European Journal of Anatomy

Official Journal of The Spanish Society of Anatomy
Cover Volume 24 - Number 5
Eur J Anat, 24 (5): 439-448 (2020)

Clinical anatomy of cervical spondylosis

Pablo González-Uriel1, V. Armesto Pérez2, Juan A. Suárez-Quintanilla3

1Clinical Neurophysiology Unit, Lucus Augusti University Hospital, 27003 Lugo, Spain2Radiology Unit, Lucus Augusti University Hospital, 27003 Lugo, Spain3Section of Human Anatomy, Department of Morphological Sciences, Faculty of Medicine, University of Santiago de Compostela, 15782 Spain

ABSTRACT The aim of this study is to describe the anatomi-cal alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age. Retrospective study of 184 pa-tients with cervicobrachialgia who underwent cervi-cal MRI and EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1.Average age was 53.65±11.96 years. The pa-tients were evaluated for the presence of osteo-phytes (n = 111), arthropathy (n = 76), spondylolis-thesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), her-niated disc in C5-C6 (n=18) and neurogenic find-ings in C7 (n=130). The rectification of cervical lordosis appeared in 124 patients.Spondylosis increases with age. Disc herni-ations, disc protrusions and motor radiculopathy are more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectifi-cation is more common than the normal lordosis.

Keywords: Cervicobrachialgia – Spondylosis – Discopathy – Radiculopathy – Cervical MRI – EMG

European Journal of anatomy
ISSN 2340-311X (Online)