SURGICAL DISORDERS OF THE CERVICAL SPINE: PRESENTATION AND MANAGEMENT OF COMMON DISORDERS

Abstract

his man needs to see a Doctor!" So wrote an exasperated neurologist after reviewing a patient on the neurosurgical ward. Unfortunately this comment still springs to mind when one considers the clinical management of some cervical spine problems. Magnetic resonance imaging (MRI) scanning has led to a tidal wave of referrals of cervical spine problems to neurosurgeons. However, in many cases, the problem is more apparent on the scan than clinical assessment. MRI scanning cannot replace thoughtful history taking and clinical examination, and does not provide the necessary information for diagnosis and treatment. As a rule of thumb appropriate management depends in equal part on history, examination, and investigations.