Salvi Frank J, Jones John C, Weigert Bonnie J
Department of Orthopedics and Rehabilitation, University of Wisconsin, 6630 University Avenue, Middleton, WI 53562-3036, USA.
Spine J. 2006 Nov-Dec;6(6 Suppl):182S-189S. doi: 10.1016/j.spinee.2006.05.006.
The assessment of cervical myelopathy can be challenging, especially early in the course of the disease. Typical symptoms, including pain, neck stiffness, paresthesias, weakness, clumsiness, disequilibrium, difficulty with bladder control and functional deficits, and signs, including decreased cervical range of motion, sensory abnormalities, weakness, spasticity, and gait disturbance, become more obvious as the disease progresses. Disease specific functional assessments can aid in the diagnosis. A detailed clinical assessment should always be interpreted in conjunction with supplemental assessment tools, including imaging and electrodiagnostic studies. This article will review typical clinical findings, the differential diagnosis, and the utilization of supplemental assessment tools for the evaluation of cervical myelopathy.
评估脊髓型颈椎病可能具有挑战性，尤其是在疾病早期。典型症状包括疼痛、颈部僵硬、感觉异常、无力、笨拙、平衡失调、膀胱控制困难和功能缺陷，体征包括颈椎活动范围减小、感觉异常、无力、痉挛和步态障碍，随着疾病进展会变得更加明显。特定疾病的功能评估有助于诊断。详细的临床评估应始终结合补充评估工具进行解读，包括影像学和电诊断研究。本文将综述脊髓型颈椎病评估中的典型临床发现、鉴别诊断以及补充评估工具的应用。
