February 1968

Cervical Spondylosis and Other Disorders of the Cervical Spine.

Author Affiliations

Columbus, Ohio


By Lord Brain, DM, LLD, DCL, DSc, and Marcia Wilkinson, DM, MRCP. Price, $10. Pp 232, with many illustrations. W. B. Saunders Co., 218 W Washington Sq, Philadelphia 19105, 1967.

Arch Intern Med. 1968;121(2):205. doi:10.1001/archinte.1968.03640020093041

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In this book, the term cervical spondylosis is used to describe any condition of progressive degeneration of the cervical intervertebral disks with subsequent changes in surrounding structures. Therefore, the term and the book cover not only cervical disk disease, per se, but also osteoarthritis, chondroma, radiculopathy, myelopathy, neck pain, headache, and vertebrobasilar ischemia. These various clinical aspects are discussed following excellent chapters on anatomy and pathology.

The radiology section is extensive and is well illustrated with diagrams as well as roentgenograph reproductions. It is pointed out that cervical spondylosis is extremely common in the latter half of life and that it may be present and not cause symptoms. The prognosis is fair to good for the disturbances due to radiculopathy and poor to hopeless for those related to myelopathy.

Medical and surgical treatment results are difficult to evaluate. Bed rest, neck collars, cervical traction, and manipulation are discussed. The posterior

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