Spondylosis refers to age-related degenerative changes within the spinal column which may be asymptomatic or can present as pure axial neck pain, cervical radiculopathy, cervical myelopathy, or cervical myeloradiculopathy. Nonsurgical treatment is usually the most appropriate course of initial management, with operative intervention being reserved for moderate to severe myelopathy, or cases with unremitting and progressive symptoms that have failed medical treatment.
Cervical spondylosis is a common and disabling condition. It is generally felt that the initial management should be nonoperative, and these modalities include physiotherapy, analgesia, and selective nerve root injections.Despite the high incidence of symptomatic cervical degeneration and the widespread use of nonoperative techniques to treat this condition, the number of comparative trials in the literature is small and…