[Study on clinical characteristics and rehabilitative treatment for degeneration of cervical articular process].
OBJECTIVE
To investigate the pathogenesis and rehabilitative treatment for degeneration of cervical articular process.


METHODS
Among 200 case of cervical disease with oblique radiography, 90 (45%) have different levels of facet degeneration, aged from 31 to 76 years, mostly in the elderly (accounting for 80%). There are no significant differences between men and women.


RESULTS
There are three reasons for cervical facet degeneration. (1) Physiological degeneration of the articular process; (2) Acute and chronic injuries, especially whiplash injury; (3) Iatrogenic injury. Among these causes, iatrogenic injury is very common and has been neglected for a long time. When the intervertebral joint is instable, chronic fatigue or acute injury will certainly produce symptoms, including symptoms of nerve root type, or vertebral artery type, or both types of cervical disease.


CONCLUSIONS
Oblique X-ray films show that superior articular process protrudes into the intervertebral foramen, which causes intervertebral foramen narrow, and the narrow degree is in proportion to rising and extending range of head and neck. Scientific and dialectical therapy is the key to treat this disease, and manipulative reduction to enlarging intervertebral foramen with the neck at flexing position is a targeted treatment, which can treat symptoms and causes of the disease at the same time. If the case is special, cervical dynamic extension and flexion X-ray film should be taken.
Liu
Xin-Ning
XN
Department of Spine Surgery, Weihai Stomatological Hospital, Weihai 264200, Shandong, China. liuxinningsd@163.com
Han
Ming-Jian
MJ
Wang
Tian-Guo
TG
Wang
Yu-Kun
YK
Wang
Zhi-Hua
ZH
Zou
Ji-Wei
JW
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000293:injuries; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D020393:Manipulation, Spinal; D008875:Middle Aged; D055009:Spondylosis / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation*