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Thursday, 28.03.2024, 22:17
Main » Vertebrology » Cervical Spinal Stenosis - Treatment 
16:40
Cervical Spinal Stenosis - Treatment


Treatment of cervical spinal stenosis

Cervical spinal stenosis - a condition in which the observed narrowing of the intervertebral spaces in the cervical spine. This pathology can occur without disc herniation. In most cases of cervical spinal stenosis due to a lesion of the nerve root on one side.


Usually, the symptoms are as follows:
  • The pain develops slowly
  • Pain may occur over several years
  • The pain associated with certain movements or postures (cycling, neck extension).



This condition is caused by an increase in joint (notched ridge) between the vertebrae, which can be found on the MRI or CT.

Cervical spinal stenosis may manifest as pain in the neck and upper limb pain, a feeling of tingling and numbness, and muscle weakness.

Treatment of cervical spinal stenosis

Unlike many other states, which are manifested by pain in the lumbar spine or neck, most conservative methods of treatment (medication, etc.) are ineffective in the treatment of foraminal stenosis. Some effects can give traction therapy, which is to "extract" the cervical spine.

Most patients choose change habitual physical activity, or surgery to remove the compression of the nerve root.

Of the surgical treatment of foraminal stenosis in the cervical spine is usually chosen anterior cervical discectomy with fusion, in which the lock is held adjacent vertebrae and the expansion of the intervertebral space, thus increasing the space around the nerve root disadvantaged.

To enhance this space and accelerate fusion of vertebral bone plate is applied, which is taken in advance of the patient's hip bone. After surgery, the patient can stay for just one day in the hospital, and then he goes home.

Anterior cervical discectomy

This method of operation - the most frequently applied for neurosurgeons disc hernia of the cervical spine. Surgical technique involves the removal of the intervertebral disc from a small incision of 2.5 cm at the front of the neck. After that, the area where the disc is overgrown. Sometimes, instead of the disk can be installed bone plate for stability and better fusion of adjacent vertebrae.

Complications of anterior cervical discectomy

Among the major complications of anterior cervical discectomy include:
  • Violations of the fusion of adjacent vertebrae and the formation of pseudarthrosis.
  • Swallowing and speech.
  • Damage to the nerve root.
  • Damage to the spinal cord.
  • Bleeding.
  • Infectious complications.
  • Damage to the trachea or esophagus



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