Extract
Cervical spondylosis is a common and occasionally disabling condition, occurring as a natural consequence of aging in the vast majority of the adult population. A clinical approach to symptomatic cervical spondylosis can be simplified by dividing the findings at presentation into the categories of axial neck pain, radiculopathy, myelopathy, or some combination of these three. While the pathogenesis of radiculopathy and myelopathy in cervical spondylosis is better understood, the source of neck pain remains controversial. The aim of this lecture is to review the pathophysiology and natural history of each of these conditions and to describe the pertinent clinical features of cervical disc pathology.