Monday, 25 November 2013

Cervical Stenosis with Myleopathy Treatments In conventional Medicine perspective

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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