Management of patients with cervical myelopathy

Natalia Gołębiowska

doi:10.5114/ms.2019.91250

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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4/2019
vol. 35

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abstract:

Review paper

Management of patients with cervical myelopathy

Natalia Gołębiowska

¹

Department of Neurosurgery and Spine Surgery, Regional Hospital, Kielce, Poland

Medical Studies/Studia Medyczne 2019; 35 (4): 319–323

DOI: https://doi.org/10.5114/ms.2019.91250

Online publish date: 2019/12/30

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Myelopathy is a neurological deficit related to the spinal cord, and cervical spondylosis is its leading cause. The majority of middle-aged people have radiological evidence of significant cervical spine degeneration. The most characteristic symptoms are: neck pain with reduced range of motion, pain and paraesthesias in shoulders, gait disturbance, weakness or instability of lower extremities, loss of manual dexterity, and glove-distribution sensory loss in hands. The pathophysiology of cervical spondylotic myelopathy involves static, dynamic, and ischaemic factors. There are two surgical approaches: anterior and posterior. The posterior approach includes laminectomy and laminoplasty. The anterior approach includes anterior discectomy and fusion, and anterior corpectomy and fusion. This paper reviews the pathophysiology and clinical manifestation of cervical spondylotic myelopathy, and surgical approaches to treat patients with this disease.

keywords:

Management of patients with cervical myelopathy

Natalia Gołębiowska 1

cervical spondylosis, myelopathy, anterior surgery, posterior surgery

Natalia Gołębiowska

¹