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Cervical spondylosis with myelopathy (CSM) occurs when the spinal cord is compromised by gradually worsening changes in the neck. This configuration occurs in the lateral joints and discs along the spinal cord. This condition usually occurs in individuals over the age of 50, but can also occur in younger patients if compression or narrowing of the spinal cord is considered significant. This dysfunction also, myelopathy damage to the spinal cord can cause disability.
Causes of Cervical Spondylosis with Myelopathy
As we age, the spine naturally deteriorates due to the normal wear and tear of daily living. Cervical spondylosis often called arthritis, occurs when the discs in the spine begin to degenerate. It is a process that happens to everyone. Some people experience discomfort in middle age, but many experience no pain at all.
1. bone spurs
As we age, our spine shrinks and thickens. This causes it to become stiff and dry. With subsidence, much disk space and height is lost. When this occurs, the vertebrae of the back become very close to each other. To repair the weakened areas, the body builds more bone around the affected disc. This creates a position called a bone spur. Bone spurs can cause stiffness in the back, potentially compressing the spinal cord and causing significant discomfort.
2. keel break
A keel break occurs when the center of the disc is pushed toward the outer edge by rotating, lifting, or pulling. This gelatinous material has the ability to push the disc completely through if it is damaged or severely deteriorated. When the spinal canal is compressed, nerve roots can become compressed. As we age, we become more susceptible to herniation. with cervical spondylosis with myelopathy .
3. other causes.
An autoimmune disease called rheumatoid arthritis can cause herniated discs. to cervical spondylosis field discomfort, stiffness, and pain. In some cases, it can cause damage to the lateral joints of the disc. the cervical spine.
CSM can still be caused by sports work, motor vehicle accidents, or neck injuries from falls.
Symptoms of Cervical Spondylosis with Myelopathy
Many different signs can occur. The first sign is a change in the way someone walks. The person may develop spastic corridors, which causes him to actively wander and pull his toes. Lumpy symbols are generally numbness in the hands and arms, which also reduces fine motor skills.
Other signs and symptoms are.
- Weakness or loss of fine motor skills in all or each of the limbs
- Loss or diminished sensory capacity in the lower extremities
- Shoulder and neck pain
- Difficulty walking with a proper gait
- Bladder and bowel dysfunction
- Hyporeflexia of the upper extremities
- Degeneration of the spine and extremities
Diagnosis of Cervical Spongylosis with Myelopathy
First Steps in Diagnosis myelopathy From the spinal cord, the physician examines the patient. First, the doctor determines the status of joint disease and current symptoms. Next, the physician will examine the arms, windows, neck, feet, and hands for symptoms.
- Reflex configuration, decreased or overactive
- Loss of balance or trouble walking
- Weakness and numbness of the hands, arms, and fingers
- Muscle deterioration
If the physician believes it is significant, the correct test will be ordered.
- X ray to get a clearer picture of the position of the vertebrae in the neck
- MRI to determine if there is compression of the keel or spinal cord
- CT scan to help the physician determine if there are blunt vertebral columns or bony traces in the spine
- Myelograms with Compression dye to detect if there is damage to the roots of your spine
Treatment of Cervical Spondylosis with Myelopathy
The severity of your condition will determine which treatment options you have. Sometimes your doctor can treat it with medications, but surgery may be required.
1. medications
If your symptoms are considered light to moderate, your condition can be treated with the help of medications. Anti-inflammatory medications, muscle relaxants, and other narcotic agents can be used to treat diseases and symptoms. Antidepressants and antiepileptics have every opportunity to be prescribed to treat neuropathic pain associated with disease. with Spinal cord and compression injuries.
2. body therapy
If you are strong enough, you must go to physiological therapy so that you can learn how to do your daily work without hurting yourself. Additionally, you will learn how to drive the right way, how to increase elasticity, and how to strengthen the muscles of the neck and back, not secondary to your own
3. surgery
Surgery for cervical spondylosis with myelopathy Specialized to alleviate symptoms, stop the progression of the condition, and possibly resume all function. The first task is to relieve pressure on the spinal cord. Once this is accomplished, a spinal merger is performed to stabilize the bones of the spine and other nerve components.
There are two methods of obtaining decompression, discectomy, or laminectomy. One or both methods can be used, but independent of this, a reparative procedure must be completed to correct the damage. This process is called a spinal cord merger. To complete the process, the bone is usually removed and medical devices such as bars, screws, and cages are brought in for stiffness.
4. smooth neck collar
After surgery, the physician uses a soft cervical collar. The collar is smooth and assembles the neck. He specializes in limiting the range of motion of your neck and giving your muscles a rest. However, it is important to know that you are not obliged to use it after the advice of a doctor, because the muscles of the neck lose their strength. with long term use.
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