没有必要进行常规颈部 X 线或者 MRI 检查,因为在患者 40 岁之前,这些异常几乎 100% 无症状。[1]Matsumoto M, Fujimura Y, Suzuki N, et al. MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br. 1998;80:19-24.http://www.bjj.boneandjoint.org.uk/content/80-B/1/19.full.pdf+htmlhttp://www.ncbi.nlm.nih.gov/pubmed/9460946?tool=bestpractice.com[3]Braga-Baiak A, Shah A, Pietrobon R, et al. Intra- and inter-observer reliability of MRI examination of intervertebral disc abnormalities in patients with cervical myelopathy. Eur J Radiol. 2008;65:91-98.http://www.ncbi.nlm.nih.gov/pubmed/17532165?tool=bestpractice.com[4]Siivola SM, Levoska S, Tervonen O, et al. MRI changes of cervical spine in asymptomatic and symptomatic young adults. Eur Spine J. 2002;11:358-363.http://www.ncbi.nlm.nih.gov/pubmed/12193998?tool=bestpractice.com