A Clinical Study of Cervical Spondylosis

Authors had studied 107 patients treated for the various complaints including the neurological complications of cervical spondylosis by conservative and/or surgical means. 79 men and 28 women, with an average age of 51–60 years and an average duration of symptom of one year, had been followed up for 6 months to 3 years. 51 patients had articular type of pain, 56 radicular type, and 32 had a mixed picture. None was incapacitated. Radiological level of spondylosis were localized between C3 to T3 but mostly in C5 to C6. No traction spur was found in the presence of segmental instability. All had extensive conservative treatment. Four patients had operative treatment. No subjective improvement was obtained by conservative treatment in 27 of 56 radicular type of pain, one of four surgically treated patients. Material benefit was obtained in three of four surgically treated patients. Anterier interbody fusion is considered rather easy one than foraminotomy for the surgeon trained in the surgery of the tuberculous spine, and best procedure to give early segmental stability of the diseased segment of the spine and to relieve pain localized to the segment and neurological complications.