Cervical spondylosis
Conditions
Interventions
Sponsors
Longhua Hospital, Shanghai University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The selected cases were selected according to the following criteria: 1. the diagnostic criteria, the cases were selected according to the diagnostic criteria of cervical type, nerve root type, vertebral artery type and sympathetic type of cervical spondylosis in the State Administration of Traditional Chinese Medicine of Chinese medicine. The diagnosis of cervical spondylosis is based on: (1) a history of chronic strain or trauma. Or has the cervical vertebra congenital malformation, the cervical vertebra degeneration pathological change. (2) more than 40 years old in the middle-aged, long-term low-head workers or accustomed to a long time to watch television, video, often chronic disease. (3) Neck, shoulder and back pain, headache, dizziness, stiff neck, upper limb numbness. (4) the neck movement function is limited, the pathological change cervical vertebra spine process, the affected side Scapula in the upper horn often has the tenderness, may feel the cord shape Scleroma. May Have upper limb muscle weakness and muscle atrophy, brachial plexus traction test positive. Positive pressure head test. (5) the x-ray films showed that the UNCINATE joint was hyperplastic, the opening position was chisel-like, the lateral films showed that the cervical vertebral curvature became straight, the intervertebral space became narrow, there were bone hyperplasia or ligament calcification, and the oblique films showed that the intervertebral foramen became small. CT AND MRI are of significance in the qualitative and locational diagnosis. Pathological typing: (1) neck type: Occipital neck pain, limited neck movement, stiff neck muscles, corresponding tenderness point. X-ray film shows that the cervical Vertebra physiological radian changes at the pathological level. (2) radicular type: neck pain with radiating pain of upper limbs, aggravated by neck flexion or extension or lateral flexion, decreased sensation in the skin segment distribution area of the compressed nerve root, abnormal tendon reflex, muscle atrophy, decreased muscle strength, limited neck movement, positive results of traction test and head compression test. Cervical x-ray shows: Vertebral Body Hyperplasia, UNCINATE joint hyperplasia obvious, intervertebral space narrowing, intervertebral foramen smaller. CT showed posterior vegetations of vertebral body and narrowing of nerve root canal. (3) vertebral artery type: headache, Vertigo, tinnitus, deafness, blurred vision, orthostatic cataplexy, cervical scoliosis backward, symptoms aggravated. X-ray showed that the distance between the transverse processes became smaller and the UNCINATE vertebrae were hyperplastic. CT OR MRI examination can show the size of the left and right transverse foramen asymmetry, one side relatively narrow. Angiography of the vertebral artery showed tortuosity, thinning, or complete obstruction. (4) sympathetic: Eyelid weakness, blurred vision, dilated pupils, swelling of the eye socket, tears, headache, migraine, dizziness, occipitocervical pain, tachycardia or Bradycardia, precordial pain, high blood pressure, cold limbs or fingers red fever, excessive or little perspiration on one limb, etc. . X-ray films showed hyperplasia of UNCINATE Vertebra, narrowing of intervertebral foramen, physiological radian change of cervical vertebra or malposition in different degree. There was compression on the vertebral arteriography. Chinese Medicine Syndrome classification: (1) wind-cold-
Exclusion criteria
Exclusion criteria: 1. cervical spondylotic myelopathy; Thoracic Outlet Syndrome, scapulohumeral periarthritis, carpal tunnel syndrome, etc.; 2. x-ray film showed normal transverse diameter of intervertebral foramen. 3. with congenital malformation or Scoliosis of the column; with Bone Tumor or tuberculosis. Accompanied by hypertension, coronary heart disease and other serious visceral diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cervical spine dysfunction index (Ndi) questionnaire;Evaluation of clinical efficacy;VAS;TCD;Scoring method for clinical symptoms and signs of cervical spondylosis; | — |
Secondary
| Measure | Time frame |
|---|---|
| CT or MRI of the cervical spine; | — |
Countries
China
Contacts
Public ContactSun Deli
Outcome results
None listed