Spondylotic Myelopathy

Cervical spondylotic myelopathy is the result of spinal cord damage in the neck.

The spinal cord can be damaged for various reasons, resulting in myelopathy. Myelopathy is most commonly caused by compression of the spinal cord. As a result, standard nerve transmission is disrupted. Spinal arthritis, or spondylosis, is the most common cause of spinal cord compression.

Spine degeneration, or spondylosis, is caused by ageing. In addition to disc degeneration and bone spurs, thickened ligaments also contribute to these changes.

The cervical spondylotic myelopathy is caused by spondylosis (degeneration) in the neck, resulting in spinal cord damage. In this condition, the spinal cord fibres that transmit impulses to the arms, hands, and legs are affected. Consequently, these areas may be weak, numb, tingly, or even painful.


Various symptoms are associated with cervical spondylotic myelopathy, depending on the spinal cord's level and pattern of involvement. The following symptoms may be present,

  • Hand numbness, clumsiness, and weakness

  • "Walking like a robot" due to leg stiffness

  • Instability

  • The urge to urinate

  • Neck pain–may be present but is usually not a significant concern

Different people experience symptoms at other times and progress at different rates. It is also possible for symptoms to progress at a different pace over time. A period of rapid symptom progression may be followed by a period of stability.


Cervical spondylotic myelopathy symptoms resemble those of other illnesses, making diagnosing challenging. In addition to reviewing the patient's medical history, the surgeon will conduct an examination to provide spondylotic myelopathy treatment in Hebbal, Bangalore. The surgeon may order diagnostic procedures to rule out other possible causes. The tests may include,

X-rays are taken after radiating radio-opaque contrast material into the spinal fluid via a lumbar puncture known as a post-myelography computed tomography (myelo-CT). Imaging the spinal canal may provide helpful information about the contents of the spinal fluid sac and reveal indentations from bulging discs or bone spurs that may compress the spinal cord or nerves.

The best imaging method for the spinal cord, nerve roots, discs, and ligaments is magnetic resonance imaging (MR). An MR scan can provide high-resolution images of the cervical spinal canal and the spinal cord.

Treatment Procedures

The spinal cord decompresses cervical spondylotic myelopathy (pressure is removed). Surgery stops the progression of symptoms. Spinal cord injuries can heal, but the extent of restoration is unpredictable. Each instance has a different prognosis.

Anterior approach: During surgery, the surgeon may approach the neck from the front, called an anterior approach. Among these surgical procedures are:

  • Discectomy and fusion of the anterior cervical spine

  • Corpectomy of the anterior cervical spine

Posterior approach: A posterior approach is when the surgeon performs surgery from the back of the neck. Among these surgical procedures are:

  • Cervical laminoplasty

  • Cervical laminectomy and fusion

  • Cervical laminectomy

  • The surgeon, in some cases, may use an anterior and posterior approach.

Consult with spine care doctors in Hebbal at Manipal Hospitals now.

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