C-Spine

Cervical Spondylotic Myelopathy

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Cervical Spondylotic Myelopathy

  • Pathophysiology
  1. Hard disc lesion: Cervical Spondylosis (chronic) in older patients
  2. Pressure of posterior osteophytes at anterior cord
  3. Results in combined nerve root and cord symptoms
  • Symptoms
  1. Cervical Nerve root related symptoms (upper extremity)
    1. Cervical Disc Herniation symptoms in arms
  2. Cord related symptoms (lower extremity)
    1. Gait difficulty
    2. Leg weakness and spasticity
  • Course
  1. Gradual onset at age 50 with slow progression