Phillips D G
J Neurol Neurosurg Psychiatry. 1975 Apr;38(4):386-90. doi: 10.1136/jnnp.38.4.386.
Analysis of 200 cases reveals that the two neurological syndromes, brachial neuritis and myelopathy, associated with cervical spondylosis are distinct with relatively little overlap. While upper limb motor and sensory loss are doubtless due to nerve root compression in cases of "pure' brachial neuritis, they are more likely to be due to cord damage in cases with myelopathy (with spastic paraparesis of lower limbs). In either group of cases, neurological features in the upper limbs are not very helpful in localizing the level of significant intervertebral disc pathology. Contrast radiology (myelography and possibly discography) is a reliable guide judging by the excellent results obtained by anterior route (Cloward's) operation at specific disc levels in a series of cases with longstanding complaints unrelieved by conservative treatment. Pathological data provide a rational basis for interpretation of clinical observations and for surgical treatment.
对200例病例的分析显示，与颈椎病相关的两种神经综合征，即臂丛神经炎和脊髓病，是截然不同的，相互之间的重叠相对较少。在“单纯”臂丛神经炎病例中，上肢运动和感觉丧失无疑是由于神经根受压所致，而在脊髓病（伴有下肢痉挛性轻瘫）病例中，更可能是由于脊髓损伤所致。在这两组病例中，上肢的神经特征对于确定显著椎间盘病变的水平帮助不大。通过对一系列经保守治疗未缓解的长期病例在特定椎间盘水平进行前路（克洛德氏）手术所取得的优异结果判断，对比放射学检查（脊髓造影以及可能的椎间盘造影）是一种可靠的指导方法。病理数据为临床观察的解释和手术治疗提供了合理依据。
