9/9/2023 0 Comments Myelopathic![]() Han Jo Kim is an orthopedic surgeon at Hospital for Special Surgery, specializing in cervical spine and scoliosis surgery. Further research is necessary to demonstrate its efficacy in humans, but preliminary animal studies have been promising.ĭr. This drug might help the spinal cord recover from the injury it has sustained from being compressed and might be useful as a medication to help the spinal cord recover after surgery to decompress the spinal cord. Recent research into the use of the medication Riluzole on patients with myelopathy may be promising. Are there any advancements or new research that will change how cervical myelopathy is treated in the future? The decision to have surgery via the different approaches will depend on where the compression of your spinal cord is as well as the overall alignment of the cervical spine and finally, patient factors. Definitive treatment of cervical myelopathy is a decompression of the spinal cord via an anterior and/or posterior approach. This can result in a transient improvement in the symptoms of cervical myelopathy. Nonsurgical options include the use of oral corticosteroid therapy. The common treatments for cervical myelopathy include surgical and nonsurgical options. What are the common treatments for cervical myelopathy? These symptoms can also be accompanied by numbness, tingling or weakness in the upper extremities. In some cases, patients can also develop problems with bowel and bladder function. Usually patients with cervical myelopathy will present with balance and coordination problems making walking difficult and with manual dexterity problems (such as difficulty to button shirts). What are the signs and symptoms of cervical myelopathy? ![]() In OPLL, a ligament that connects the spinal vertebrae thickens and becomes inflexible. Some relatively common causes are severe cervical spondylosis (osteoarthritis of the spine) − this is known as cervical spondylotic myelopathy or CSM − and ossification of the posterior longitudinal ligament (OPLL). ![]() What causes cervical myelopathy?Ĭervical myelopathy can be caused by a number of conditions that result from spinal cord compression. It has an insidious course where patients can plateau in their symptoms, but overall, it is a progressive condition. These symptoms can be accompanied by numbness, tingling and/or weakness in the arms and/or hands. Cervical myelopathy is a disease where patients can develop balance problems impeding walking, a loss in manual dexterity as well as problems with bowel and bladder function. ![]()
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