Cervical spinal stenosis
Cervical spinal stenosis | |
---|---|
human vertebral column | |
Specialty | Orthopedic |
Cervical spinal stenosis is a bone disease involving the narrowing of the spinal canal at the level of the neck. It is frequently due to chronic degeneration,[1] but may also be congenital. Treatment is frequently surgical.[1]
Cervical spinal stenosis is one of the most common forms of
lumbar stenosis, however, as the spinal cord terminates at the top end of the adult lumbar spine, with only nerve roots (cauda equina) continuing further down.[3]
Diagnosis
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Treatments
Nonsurgical treatment
Potential nonsurgical treatments include:[citation needed]
- Education about the course of the condition and how to relieve symptoms
- Medicines to relieve pain and inflammation, such as acetaminophen or nonsteroidal anti-inflammatory drugs(NSAIDs)
- Exercise, to maintain or achieve overall good health, aerobic exercise, strength training muscles that support the neck and spine, core exercises, and posture correction.
- Weight loss, to relieve symptoms and slow the progression of the stenosis
- Physical therapy, to provide education, instruction, and support for self-care; physical therapy instructs on stretching and strength exercises that may lead to a decrease in pain and other symptoms
Surgery
Potential surgical treatments include:
- Anterior cervical discectomy and fusion – A surgical treatment of nerve root or spinal cord compression by decompressing the spinal cord and nerve roots of the cervical spine with a discectomy to stabilize the corresponding vertebrae.
- vertebrae(cutting through on one side and merely cutting a groove on the other) and then "swinging" the freed flap of bone open.
- lamina of the vertebra is removed or trimmed to widen the spinal canal and create more space for the spinal nerves and thecal sac.[4]
See also
References
- ^ PMID 19626174.
- ^ Vokshoor A (February 14, 2010). "Spinal Stenosis". eMedicine. Retrieved December 30, 2010.
- ^ Waxman, SG (2000). Correlative Neuroanatomy (24th ed.).
- ^ "Laminectomy". Retrieved 19 December 2012.