Cervical Spondylotic Myelopathy Surgery Pune|Ruby Hall Clinic Pune|Dr Bhushan Khedkar
By Dr Bhushan Khedkar
Dr.Bhushan Khedkar is Expert Spine surgeon Pune
Recently a patient at Ruby Hall clinic was diagnosed with Degenerative Condition known as Cervical Spondylotic Myelopathy. This occurs commonly in the patient above 50 Years. Now Let's have a look on What is Cervical Spondylotic Myelopathy and its treatment?
Cervical spondylosis is part of the aging process and affects most people if they live long enough. Degenerative changes affecting the intervertebral disks, vertebrae, facet joints, and ligamentous structures encroach on the cervical spinal canal and damage the spinal cord, especially in patients with a congenitally small cervical canal. Cervical spondylotic myelopathy (CSM) is the most common cause of myelopathy in adults.
The anatomy, pathophysiology, clinical presentation, differential diagnosis, diagnostic investigation, natural history, and treatment options for CSM are summarized. Patients present with signs and symptoms of cervical spinal cord dysfunction with or without cervical nerve root injury. The condition may or may not be accompanied by pain in the neck and/or upper limb. The differential diagnosis is broad. Imaging, typically with magnetic resonance imaging, is the most useful diagnostic tool. Electrophysiologic testing can help exclude alternative diagnoses. The effectiveness of conservative treatments is unproven. Surgical decompression improves neurologic function in some patients and prevents worsening in others, but is associated with risk.
Neurologists should be familiar with this very common condition. Patients with mild signs and symptoms of CSM can be monitored. Surgical decompression from an anterior or posterior approach should be considered in patients with progressive and moderate to severe neurologic deficits.