V. Cervical Stenosis is defined as a degeneration of the structures of the spine as a result of aging causes of a slowly progressive condition of the cervical spinal cord. Spinal stenosis cause pressure on the spinal cord, which may lead to the symptoms of myelopathy. Cervical spinal stenosis with myelopathy is a common disease in elderly patients of male gender(2)
Symptoms are as of result of neurologic disease which can lead to progressive disability and eventual paralysis if without appropriate treatment, depending to the expression of the exact distribution of the myelopathy in the spinal cord. Most elders with Cervical Stenosis are experience painless symptoms, others may be experience one of more symptom, depending to the location of the compression and dysfunction of spinal cord.
1. Increased knee and ankle reflex may be a first sign of the disease
2. Tightness of gait and numbness of the legs, depending to the expression of the exact distribution of the myelopathy in the spinal cord of the individual patient, such as weakness, difficulty walking, frequent falls, etc.
3. Pins-and-needles (paraesthesia) sensation in the whole body.
4. Muscle weakness or paralysis
5. Deterioration in fine motor skills (such as handwriting or buttoning a shirt)
6. Intermittent shooting pains into the arms and legs (like an electrical shock), especially when bending their head forward (known as Lermitte’s phenomenon)
7. Arm and neck pain as a result of the myelopathy constitute a combination of cord failure at the affected level and of compression and irritation of the cervical nerve roots which leave the neck at this site, such as weakness, stiffness or clumsiness in the hands,
8. Loss of appreciation of temperature, pain and joint sense and often with impairment of bladder and bowel control, as a result of the transverse lesion of the spinal cord effecting modalities of cord transmission with spasticity of gait and increased tendon reflexes, in the later state of (3).
B. Causes of risk factors
Cervical Stenosis with Myleopathy may be result of degenerative changes within the spine or bone spurs of that can lead to the size of the spinal canal becoming smaller and bone spurs begin to press on the spinal cord or the nerve roots due to related to age, genetics, and wear and tear of daily living. Tumor located between the spinal cord and vertebrae can cause Cervical Stenosis with Myleopathy
B.2. Risk factors
1. Aging and gender
If you are male and over 50 years of age, you are at higher risk to develop Cervical Stenosis with Myleopathy.
Congenital narrowing of the cervical spinal canal may result in cord compression without a history of injury and occasionally without evidence of significant bony degenerative changes(4).
3. Wear and tear of daily living
Tear and wear, injure can cause scar tissues and weaken the function of disc in absorbing shock, causing pressure on the spinal cord.
Injure to the spine can cause scar tissues which can weaken the spinal tissues, such as thickened ligaments.
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