Cervical disease classification and diagnostic criteria

Cervical disease in medicine has been recognized the independence of its pathogenesis, clinical manifestations and treatment principles and the concept of a unified standard. GM cervical spondylosis of the current diagnostic criteria and types are as follows: General principles: ① clinical manifestations and X-ray film were consistent with cervical spondylosis, can be confirmed. ② typical clinical manifestations of cervical disease, and X-ray films which have not yet appeared abnormal, other diseases should be excluded under the premise for the diagnosis of cervical disease. ③ there is no clinical signs and complained, and in the X-ray abnormality, should not be diagnosed as cervical spondylosis. Be on the X-ray abnormalities seen to be described. Apart from the above principles, the type of cervical disease diagnosis are as follows: (1) neck cervical spondylosis ① complained head, neck, shoulder pain, such as abnormal feeling, and the tenderness with the corresponding points. ② X-ray showed that the upper cervical spine curvature change, or intervertebral joint instability, a "bilateral", the "double process", "Au cut", "proliferation" performance. ③ except neck sprain (commonly known as "Stiff Neck"), omarthritis, rheumatic inflammation of muscle fiber, neurasthenia and other non-cervical disc degeneration due to change due to a shoulder and neck pain. (2) nerve root type of cervical spondylosis ① is more typical radicular symptoms (numbness, pain), and the scope of its involvement with the nerve root domination of the region by the line. ② X-ray displayed on the cervical spine curvature change, instability or bone. ③ pressure test or upper cervical traction test positive. ④ pain treatment ineffective closed. ⑤ clinical manifestations and the X-ray abnormalities seen in the same segment photogenic. ⑥ except cervical vertebra substantive disease (such as tuberculosis, cancer, etc.), thoracic outlet syndrome, omarthritis, tennis elbow, biceps tenosynovitis, and so mainly to the upper extremity pain disorders. (3) cervical spondylotic myelopathy ① on the clinical performance of spinal cord compression, is divided into two types of central and peripheral. The first symptoms of upper extremity, lower extremity peripheral, from the beginning, is divided into mild, moderate and severe degree. ② X-ray displayed on edge after more than vertebral bone hyperplasia, a diameter of the spinal canal stenosis. ③ except amyotrophic lateral sclerosis of the spinal cord, spinal cord tumors, spinal cord injury, the secondary inflammation of the arachnoid adhesive, multiple peripheral neuritis. ④ individual differential diagnosis difficult, can be used for spinal cord was performed. ⑤ conditions, the CT scan can be perturbation investigation. (4) The type of cervical vertebral artery disease ① had cataplexy attacks, and with cervical vertigo. ② carotid test positive spin. ③ X-ray showed that instability or intervertebral joint articular bone hook push. ④ except Otogenic and eye-derived vertigo. ⑤ except I vertebral artery (6 enter transverse cervical vertebral artery previous hole) and cervical artery Ⅲ paragraph (a cervical spine before entering the intracranial vertebral artery) caused by the compression of the basilar artery insufficiency. ⑥ except neurosis, and other intracranial tumors. ⑦ diagnosis of this disease, particularly positioning before surgery should be performed according to the vertebral artery. ⑧ vein blood flow and promote the EEG only reference value. (5) The clinical cervical sympathetic performance as dizziness, vertigo, tinnitus, hand numbness, tachycardia, the heart before a series of sympathetic pain symptoms, X-ray film on the instability or degenerative vertebral angiography negative (6) other type of cervical esophageal diseases such as cervical vertebral former Ukrainian mouth hyperplasia oppression esophagus caused swallowing difficulties. The transesophageal barium contrast confirm.