Ver el código de «Cervical disk herniation»

==Background==
*Nucleus pulposus protrudes through posterior annular fibrosis
**Leads to radiculopathy or less commonly myelopathy

==Clinical Features==
*Neck/shoulder/arm pain in [[Spinal cord levels|dermatome]] distribution, weakness, hyporeflexia
*Spurling test
**Flex neck forward, ipsilaterally rotate, and ipsilaterally tilt
**Reproduction of radicular symptoms is positive test
**Specific for nerve root compression
*[[Eponyms_(F-L)#Lhermitte's sign|Lhermitte's sign]] positive suggests cord compression from midline herniation
*Shoulder abduction test - lifting arm above head relieves symptoms; differentiates radiculopathy from shoulder pathology

{{Cervical radiculopathy table}}

==Differential Diagnosis==
{{Neck pain DDX}}

==Evaluation==
*MRI required for definitive diagnosis; indicated if neurologic signs

==Management==

==Disposition==
*In consultation with Neurosurg, admit if progression of neurologic signs
==See Also==
*[[Neck pain]]

==References==
<references/>
[http://www.orthobullets.com/spine/2030/cervical-radiculopathy Orthobullets]
[[Category:Orthopedics]]