Spondylotic Cervical Myelopathy


Authors: Z. Kadaňka
Authors‘ workplace: Neurologická klinika LF MU a FN Brno
Published in: Cesk Slov Neurol N 2010; 73/106(3): 209-226
Category: Minimonography

Overview

Spondylogenic cervical myelopathy (SCM) is a serious disease of the spinal cord of unknown prevalence, but it is not rare, and although a full 40 years have passed since its discovery it remains underdiagnosed. It the most frequent myelopathy in subjects over 50 years of age. It is a consequence of progressive cervical spondylosis involving the osseous, fibrous and cartilaginous structures of the spine and producing stenosis of the canal together with static or dynamic compression of the cord. The clinical picture is extremely variable. MRI and myelo/ CT are the best diagnostic tools. Therapy of this potentially devastating disease is still unsatisfactory because of a lack of knowledge about predictive factors for good outcomes from conservative treatment or surgery, while optimal timing for surgery is also ambiguous. The authors summarise the history of the disease and approaches to it, address the current state of knowledge, and add the results of their own experience.

Key words:
spondylotic cervical myelopathy – cervical spondylosis


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