EVALUATION OF CERVICAL SPONDYLOSIS BY CONSERVATIVE MANAGEMENT- A PROSPECTIVE CASE CONTROL STUDY

Abstract

Background: Cervical spondylosis is a generic term for the degenerative cascade that may affect the entire cervical spine that develop either spontaneously with age, or secondarily as the result of trauma or other pathological condition and may be seen radiographically in both symptomatic and asymptomatic individuals.

Objective: The aim of this study was to in the relief of pain, improvement in range of motion and functions in individuals with cervical spondylosis. 

Methods: The study included 100 cases of cervical spondylosis that were treated conservatively, between 20-70 years age group over a period of 2 years. Sign and symptoms were evaluated according to age, gender and grading of the severity of the disease.

Results: The scores of Grade l and ll showed excellent results, results were poor in Grade lV scoring patients. The findings of this study suggested that both the interventions are effective in reducing pain, improving ROM and decreasing the level of disability using the level of disability. 

Conclusion: In majority of the cases conservative method was significant. Only small percentage that had gross compression or neurological deficit needed surgery. The results were promising in early detected cases and were satisfactory in advanced cases.

Keywords: Endplate Sclerosis, Myelopathy, Osteoarthritis, Spondylosis, Vertebro Basilar Ischaemia.