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脊柱外科医生视角下的颈部疼痛

Neck pain from a spine surgeon's perspective.

作者信息

Basho Rahul, Bhalla Amandeep, Wang Jeffrey C

机构信息

Riverside County Regional Medical Center, Riverside, CA 92507, USA.

出版信息

Phys Med Rehabil Clin N Am. 2011 Aug;22(3):551-5, x. doi: 10.1016/j.pmr.2011.03.007.

DOI:10.1016/j.pmr.2011.03.007
PMID:21824593
Abstract

Through the myriad of abnormalities encountered by spine surgeons, neck pain is one of the most perplexing. The nature, onset, and location of the pain all provide information as to what the potential pain generator may be. By synthesizing data garnered from the physical examination, imaging studies, and history, a spine surgeon must formulate a differential diagnosis and treatment plan. The surgeon must determine whether the patient has cervical radiculopathy, myelopathy, or simply cervical spondylosis because the treatment of each of these is vastly different.

摘要

在脊柱外科医生所遇到的众多异常情况中,颈部疼痛是最令人困惑的问题之一。疼痛的性质、发作情况和部位都能为潜在的疼痛根源提供线索。脊柱外科医生必须综合体格检查、影像学检查和病史所收集的数据,制定鉴别诊断和治疗方案。医生必须确定患者是否患有神经根型颈椎病、脊髓型颈椎病,还是仅仅是颈椎骨质增生,因为这几种病症的治疗方法有很大差异。

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