![]() We performed a literature review on dynamic cord compression in the context of cervical spondylotic myelopathy (CSM), with particular emphasis on the role of dMRI. In this context, dynamic MRI (dMRI) has been utilized to improve the diagnostic accuracy of cervical stenosis. The surgeon will provide information on the available surgical procedures and will tailor the treatment to each patient and case.Due to the highly mobile nature of the cervical spine, and the fact that most magnetic resonance imagings (MRIs) and computed tomography scans are obtained only in one single position, dynamic cord compression can be an elusive diagnosis that is often missed and not well-understood. In some cases, the surgeon may perform surgery using both an anterior and a posterior approach. These surgical procedures may include the following: In other situations, the surgeon may perform surgery from the back of the neck, which is called a posterior approach. anterior cervical discectomy and fusion.The surgeon may perform surgery from the front of the neck, which is called an anterior approach. The exact procedure chosen is based on the location and type of stenosis, the overall alignment of the cervical spine, and many other factors. The neurosurgeons at the Spine Hospital at the Neurological Institute of New York are experienced in evaluating cases of cervical spondylotic myelopathy, forming individualized treatment plans, and conducting decompression surgery. The prognosis is different in every case. Damage that has occurred in the spinal cord itself can heal, but it is impossible to predict the degree of healing. In other words, the goal of surgery is simply to prevent symptoms from getting any worse. The surgery is performed to prevent the progression of symptoms. The primary treatment of cervical spondylotic myelopathy is to decompress the spinal cord (remove the pressure from it). MR scans may be used to obtain high-resolution images of the cervical spinal canal and the spinal cord. Magnetic resonance (MR) imaging scan: the best method of imaging the spinal cord, nerve roots, intervertebral discs, and ligaments.This procedure may provide useful images of the interior of the spinal canal, and can reveal indentations of the spinal fluid sac caused by bulging discs or bone spurs that might be compressing the spinal cord or nerves. Post-myelography computed tomography (myelo-CT): consists of X-rays taken after the injection of radio-opaque contrast material into the spinal fluid via a lumbar puncture.The surgeon may order a variety of diagnostic procedures to rule out other possible conditions. The surgeon will evaluate the patient’s history and perform an examination. Since cervical spondylotic myelopathy may cause similar symptoms to other conditions, and patients may present with a variety of symptoms, the diagnosis of cervical spondylotic myelopathy can be difficult. As a result, it can cause weakness, numbness, tingling, or rarely, pain in these areas. It affects the fibers of the spinal cord that transmit impulses to the arms, hands, and legs. These changes include disc degeneration, bone spurs, and thickened ligaments.Ĭervical spondylotic myelopathy, therefore, is myelopathy (spinal cord damage) caused by spondylosis (degeneration) in the cervical spine (neck). Spondylosis refers to degenerative, or age-related, changes in the spine. Arthritis of the spine, or spondylosis is the most common reason the spinal cord is compressed. This compression disrupts normal nerve transmission. The most common cause of myelopathy is when the spinal cord is compressed, or squeezed. Myelopathy, or damage to the spinal cord, can occur for a number of reasons. The spinal cord is surrounded by a few millimeters of fluid-filled space, which helps to protect it from trauma and allows flexibility without injury to the spinal cord. The spinal cord transmits electrochemical signals between the brain and the body. The spinal cord begins at the base of the brain and runs down through the spinal canal, an enclosed tube made of bones, cartilage and ligament tissue of the spine. ![]() Spondylotic = having to do with spinal degenerationĬervical spondylotic myelopathy is damage to the spinal cord in the neck. Cervical = having to do with the spine in the neck ![]()
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