The indications of cervical surgery

The treatment of cervical disease can be divided into surgical and non-surgical treatment of two categories. Talking about surgery, not taken lightly. Because the complex anatomy of the neck, an important physiological role: Support head; The vascular supply to the brain from both sides of the cervical spine; Yes gastrointestinal and respiratory initiation site; The internal cervical spinal nerve is the brain and body contact points: the head outside the feeling after cervical spinal cord can be uploaded, brain command and physical movement, the same can not supersede cervical spinal cord. Therefore, cervical disease and more non-surgical treatment for their own security CHAIRMAN. However, when non-surgical treatment fails, we must consider surgery. In 1984, China's orthopedic sector by many experts to discuss the "cervical disease indications" pilot Bill, is still viable. Cervical spinal disease, cervical spinal cord by the proliferation osteophyte, ligamentum flavum, highlighting disc oppression, minor symptoms, can be used for non-surgical treatment, while paying attention to observation, if the carotid body paralyzed, a different degree of feeling and movement disorders, the symptoms of spinal cord compression or increased suddenly intensified, must surgery. Otherwise prolonged time, compression neural degeneration and restore difficulties. Cervical vertebral artery disease, cervical vertigo or recurrent symptoms of cataplexy by angiography clearly vertebral artery compression location and extent of non-surgical therapy Jiuzhi ineffective, surgery may be considered. A very small number of cervical nerve root of non-surgical therapy Jiuzhi invalid, accurate positioning nerve compression, as appropriate surgical treatment. Sympathetic-surgery less effective, treatment should seriously. A very small number of cases, all the sixth cervical vertebra bone hyperplasia excessive speed, osteophyte too large, adjacent to the front oppression esophagus (here was rather narrow), from the surrounding inflammation, edema, increased stenosis, there dysphagia symptoms. Also accompanied by nausea and vomiting, hoarseness, head back, breathing difficulties and other symptoms. By adjusting as food, medication diuretic, cervical traction or gypsum neck circumference constant use of antibiotics to prevent infection, and other measures are not alleviated, surgical treatment should be taken, the osteophyte oppression esophageal resection, the effect quite well. The surgery generally difficult spinal cord injury, nerve and vascular over the security operation. Surgery cervical spondylosis many ways, some from cervical incision before entering (the road), esophagus and trachea to the side of Rafah, see cervical vertebrae, and the removal of the vertebral disc. Some of the items made from the back incision (posterior), cut the skin and subcutaneous tissue, arrived laminectomy, or the removal of the lamina open to decompression purpose. Route choice surgery, the patient under specific circumstances, to lift the spinal cord and nerve roots, esophagus or vertebral artery compression. Percutaneous aspiration of cervical disc cut, in X-ray monitoring, application of special equipment for cervical disc, surgery to reduce the damage to the human body. Guardianship in the same X-ray, a special drug injection of collagenase to cervical disc disease can be dissolved prominent disc, lifting oppression, to therapeutic purposes. These two methods, further domestic exploration is gradually carried out.