Myelopathy is an umbrella term referring to spinal canal disorders. Some of the common spinal myelopathies include carcinomatous myelopathy (degeneration of spinal cord associated with cancer), compressive myelopathy (changes in the spine because of pressure from hematomas or masses), and radiation myelopathy (spine destruction because of X-ray therapy).
The most common causes of myelopathy are trauma to the spinal cord as a result of vertebral fracture or dislocation, herniated disc, osteoarthritis of the spine and tumors. Other causes include viral infections, immune reactions, and inadequate flow of blood through vessels of the spinal cord. It can occur at any age.
Cervical Spondylotic myelopathy (CSM) is the most common disorder and it occurs in individuals aged above 55 years. Repeated trauma from activities such as carrying heavy loads or sports (gymnastics) increases the risk of CSM. The gradual wear and tear because of aging causes narrowing of the spinal canal that leads to compression of the spinal cord.
Cervical myelopathy may cause symptoms such as:
Your doctor may ask about your symptoms and examine your neck to look for any abnormal reflexes, numbness and atrophy of muscles. Some of the diagnostic tests such as X-rays, magnetic resonance imaging, and myelogram may be done to confirm the diagnosis. Myelogram is a special type of computed tomography (CT) scan in which a dye is injected prior to the scan in order to get a clearer outline of the spinal cord
Both surgical and non-surgical treatments are recommended for patients with myelopathies and the treatment choice depends on the disorder, severity of the disease and various other factors.
Non-surgical methods provide sufficient relief from the symptoms in most cases. These options include:
Surgery of the spine is considered in case your symptoms do not alleviate with the conservative treatment methods. Spinal surgery involves anterior decompression (relieving pressure) of the spinal cord and nerve roots. During the procedure, certain plates and screws may be inserted to give internal support to the cervical spine and promote healing of the bone graft.