TY - JOUR
T1 - Standards und Leitlinien bei der Therapie degenerativer Erkrankungen der Halswirbelsäule
AU - Wagner, A.
AU - Wostrack, M.
AU - Stoffel, M.
N1 - Publisher Copyright:
© 2021 Mediengruppe Oberfranken - Fachverlage GmbH & Co. KG. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Degenerative diseases of the cervical spine are common in our general population and will gain further relevance in the forthcoming decades due to the increasingly aging society. The natural course is typically benign, hence numerous conservative measures should represent the primary therapy in the absence of significant deficits. Conversely, urgent decompression of neural structures should be mandated in case of progressive neurological deficits. In case of persistence of a purely painful cervical radiculopathy, established anterior and posterior procedures exist, resulting in excellent treatment success with justifiable risk. Patients retain their benefit in the longterm follow-up, especially in case of the novel disc arthroplasty procedures, for which studies have now demonstrated a benefit in terms of the rate of secondary adjacent level degeneration compared to fusion. For chronic pain syndromes, an intensive multimodal treatment concept is available, but ultimately positive evidence is lacking for some manual therapies, pharmacological therapy, and neuromodulation, respectively.
AB - Degenerative diseases of the cervical spine are common in our general population and will gain further relevance in the forthcoming decades due to the increasingly aging society. The natural course is typically benign, hence numerous conservative measures should represent the primary therapy in the absence of significant deficits. Conversely, urgent decompression of neural structures should be mandated in case of progressive neurological deficits. In case of persistence of a purely painful cervical radiculopathy, established anterior and posterior procedures exist, resulting in excellent treatment success with justifiable risk. Patients retain their benefit in the longterm follow-up, especially in case of the novel disc arthroplasty procedures, for which studies have now demonstrated a benefit in terms of the rate of secondary adjacent level degeneration compared to fusion. For chronic pain syndromes, an intensive multimodal treatment concept is available, but ultimately positive evidence is lacking for some manual therapies, pharmacological therapy, and neuromodulation, respectively.
KW - cervical radiculopathy
KW - cervical spine
KW - cervical spondylotic myelopathy
KW - degenerative disease
KW - spondylosis
UR - http://www.scopus.com/inward/record.url?scp=85173239592&partnerID=8YFLogxK
M3 - Artikel
AN - SCOPUS:85173239592
SN - 0020-9570
VL - 64
SP - 88
EP - 102
JO - Internistische Praxis
JF - Internistische Praxis
IS - 1
ER -