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Neurosurgery for cervical spondylosis.

D Uttley1, P Monro

  • 1Atkinson Morley's Hospital, Wimbledon, London.

British Journal of Hospital Medicine
|July 1, 1989
PubMed
Summary

Cervical spondylosis can cause radiculopathy and myelopathy. This review covers causes, symptoms, diagnosis, and treatment options, including surgery, for these spinal conditions.

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Area of Science:

  • Neurology
  • Orthopedic Surgery
  • Spinal Disorders

Background:

  • Cervical spondylosis is a common degenerative condition of the cervical spine.
  • It can lead to nerve root compression (radiculopathy) or spinal cord compression (myelopathy).

Purpose of the Study:

  • To describe the pathogenesis, clinical features, and natural history of cervical spondylosis-related radiculopathy and myelopathy.
  • To review differential diagnosis, medical management, and surgical indications.
  • To present surgical approaches and treatment outcomes.

Main Methods:

  • Literature review of cervical spondylosis, radiculopathy, and myelopathy.
  • Synthesis of information on pathogenesis, clinical presentation, and natural history.
  • Analysis of diagnostic criteria, treatment modalities, and surgical outcomes.

Main Results:

  • Cervical spondylosis pathogenesis involves degenerative changes leading to neural compression.
  • Clinical features vary based on the affected neural structures (nerve roots or spinal cord).
  • Management includes conservative and surgical options, with outcomes dependent on approach and condition severity.

Conclusions:

  • Understanding the pathogenesis and clinical spectrum is crucial for effective management.
  • Timely diagnosis and appropriate treatment, including surgical intervention when indicated, can improve patient outcomes.
  • Surgical approaches should be tailored to individual patient factors and the specific pathology.

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