of a herniated disc mass, from which it can compress the spinal cord, blood vessels, . . . . In this article, we will look at the main symptoms of cervical osteochondrosis and also talk about its diagnosis.
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The main clinical sign of cervical osteonecrosis is pain syndrome.
Some patients report a rather severe, sharp pain in the neck that is aggravated by only slight movement. With cervical spondylosis, the patient can't turn his head and keep still because of the pain, causing the least discomfort in the posture.
However, the manifestation of dull, persistent pain with moderate intensity is most often noted. Patients complain of discomfort in the neck, which becomes more apparent during active physical activity, after sleeping in an uncomfortable position, etc. v. Compulsive posture in such people is absent. However, they still have to limit their motor activities to some extent, such as trying to avoid sharp turns and tilting their heads.
In addition, the clinical picture can be supplemented by disturbances of sensitivity in the cervical region, for example, a sensation as if on the neck "climbs".
With further progression of osteonecrosis and herniated disc formation, the pain syndrome becomes much more intense. Patients present with persistent severe pain in the neck, which significantly reduces quality of life.
Diagnosis of osteonecrosis of the cervical spine
The main method for diagnosing cervical osteosarcoma is an X-ray examination done in two scans. X-ray results can reveal:
- Cervical straightening;
- Flatten the intervertebral discs;
- Narrow disc holes;
- Marginal bone growth, v. v.
A more informative diagnostic method that not only allows the identification of osteonecrosis but also makes the differential diagnosis from other diseases is magnetic resonance imaging. Computed tomography may also be performed. In 2015, scientists from the Institute of Medical Postgraduate Education published a work, according to research results, showing that quantitative computed tomography is the method that allows the earliest changes to be identified. in bone tissue.
In addition, the survey plan can be supplemented by:
- Myelography;
- Disc;
- Electrophysiological research and so on.