C. D'ailleurs and . Pallis, De Sèze (88) a décrit des images radiologiques de cervicarthrose chez 95% des sujets d'un groupe de personnes âgées de plus de 65 ans, ) décrit 75% de signes radiologiques chez des sujets asymptomatiques de plus de 50 ans

A. , Concernant les niveaux étudiés

, En effet, dans notre étude nous ne retrouvions pas de patient avec sténose foraminale significative cliniquement au niveau C7T1 et il n'y avait qu'un seul patient avec sténose foraminale significative C3C4, Nous avons pu comparer les foramens aux niveaux C4C5, C5C6 et C6C7

, Ceci peut être expliqué par le faible nombre de sujets que nous comptions dans notre travail. Néanmoins, d'après DW Polston (89), les 3 niveaux que nous étudions sont les plus atteints et les plus souvent symptomatiques

D. , lors du vieillissement les lésions de surcharge conduisent à la diminution des dimensions du canal rachidien et du foramen intervertébral par dégénérescence du segment vertébral mobile et touchent principalement le rachis cervical bas

, Sur une longue série de névralgies cervicobrachiales dégénératives, F Murphey (90) retrouve la prépondérance des radiculalgies C7 (393 cas) sur les névralgies C6 (171 cas), C8 (50 cas), vol.5

P. Enfin-les-travaux-de-de, Boijsen (91) et Friedenberg (92), concluent que les phénomènes de dégénérescence arthrosique cervicale touchent, vol.87

, Notre série, malgré le faible nombre de patients n'est donc pas très éloignée de la réalité et s'accorde avec les données épidémiologiques connues, RÉFÉRENCES BIBLIOGRAPHIQUES

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. Serment-d'hippocrate,

, Au moment d'être admis à exercer la médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité

, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux

, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte

, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences

, Je donnerai mes soins à l'indigent et à quiconque me les demandera. Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire

, Admis dans l'intimité des personnes, je tairai les secrets qui me seront confiés. Reçu à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs

, Je ferai tout pour soulager les souffrances. Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément

, Je n'entreprendrai rien qui dépasse mes compétences. Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses