A member asked:

I have cervical myelopathy. should i have a spinal fusion, laminectomy or adjustment?

9 doctors weighed in across 5 answers
Dr. Greg Khounganian answered

Specializes in Orthopedic Surgery

No adjustment!: Myelopathy means you have symptoms due to pressure on the spinal cord in the neck. Adjustments are absolutely out of the question. A decompression or fusion is the most appropriate treatment to stop progression of symptoms. However, the kind of procedure is dependent on the reason you have myelopathy. You need to see a spine surgeon in order to fully evaluate your problem.

Answered 1/21/2019

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

No adjustment: I favor anterior approaches corpectomy and fusions posterior approaches have muscular neck pain as a common side effect laminoplasty is a option that ia also talked about in my hands this procedure was not superior to simple laminectomies done in asia for ossification of posterior longitudinal ligament with fewer complication for that conditioncervical adjustments have caused paraplegia and stroke.

Answered 4/13/2012

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Dr. Hooman Melamed answered

Specializes in Orthopedic Spine Surgery

Surgery: Cervical myelopathy is a dangerous condition that can increase risk of serious spinal cord injury. Surgery is the recommended choice. The type of surg depends on pathology. Depending on your neck pathology you may need laminectomy alone or fusion w/ laminectomy.

Answered 7/5/2012

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No adjustment : Any manipulation would not be advised. The primary treatment of this issue is decompression of the cord which can be done by a laminectomy if indicated but there are also other procedures like laminoplasty or anterior approaches (which require a fusion) & sometimes with a laminectomy a fusion may be indicated if there is significant neck pain due to arthritis or instability or kyphosis deformity.

Answered 2/13/2019

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Surgery: If you have cervical myelopathy, surgery is typically the best way. Check out Spine-health.com.

Answered 9/14/2014

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