Department of Orthopaedic Surgery, Division of Spine Surgery, Case Western Reserve, University School of Medicine, Cleveland, OH 44106, USA.
Am Fam Physician. 2010 Jan 1;81(1):33-40.
Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. This impingement typically produces neck and radiating arm pain or numbness, sensory deficits, or motor dysfunction in the neck and upper extremities. Magnetic resonance imaging or computed tomographic myelography can confirm neurologic compression. The overall prognosis of persons with cervical radiculopathy is favorable. Most patients improve over time with a focused, nonoperative treatment course. There is little high-quality evidence on the best nonoperative therapy for cervical radiculopathy. Cervical collars may be used for a short period of immobilization, and traction may temporarily decompress nerve impingement. Medications may help alleviate pain and neuropathic symptoms. Physical therapy and manipulation may improve neck discomfort, and selective nerve blocks target nerve root pain. Although the effectiveness of individual treatments is controversial, a multimodal approach may benefit patients with cervical radiculopathy and associated neck pain.
颈椎神经根病是一种以椎间盘物质或骨关节炎骨刺压迫神经为特征的疾病过程。这种压迫通常会导致颈部和放射状手臂疼痛或麻木、感觉缺陷或颈部和上肢运动功能障碍。磁共振成像或计算机断层脊髓造影可以确认神经受压。颈椎神经根病患者的总体预后良好。大多数患者随着有针对性的非手术治疗过程会逐渐改善。对于颈椎神经根病的最佳非手术治疗方法，几乎没有高质量的证据。颈托可用于短时间的固定，牵引可能暂时缓解神经压迫。药物可能有助于缓解疼痛和神经症状。物理疗法和手法治疗可能会改善颈部不适，选择性神经阻滞可以针对神经根疼痛。尽管个别治疗的效果存在争议，但多模式治疗可能对颈椎神经根病和相关颈部疼痛的患者有益。
