Radl R, Leixner G, Stihsen C, Windhager R
Abteilung für Orthopädie und Orthopädische Chirurgie, Allgemeines und Orthopädisches LKH Stolzalpe, Stolzalpe 38, 8852, Stolzalpe, Österreich.
Orthopade. 2013 Sep;42(9):785-92; quiz 793-4. doi: 10.1007/s00132-013-2153-6.
Chronic neck pain is often associated with spondylarthrosis, whereby segments C4/C5 (C: cervical) are most frequently affected. Spondylarthrosis can be the sole complaint, but it is associated with a degenerative cascade of the spine. The umbrella term for neck pain is the so-called cervical syndrome, which can be differentiated into segmental dysfunction and/or morphological changes of the intervertebral discs and small joints of the vertebral column. Conservative therapy modalities include physical therapy, subcutaneous application of local anesthetics, muscle, nerve and facet joint injections in addition to adequate analgesic and muscle relaxant therapy. If surgery is required, various techniques via dorsal and ventral approaches, depending on the clinic and morphologic changes, can be applied.
慢性颈部疼痛常与脊椎关节病相关，其中C4/C5节段（C：颈椎）最常受累。脊椎关节病可能是唯一的症状，但它与脊柱的退行性病变相关。颈部疼痛的统称是所谓的颈椎综合征，可分为节段性功能障碍和/或椎间盘及脊柱小关节的形态学改变。保守治疗方法包括物理治疗、局部麻醉药皮下注射、肌肉、神经及小关节注射，以及适当的镇痛和肌肉松弛治疗。如果需要手术，根据临床情况和形态学改变，可采用经背侧和腹侧入路的各种技术。
