Cervical Myelopathy/Stenosis

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Cervical Myelopathy/Stenosis

Fast facts on Cervical Myelopathy:
  • Cervical Myelopathy/Stenosis is a condition caused by compression of the spinal cord characterised by the clumsiness of hands and gait imbalance.
  • The majority experience progressive symptoms and require surgery to relieve pressure on the spinal cord.
  • Surgery can be done from the back (cervical laminectomy) or front depending on the individual case.
  •  Surgery halts the progression of symptoms in the majority of patients.
What is Cervical Myelopathy?

The compression of the spinal cord in the neck causes cervical myelopathy (cervical area of the spine). Cervical Myelopathy can cause problems with fine motor skills, neck pain or stiffness, loss of balance, and difficulty walking. Although MRI scans are the recommended way of diagnosis for cervical myelopathy, other tests can be performed to rule out other disorders. Spine Decompression Surgery is the most effective treatment for cervical myelopathy.

Symptoms of Cervical Myelopathy?

Cervical myelopathy exhibits itself in two ways: symptoms felt in the neck and symptoms felt elsewhere in the body around or below the compressed portion of the spinal cord.

Symptoms of the neck include:

  • Neck ache
  • Stiffness
  • Range of motion is limited.

Shooting pain that originates in the neck and proceeds down the spine may occur as the condition advances.

Other signs and symptoms of cervical myelopathy include:

  • Arms and hands slowdowns weakens.
  • Arms and hands are numb or tingling.
  • Clumsiness and a lack of hand coordination
  • Handling small things, such as pens or coins, is difficult.
  • Issues of balance
Spine Decompression Surgery
Spine Decompression Surgery

A 48-year-old lady with weakness in hands and gait disturbance progressing to wheelchair mobility in a span of 6 weeks. MRI showed multilevel cervical stenosis with cord compression. 4 levels of cervical laminectomy and fusion. This surgery halted her deterioration and she underwent rehabilitation.