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)
F. Treatments
F.1. In conventional Medicine perspective
I. Non surgical treatments
1.1. Wait and watch
Wait and watch may be necessary if patients are experience no symptom
and abnormalities but diagnosed with the diseases as some of these
patients may not develop any problem in the future.
1.2. Medication
Certain medication such as non-steroidal anti-inflammatory drugs
(NSAIDs), oral steroids, or injected steroids such as epidural steroid
injections and nerve root injections may be helpful in relieving pain
and alleviating symptoms temporary of the patients with no intention to
correct any abnormalities or malalignment.
1.3. Physical therapy or exercise
Physical exercise such as stretching may be helpful to restore the flexibility of tight muscles
as well as enhancing the neck mobility, muscular strength and spinal
balance. Other exercise, including Cardiovascular exercises for arms and
legs also to promote the circulation of blood.
1.4. Etc.
2. Surgical treatments
Surgical treatments may be necessary if patients are experience the
symptoms of increasing weakness, pain or inability to walk, etc.
depending to differentiation
2.1. Anterior Surgery
Cervical Discectomy and Fusion (ACDF)
The aim of the surgery is to relieve pressure from the spinal cord and
compression of the spinal. Anterior Cervical Discectomy and Fusion
(ACDF) is the operation done from the front of the neck to remove the
disc above and below the vertebra and replace it with a small plug of
bone. If more than one level
of the spine is involved, Cervical Spinal Fusion may be necessary by implanting a bone graft between cervical segments to support the spine as to compensate for the removal of bone and discs.
2.2. Posterior surgery
a. Laminectomy and Fusion
The aim of the surgery is also to relieve the pressure and to create
more space for the nerves. In Laminectomy and Fusion, the lamina is
removed and two or more vertebral segments of the cervical spine are
fused together.
b. Laminoplasty
In case of Laminoplasty, only a small section of the
bony roof of the spine, the lamina, is moved instead of removal of the
lamina to expand the spinal canal with an aim to create a space for the
the spinal cord.
2.3. Etc.
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Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca References
(1) http://www.ncbi.nlm.nih.gov/pubmed/7864688
(2) http://www.ncbi.nlm.nih.gov/pubmed/22426774
Health Researcher and Article Writer. Expert in Health Benefits of Foods, Herbs, and Phytochemicals. Master in Mathematics & Nutrition and BA in World Literature and Literary criticism. All articles written by Kyle J. Norton are for information & education only.
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