Abstract
The occurrence of cervical spondylosis increases with increasing age. Cervical spondylosis is demonstrable in 70 to 75 percent of the population over 50 years (Mc Rae 1960, Rosomoff and Rossmann 1966), yet complaints are noted in only half of the cases. In general, the symptoms and signs are not proportional to the severity of the radiological changes. With very mild symptoms sometimes we find astonishingly serious radiological changes and vice versa. The localization of spondylotic changes seems to decide the severity of symptoms. If spondylosis develops in a congenitally narrow vertebral spinal canal symptoms will come earlier and be more severe (Burrows 1963, Crandall and Batzdorf 1966, Waltz 1967). Injury to the spine gives rise to more serious symptoms in the presence of spondylosis (Mayfield 1954, Jennett 1970, Schurmann and Busch 1970, Austin 1972, Brihaye et al. 1977).
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