Table of Contents: Serial No. | Contents | Page No. | 1. | Introduction | 02 | | Background | 04 | | Justification | 05 | | | | 2. | Objective | 05 | 2.1 | General objective | 05 | 2.2 | Specific objective | 05 | | | | 3. | Methodology | 06 | 3.1 | Study design | 06 | 3.2 | Sample size | 06 | 3.3 | Sampling technique | 06 | 3.4 | Research instrument | 06 | 3.5 | Study population | 06 | 3.6 | Place of work | 06 | 3.7 | Duration | 06 | 3.8 | Variable | 07 | 3.9 | Operation definition | 07 | 3.10 | Ethical consideration | 08 | 3.11 | Data analysis | 08 | | | | 4. | References | 09 |
1.Introduction:
Cervical spondylosis is a common degenerative condition of the cervical spine. It encompasses a sequence of degenerative changes in the intervertebral discs, osteophytosis of the vertebral bodies, hypertrophy of the facets and laminal arches, and ligamentous and segmental instability. As spondylosis refers degenerative osteoarthritis of joint, it may cause pressure on nerve roots with subsequent sensory or motor disturbance. Clinically, several syndromes, both overlapping and distinct, are seen. These include neck and shoulder pain, sub occipital pain and headache, radicular symptoms, and cervical spondylotic myelopathy (CSM). Radiculopathy is characterized by sensory and motor disturbances, such as severe pain in the neck, shoulder, arm, back, and/or leg, accompanied by muscle weakness, whereas, less commonly, direct pressure on the spinal cord (typically in the cervical spine) may result in myelopathy, characterized by global weakness, gait dysfunction, loss of balance, and loss of bowel and/or bladder control. The patient may experience a phenomenon of shocks (paresthesia) in hands and legs due to nerve root compression. Frequently, associated degenerative changes in the facet joints, hypertrophy of the ligamentum flavum,
References: 7. Young WF. Cervical spondylotic myelopathy: a common cause of spinal cord dysfunction in older persons.Am Fam Physician. Sep 1 2000;62(5):1064-70, 1073. 8