Doctor insights on:
Cervical Myelopathy Surgery Recovery Time
It is indicated: When diagnosed secondary to cord compression, it will get worse without surgery but this progression varies from patient to patient. Surgery is indicated to prevent progression but it is unpredictable as to extent of recovery but the earlier it is diagnosed with the least objective findings and symptoms, the better the prognosis. Cord changes on imaging also tend to suggest a worse prognosis.See 1 more doctor answer
Generally ok: For this diagnosis, surgery will prevent a progression of the myleopathy but does not mean that whatever neurologic functions that have been affected will recover if at all. Recovery is variable as well if at all ranging from complete resolution of symptoms to no resolution to everything in between. Once diagnosed, it is best to treat it before it progresses based on the unpredictable recovery.
Yes: By definition, a cervical myelopathy is a condition that causes compression of the spinal cord in the neck. The symptoms of cervical myelopathy can be weakness in upper limbs in particular but can also cause weakness in the legs as well. In the upper limbs, one can see muscle wasting, particularly in the hands. Severe cord compression can cause problems with the bowels and bladder. See a doc.See 2 more doctor answers
Yes: Taking pressure off the spinal cord can reduce spasticity in some cases. Medication can help as well. For some, an pump can be implanted to put drug directly into the spinal fluid to reduce spasticity. See a physician who specializes in care of myelopathy (spine surgeons, many neurosurgeons, spinal cord injury specialists, rehabilitation specialists).See 2 more doctor answers
Compression: Cervical myelopathy is most often caused by compression on the cervical spinal cord. This can occur acutely, for example, after a ruptured herniated disc or if there is a blood clot. This can also occur slowly over time as the patient develops spinal stenosis or narrowing of the spinal canal. This leads to "squeezing" of the spinal cord and the symptoms of myelopathy.
Multiple reasons: A large disc herniation, narrowing of spinal canal due to degenerative changes, calcification of spine ligaments with enlargement, spinal trauma, instabilities secondary to prior trauma or degeneration, cysts, tumors, epidural abscesses, syringomyelia, post radiation, to name several reasons. Most times the spinal canal is too narrow for the spinal cord.See 1 more doctor answer
Neck arthritis: Myelopathy from spinal cord pressure is usually from disk bulges or herniations, bone spurs, ligament thickening from the degeneration ("aging") process ("arthritis" or spondylosis). People born with small canals and tendency for degeneration are more likely to get it than people born with large canals (the channel for the spinal cord).See 1 more doctor answer
Not very frequent: Cervical myelopathy means the discs are compressing the spinal cord, causing spinal cord dysfunction, no just pain, they have to have weakness in there legs and sensory symptoms --this is rare more common cervical radiculopathy, where a disc compress one nerve root coming out, cause weakness, numbness and pain in one arm.See 1 more doctor answer
Cannot tell without: Doctor needs to examined and should have upper motor neurone signs.
Spinal cord problem: It is a problem with the spinal cord. A common cause is pressure from disk, bone spurs or soft tissues around the cord. Some reflexes are weakened, but most of them are increased. The person with myelopathy may notice this because the muscles are spastic (contract on their own, tight) and/or weak.
Myelopathy: No. Ataxia, or a staggering walk akin to being drunk without alcohol is typical. Coordination problems--trouble writing, buttoning buttons, discerning coins in your pocket. Spastic reflexes or muscle twitches. Weakness in hands, numbness like stockings and gloves. These symptoms may progress to loss of walking very gradually, almost unnoticed until too late.
A SEQUENCE: History and exam provides an initial diagnosis which can be confirmed via MRI and even spinal tap. An emg-ncs is a test for peripheral nervous system issues, from the nerve roots outward, and cannot provide good data regarding spinal cord problems. An evoked potential study has been used on occasion, but is, in my experience highly unreliable.See 1 more doctor answer
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