椎间盘突出伴功能稳定性降低相关的颈部疼痛和吞咽困难：一例报告
Neck pain and dysphagia associated to disc protrusion and reduced functional stability: A case report.
作者信息
Margelli Michele, Vanti Carla, Villafañe Jorge Hugo, Andreotti Roberto
机构信息
Tor Vergata University, Roma, Italy; University of Padova, Italy.
University of Padova, Italy; University of Bologna, Italy.
出版信息
J Bodyw Mov Ther. 2017 Apr;21(2):322-327. doi: 10.1016/j.jbmt.2016.07.011. Epub 2016 Jul 29.
BACKGROUND
Deglutition dysfunction like dysphagia may be associated with cervical symptoms.
FINDINGS
A young female complained of pain on the neck and swallowing dysfunction that was reduced by means of isometric contraction of cervical muscles. Magnetic resonance imaging revealed an anterior C5-C6 disc protrusion associated with a lesion of the anterior longitudinal ligament. Barium radiograph showed a small anterior cervical osteophyte at C6 level and dynamic X-ray excluded anatomical instability. The treatment included manual therapy and active exercises to improve muscular stability.
CONCLUSIONS
Diagnostic hypothesis was a combination of cervical disc dysfunction associated with C6 osteophyte and reduced functional stability.
背景
吞咽功能障碍如吞咽困难可能与颈部症状有关。
研究结果
一名年轻女性主诉颈部疼痛和吞咽功能障碍，通过颈部肌肉等长收缩可缓解。磁共振成像显示C5 - C6椎间盘前方突出，伴有前纵韧带损伤。钡剂造影显示C6水平有一个小的颈椎前缘骨赘，动态X线检查排除了解剖学不稳定。治疗包括手法治疗和主动运动以提高肌肉稳定性。
结论
诊断假设为C6骨赘相关的颈椎间盘功能障碍与功能稳定性降低并存。
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