Diagnostic criteria for various types of cervical spondylosis

Diagnostic criteria for various types of cervical spondylosis:

1. Cervical spondylosis: There is often a history of stiff neck and the above-mentioned local symptoms and signs of the neck; imaging examinations show normal, or changes in the physiological curvature of the cervical spine and slight narrowing of the intervertebral disc, and osteophytes are rare.

2. Radiculopathy of cervical spondylosis: symptoms and signs of nerve root distribution appear; intervertebral foraminal compression test or brachial plexus traction test is positive; imaging results are basically consistent with clinical manifestations; excluding pain caused by non-cervical spondylosis such as biceps long head tenosynovitis, frozen shoulder, thoracic outlet syndrome, carpal tunnel syndrome, tennis elbow, etc.

3. Spinal cervical spondylotic myelopathy: clinical manifestations of cervical spinal cord injury; imaging shows degenerative changes in the cervical spine, narrowing of the cervical spinal canal, and confirmed spinal cord compression lesions consistent with the clinical manifestations; secondary adhesive meningitis, progressive amyotrophic lateral sclerosis, spinal cord injury, spinal cord tumors, multiple peripheral neuritis, etc. are excluded.

4. Sympathetic cervical spondylosis: This type of disease is difficult to diagnose, and there is still a lack of objective diagnostic indicators. The clinical manifestations of sympathetic nerve dysfunction can be seen in imaging studies, and segmental instability of the cervical spine can be seen. For some patients with mild symptoms, if the symptoms are alleviated after the high cervical epidural or stellate ganglion is blocked, it can help with diagnosis. Exclude vertigo caused by other reasons: ① vascular vertigo; ② ear vertigo; ③ brain vertigo; ④ eye vertigo; ⑤ other reasons, such as vertigo caused by neurosis, diabetes, overwork, long-term lack of sleep, etc.

5. Vertebral artery type cervical spondylosis

There have been sudden collapse attacks accompanied by cervical vertigo; the neck rotation test is positive; imaging shows segmental instability of the cervical spine or proliferative lesions of the uncovertebral joint; other causes of vertigo are excluded; and the neck movement test is positive.