Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St. Suite 9A, Houston, TX. 77030, USA.
Department of Neurosurgery, Ohio State College of Medicine, 370 W. 9th Avenue, Columbus, OH 43210, USA.
Neurol Clin. 2023 Feb;41(1):77-85. doi: 10.1016/j.ncl.2022.07.003. Epub 2022 Oct 29.
Axial neck pain is a common and important problem in the outpatient setting. In isolation, neck pain tends to have a musculoskeletal etiology and responds best to medication and targeted physical therapy. Careful history and physical examination are required to ascertain if there is a neurologic component in addition to the patient's neck pain. For patients needing surgical intervention, there are a variety of approaches and operations that can decompress the appropriate nerve root or the spinal cord itself. These operations are generally well-tolerated and provide significant benefit for appropriately selected patients.
颈痛是门诊中常见且重要的问题。孤立的颈痛往往具有肌肉骨骼病因，药物治疗和有针对性的物理治疗效果最佳。需要仔细的病史和体格检查以确定患者的颈痛除了有神经成分外是否还有其他的问题。对于需要手术干预的患者，有多种方法和手术可以对相应的神经根或脊髓本身进行减压。这些手术通常耐受性良好，并为适当选择的患者提供显著的益处。
