Cervical radiculopathy

被引:117
作者
Rhee, John M.
Yoon, Tim
Riew, K. Daniel
机构
[1] Emory Univ, Sch Med, Emory Spine Ctr, Atlanta, GA 30329 USA
[2] Washington Univ, St Louis, MO USA
关键词
D O I
10.5435/00124635-200708000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Cervical radiculopathy is a disorder involving dysfunction of cervical nerve roots that commonly manifests as pain radiating from the neck into the distribution of the affected root. Acute cervical radiculopathy generally has a self-limited clinical course, with up to a 75% rate of spontaneous improvement. Thus, nonsurgical treatment is the appropriate initial approach for most patients. When nonsurgical treatment fails to relieve symptoms or if a significant neurologic deficit exists, surgical decompression may be necessary. Surgical outcomes for relief of arm pain range from 80% to 90% with either anterior or posterior approaches.
引用
收藏
页码:486 / 494
页数:9
相关论文
共 38 条
[1]
A placebo-controlled randomized clinical trial of nortriptyline for chronic low back pain [J].
Atkinson, JH ;
Slater, MA ;
Williams, RA ;
Zisook, S ;
Patterson, TL ;
Grant, I ;
Wahlgren, DR ;
Abramson, I ;
Garfin, SR .
PAIN, 1998, 76 (03) :287-296
[2]
Treatment of osteoarthritis with celecoxib, a cyclooxygenase-2 inhibitor: A randomized controlled trial [J].
Bensen, WG ;
Fiechtner, JJ ;
McMillen, JI ;
Zhao, WW ;
Yu, SS ;
Woods, EM ;
Hubbard, RC ;
Isakson, PC ;
Verburg, KM ;
Geis, GS .
MAYO CLINIC PROCEEDINGS, 1999, 74 (11) :1095-1105
[3]
ABNORMAL MAGNETIC-RESONANCE SCANS OF THE CERVICAL-SPINE IN ASYMPTOMATIC SUBJECTS - A PROSPECTIVE INVESTIGATION [J].
BODEN, SD ;
MCCOWIN, PR ;
DAVIS, DO ;
DINA, TS ;
MARK, AS ;
WIESEL, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (08) :1178-1184
[4]
ROBINSON ANTERIOR CERVICAL DISKECTOMY AND ARTHRODESIS FOR CERVICAL RADICULOPATHY - LONG-TERM FOLLOW-UP OF 100 AND 22 PATIENTS [J].
BOHLMAN, HH ;
EMERY, SE ;
GOODFELLOW, DB ;
JONES, PK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (09) :1298-1307
[5]
Using gabapentin to treat failed back surgery syndrome caused by epidural fibrosis: A report of 2 cases [J].
Braverman, DL ;
Slipman, CW ;
Lenrow, DA .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2001, 82 (05) :691-693
[6]
Drug therapy for back pain - Which drugs help which patients? [J].
Deyo, RA .
SPINE, 1996, 21 (24) :2840-2849
[7]
Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion [J].
Eck, JC ;
Humphreys, SC ;
Lim, TH ;
Jeong, ST ;
Kim, JG ;
Hodges, SD ;
An, HS .
SPINE, 2002, 27 (22) :2431-2434
[8]
Failed anterior cervical foraminotomy [J].
Hacker, RJ ;
Miller, CG .
JOURNAL OF NEUROSURGERY, 2003, 98 (02) :126-130
[9]
Heckmann JG, 1999, J SPINAL DISORD, V12, P396
[10]
POSTERIOR-LATERAL FORAMINOTOMY AS AN EXCLUSIVE OPERATIVE TECHNIQUE FOR CERVICAL RADICULOPATHY - A REVIEW OF 846 CONSECUTIVELY OPERATED CASES [J].
HENDERSON, CM ;
HENNESSY, RG ;
SHUEY, HM ;
SHACKELFORD, EG .
NEUROSURGERY, 1983, 13 (05) :504-512