What is Cervical Stenosis with Myelopathy?
As a person ages, the spine is likely to develop certain changes that degenerate the vertebrae. This causes the spinal canal to get restricted and narrowed. As this condition progresses further it may result in constricting the spinal cord and complications with coordination of the arms and legs.
Cervical stenosis is a slow spinal disorder that causes the cervical vertebra to degenerate and start narrowing the space in the spinal canal. It also results in the spinal cord in the neck getting compressed. Cervical myelopathy is the condition which results out of the compression of the spinal cord which is caused due to spinal stenosis.
Cervical stenosis with myelopathy is mostly seen in elderly people.
What are the signs and symptoms of Cervical Stenosis with Myelopathy?
These are the commonly seen signs and symptoms in a person suffering from cervical stenosis with myelopathy:
- Heaviness in legs
- Inability to walk fast
- Inability to use fine motor skills (such as while writing or buttoning a shirt)
- Irregular spasms of intense pain in the arms and legs, especially when the head is bent forward
- Pain in the arm
The pain and gradual loss of fine motor skills in the arms is the most noticeable sign of this condition.
How is Cervical Stenosis with Myelopathy diagnosed?
The doctor will initially perform a detailed physical examination and certain reflex-tests to determine the loss of coordination in the arms, legs, feet and fingers.
Additional diagnostic tests include:
MRI/CT Scan with Myleogram – This advanced imaging test helps to view the tightened (narrowed) spinal canal and the compressed spinal cord. Cervical stenosis may affect one or several of the cervical vertebrae in the neck region.
Flexion Spinal X-ray Test – This imaging test helps to rule out any instability and abnormal motion.
SEEP (Somatosensory Evoked Potentials) – This is an electrode test performed by stimulating the arms and the legs and then scripting the signals to determine the length of time it takes for the nerves to signal the brain and the reflex movement to take place. This helps to determine that there is a problem with the spinal cord nerves.
How is Cervical Stenosis with Myelopathy treated?
Surgical decompression of the spine is the only treatment method to relieve the painful and disabling symptoms of the cervical stenosis with myelopathy. For the arm pain the doctor will likely prescribe certain non-steroidal anti-inflammatory drugs (NSAIDs) as well as exercises and alteration in the daily activities.
The surgery is mainly to treat the cervical stenosis condition as the myelopathy signs slowly develop over time in several years, although the coordination problem may suddenly become intensified.
The main aim of the surgical treatment for cervical stenosis is to halt the progress of the degeneration of the vertebra which results in steady compression on the spinal cord and stabilize the neurological condition of the patient.
This surgery is performed from the front (anterior) or the back (posterior) approach and it mainly depends on the location of the compression in the vertebrae.
Why choose surgerytoursindia.com for Cervical Stenosis with Myelopathy treatment in India?
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