Treatment for cervical myelopathy

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related to an answer for: What is Myelopathy?

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I found the following info from the internet.

Nonoperative: observation, NSAIDs, therapy, and lifestyle modifications.

  • medications (NSAIDS, gabapentin)
  • immobilization (hard collar in slight flexion)
  • physical therapy for neck strengthening, balance, and gait training


Operative

  • surgical decompression, restoration of lordosis, stabilization
  • anterior cervical diskectomy/corpectomy and fusion
  • posterior laminectomy and fusion
  • posterior laminoplasty
  • combined anterior and posterior procedure
  • cervical disk arthroplasty
Cervical= having to do with the spine in the neck

Myelopathy= damage to the spinal cord

The primary treatment of cervical myelopathy is to decompress the spinal cord (remove the pressure from it). The surgery is performed to prevent the progression of symptoms. In other words, the goal of surgery is simply to prevent symptoms from getting any worse. Damage that has occurred in the spinal cord itself can heal, but it is impossible to predict the degree of healing. The prognosis is different in every case.
Cervical spondylotic myelopathy is due to degeneration of the intervertebral joint structure of the cervical vertebrae, such as intervertebral disc herniation, posterior margin spur of the vertebral body, hyperplasia of the hook joint, ossification of the posterior longitudinal ligament, hypertrophy or calcification of the ligamentum flavum, resulting in spinal cord compression or spinal cord ischemia. Then there is dysfunction of the spinal cord. Therefore, cervical spondylotic myelopathy is one of the spinal cord compression diseases, which can be severely disabled, accounting for 10% to 15% of all cervical spondylosis.

 In view of the pathological changes of cervical spondylotic myelopathy, it is difficult to relieve spinal cord compression without surgery, and there are not many opportunities for reversal and self-restriction. If there is no surgical contraindication, it should be regarded as a surgical indication.
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