Cervical Myelopathy – Frisco, TX
The spine surgeons at OrthoTexas, Frisco treat a wide range of conditions causing back pain. They use surgical and non-surgical treatment methods to treat spinal conditions such as Cervical Myelopathy, Spinal Stenosis, Scoliosis etc.

Cervical Myelopathy

The term ‘Myelopathy’ refers to a medical condition which involves compression of the spinal canal. If the compression is noticed in the neck region or upper back, it is termed as Cervical Myelopathy. A normal spine has a diameter varying between 17-18 mm. When it becomes less than 12 mm, it is considered to be a symptom of Cervical Myelopathy. Contraction of the spinal cord eventually affects the nerves that radiate across it. The condition is commonly observed to affect the elderly but may be apparent in others as well. The disease may progress slowly and stabilize at a certain point or may develop very fast.

Causes Of Cervical Myelopathy

  • Congenital Stenosis or presence of a narrowed spinal column at the time of birth
  • Degenerative Spinal Stenosis that can occur during later stages in life
  • Rheumatoid Arthritis
  • Degeneration of the intervertebral discs can cause shrinking of the spinal canal
  • Spondylosis
  • External trauma to the spine

Symptoms Of Cervical Myelopathy

  • Physical imbalance and lack of coordination in the body
  • The legs may feel heavy and the patient may be unable to walk fast
  • Difficulty in carrying out daily tasks such as writing or fastening the buttons
  • Lhermitte’s Phenomenon- Electric sensations may be felt in the arms and legs when the person tries to bend the head forward
  • Pain may radiate to the arms
  • Change in gait
  • Bladder or bowel incontinence, urine urgency
  • Stiffness in arms, legs or neck

Diagnosis Of Cervical Myelopathy

  • Detailed clinical examination of the patient’s symptoms, medical history and past injuries, if any
  • MRI scan
  • CT scan with a myelogram may be recommended
  • X-ray imaging of the cervical spine
  • Neurological tests may be done to check for leg and knee reflexes that tend to increase in this case (hyperreflexia)
  • Nerve Conduction Velocity Test
  • Electromyography
  • Physical tests to assess the range of motion and loss of sensation in the extremities

Treatment For Cervical Myelopathy

Both conservative and non conservative methods of treatment can be used depending on the stage of the disease and progress of the symptoms.

  • The neck and back may be immobilized for some time using a brace
  • Prescription of anti-inflammatory medicines for pain relief
  • Steroid injections may be administered directly into the spine
  • Physical therapy may help the patient deal with the condition
  • Cervical Laminectomy- Surgical removal of the degenerated parts of the spine such as the bones, tendons, discs can reduce the stress on the neck
  • Insertion of bone graft in the affected portion of the spine using metal screws and pins
  • Laminoplasty- Enlarging the spinal canal

For diagnosis and treatment of Cervical Myelopathy, visit OrthoTexas, Frisco. To schedule an appointment with the spine surgeons in Frisco, call at (214) 618 – 5502.