Conditions Treated

Cervical Myelopathy

Introduction

Cervical myelopathy is a clinical syndrome characterized by clumsiness in hands, gait imbalance, and weakness. It is most commonly caused by compression of the spinal cord however other disease processes can result in similar symptoms

Pathophysiology

The most common cause of cervical myelopathy is degenerative cervical spondylosis (CSM). In this condition, compression is usually caused by anterior degenerative changes (osteophytes, discosteophyte complex). Degenerative spondylolithesis may contribute to spinal canal narrowing. Some individuals have underlying congenital stenosis. Symptoms usually begin when congenital narrowing is combined with spondylotic degenerative changes but large disc herniations can also result in enough spinal cord compression to cause myelopathy. Other more rare causes include

Associated conditions

It is important to remember that patients with cervical stenosis are at increased risk for lumbar stenosis.

Prognosis

Cervical myelopathy tends to be slowly progressive and rarely improves with nonoperative modalities. Progression characterized by steplike deterioration with periods of stable symptoms.

Early recognition and surgical treatment prior to spinal cord damage is critical for good clinical outcomes.

Cervical disc degeneration at C4-C5 and C5-C6 resulting in spinal cord compression with signal changes in the spinal cord Post operative images of the same patient. The compression at C4-C5 and C5-C6 has been surgically removed. The signal changes in the spinal cord are still visible.
Cervical disc degeneration at C4-C5 and C5-C6 resulting in spinal cord compression with signal changes in the spinal cord. Post operative images of the same patient. The compression at C4-C5 and C5-C6 has been surgically removed. The signal changes in the spinal cord are still visible.

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Cervical
Cervical Myelopathy
Cervical Disc Herniation
Cervical Stenosis
Basilar Invagination
Cervical Instability
Cervical Disc Replacement
Anterior Cervical Discectomy
and Fusion (ACDF)
Cervical Fusion

Cervical Disc Replacement
Cervical Tumor
Thoraco-Lumbar
Lumbar Stenosis
Lumbar Disc Herniation
Lumbar Fusion
Lumbar Spondylolisthesis
Lumbar Tumor
Thoracic Myelopathy
Thoracic Disc Herniation
Thoracic Tumor
Spinal Deformity
Adolescent Idiopathic Scoliosis
Adult Spinal Deformity
Down Syndrome
Congenital Scoliosis
Hemivertebrae
Kyphosis
Spondylolysis