A Study On The Relationship Of Cervical Spondylotic Radiculopathy Between Lesions Of Signs And Symptoms

ObjectiveCervical spondylotic radiculopathy(CSR) is the highest incidence in one of cervicalspondylosis. Its diagnosis depends on the combination of signs and images in clinicalevaluation.Clinical manifestation and imaging does not meet the situation andasymptomatic "imaging of cervical vertebra disease" is not uncommon.It will bringdifficulty to the diagnosis of cervical spondylotic radiculopathy, even misdiagnosis.According to the patients of cervical spondylotic radiculopathy, a study on the relationshipbetween lesions and symptoms and signs, the diagnosis of ideas and methods of thisdisease.MethodsThe second people’s Hospital of Liaocheng City,76cases of cervical spondyloticradiculopathy of clinical data, including outpatient and hospitalized patients, analysis theage of onset, duration, and the composition ratio, involved segments, record the pain,sensory disturbance area, muscle, tendon reflex, Jackson test, Spurling test, combined withimaging precision positioning the corresponding relationship of clinical symptoms andsigns, and the responsible lesion.ResultsThe first symptom of70cases complained of neck and shoulder and back pain(92.1%). Neck, shoulder and back pain, accompanied by upper limb pain, numbness of thefinger in9cases (11.8%). The pain location of neck, shoulder and back:63cases of nuchal(82.9%),31cases of scapular spine (40.8%), body of scapula in42cases (55.3%). Thebiceps reflex and triceps reflex weakened in50cases (65.8%), pain disorders in65cases(85.5%), Jackson test was positive in40cases (52.6%), Spurling test was positive in62cases(81.6%). The proportion of nerve root involvement:6cases of C5nerve root (7.89%),C6nerve root in21cases (27.6%), C7nerve root in39cases (51.3%),10cases of C8nerve root (13.2%).ConclusionAccording to the patient’s symptoms and signs can make a clear diagnosis, and canlocate the diagnosis, the need for identification and easily confused diseases. Examinationdata accurate positioning based on image, to further clarify the pathogenic factors,including static factors (intervertebral disc protrusion, adjacent vertebral osteophyteformation, the trailing edge and the lateral margin of the articular the facet joint anduncovertebral joint hyperplasia) and dynamic factors (cervical spine instability), thenformulate individualized treatment plan.