CERVICAL SPONDYLOSIS
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As it runs from the brain down the back,
the spinal cord is protected by ringlike bones, called vertebrae,
stacked one upon the other. The vertebrae are not in direct contact
with one another, however. The intervening spaces are filled with
structures called disks. The disks are made up of a tough, fibrous
outer tissue with an inner core of elastic or gel-like tissue.
One of the most important functions of disks is protecting the
vertebrae and the nerves and blood vessels between the vertebrae.
The disks also lend flexibility to the spinal cord, facilitating
movements such as turning the head or bending the neck. As people
age, disks gradually become tougher and more unyielding. Disks also
shrink with age, which reduces the amount of padding between the
vertebrae.
As the amount of padding shrinks, the spine loses stability. The
vertebrae react by constructing osteophytes, commonly known as bone
spurs. There are seven vertebrae in the neck; development of
osteophytes on these bones is sometimes called cervical
osteoarthritis. Osteophytes may help to stabilize the degenerating
backbone and help protect the spinal cord.
By age 50, 25-50% of people develop cervical spondylosis; by 75
years of age, it is seen in at least 70% of people. Although
shrunken vertebral disks, osteophyte growth, and other changes in
their cervical spine may exist, many of these people never develop
significant problems.
However, about 50% of people over age 50 experience neck pain and
stiffness due to cervical spondylosis. Of these people, 25-40% have
at least one episode of cervical radiculopathy, a condition that
arises when osteophytes compress nerves between the vertebrae.
Another potential problem occurs if osteophytes, degenerating disks,
or shifting vertebrae narrow the spinal canal. This pressure
compresses the spinal cord and its blood vessels, causing cervical
spondylitic myelopathy, a disorder in which large segments of the
spinal cord are damaged. This disorder affects fewer than 5% of
people with cervical spondylosis. Symptoms of both cervical
spondylitic myelopathy and cervical radiculopathy may be present in
some people. |
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| CERVICAL SPONDYLOSIS RELATED ITEMS |
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