Cervical Spine Disorders and Myelopathy

This session focuses on disorders affecting the cervical spine, including cervical spondylosis, intervertebral disc prolapse, and cervical myelopathy, explaining how degenerative and compressive changes in the cervical region can significantly impact both spinal cord and nerve root function. It describes how disc degeneration, osteophyte formation, and ligament thickening can lead to narrowing of the spinal canal, resulting in spinal cord compression and neurological dysfunction. Cervical radiculopathy is explained as nerve root compression causing pain radiating to the shoulders and arms, while cervical myelopathy is described as a more serious condition involving spinal cord compression leading to hand clumsiness, gait imbalance, limb weakness, and loss of fine motor skills. The session also highlights the difference between upper motor neuron and lower motor neuron signs in cervical spine disease. Clinical examination findings such as hyperreflexia, Hoffman’s sign, and gait disturbance are discussed in relation to diagnosis. Imaging studies, particularly MRI, are emphasized as the gold standard for evaluating cervical spinal cord compression. Treatment strategies including conservative management for mild cases and surgical decompression for progressive neurological deficits are also explained.

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