Boyce Robert H, Wang Jeffrey C
Department of Orthopaedic Surgery, UCLA School of Medicine, Los Angeles, California, USA.
Instr Course Lect. 2003;52:489-95.
Neck pain is a common complaint that typically represents a spectrum of disorders affecting the cervical spine. The clinical history and examination of patients with neck pain dictate the proper timing and selection of diagnostic studies such as plain radiography, MRI, and myelography with CT. Most neck pain is self-limiting and will resolve with appropriate conservative care. Nonsurgical treatment is the most appropriate first step in almost all cases of cervical radiculopathy. In contrast, the conservative care of cervical spondylotic myelopathy with measures such as physical therapy, spinal manipulation, medications, collars, and traction is limited.
颈部疼痛是一种常见的主诉，通常代表一系列影响颈椎的疾病。颈部疼痛患者的临床病史和检查决定了诸如X线平片、磁共振成像（MRI）以及CT脊髓造影等诊断性检查的适当时间和选择。大多数颈部疼痛是自限性的，通过适当的保守治疗即可缓解。在几乎所有神经根型颈椎病病例中，非手术治疗都是最合适的第一步。相比之下，采用物理治疗、脊柱推拿、药物、颈托和牵引等措施对脊髓型颈椎病进行保守治疗的效果有限。
