Cervical myelopathy

It is a disorder that affects the spinal canal which contains and protects the spinal cord at the level of the neck and the upper back. When this canal becomes narrow, spinal cord compression occurs, impeding the necessary blood supply from reaching the spinal cord and the nerves that transmit information and orders to the rest of the body.

 

It is more common in elderly and affects a slightly higher number of men over women.

 

The most common cause is cervical arthrosis (yielding a deformity and excessive bone growth) or cervical disc herniation.

 

The symptoms consist in neck stiffness, pain and feeling of weakness and tingling in the arms or hands with difficulty in making some tasks that require precision (buttoning a shirt, eating, etc.). Difficulty in walking and loss of control of the urinary and anal sphincters are later alterations.

The diagnosis is usually made with a cervical spine MRI and occasionally with somatosensory evoked potentials.

 

The goal of surgery is to decompress the spinal cord and stabilize the spine to stop the progression of the disease and alleviate the symptoms. A significant improvement in the neurological functions and quality of life of the affected patients is frequently observed.

Mielopatía cervical-01
Mielopatía cervical-02
Mielopatía cervical-03
Mielopatía cervical-04

Treatments:

 

Anterior cervical microdiscectomy and fusion with intervertebral cage

Anterior cervical corpectomy and fusion

Posterior cervical microdiscectomy (Scoville technique)

Cervical microsurgical decompression

Posterior cervical fusion

Occipitocervical fusion

Cervical facet joint infiltration

Radiofrequency rhizolysis

Ozone therapy

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