Cervical Stenosis and Myelopathy

Cervical stenosis refers to the narrowing of the spinal canal in the neck region, specifically in the area known as the cervical spine. The spinal canal houses the spinal cord and nerves that transmit signals between the brain and the rest of the body.

When the spinal canal becomes narrowed, it can put pressure on the spinal cord and nerve roots, leading to a condition called cervical stenosis.

Cervical myelopathy, on the other hand, is a condition that occurs when the spinal cord itself is affected by compression or injury in the cervical spine. It is often associated with cervical stenosis.

The compression of the spinal cord can interfere with its normal functioning, resulting in a range of symptoms.

 

Cervical stenosis and myelopathy can be caused by various factors, including:

  • Degenerative changes: Similar to lumbar stenosis, the cervical spine can undergo age-related wear and tear, leading to the narrowing of the spinal canal and compression of the spinal cord.
  • Herniated discs: Discs between the vertebrae can bulge or herniate, pressing on the spinal cord or nerve roots.
  • Spinal tumors: Abnormal growths in the cervical spine can cause narrowing and compression of the spinal cord.
  • Spinal injuries: Trauma or injuries to the neck can result in damage to the spinal cord or cause misalignment of the vertebrae, leading to stenosis and myelopathy.

The symptoms of cervical stenosis and myelopathy can vary depending on the severity and location of the compression. Common signs and symptoms may include neck pain, stiffness, numbness or tingling in the arms or hands, weakness in the arms or legs, coordination difficulties, and problems with balance.

Treatment for cervical stenosis and myelopathy depends on the severity of symptoms and the underlying cause. Non-surgical treatments may include medication to manage pain and inflammation, physical therapy to strengthen the neck muscles and improve mobility, and the use of cervical collars or braces for support. 

In more severe cases, surgery may be required to relieve pressure on the spinal cord and stabilize the spine.