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CONDITIONS

Myelopathy

Myelopathy is a condition that results from compression of the spinal cord in the cervical (neck) or thoracic (mid-back) region of the spine. It can be caused by various underlying conditions, like spinal stenosis, herniated discs, spinal deformities, traumatic injuries, and spinal tumors, among others. To prevent permanent damage to the spinal cord, it is critical to seek the expertise of a spine surgeon who can evaluate the severity of myelopathy and outline treatment options available, which may include surgery or other interventions.

Symptoms & Diagnosis

The symptoms of this myelopathy tend to be more severe than those caused by compression of spinal nerves. The specific symptoms depend on the cause of myelopathy and the region of the spinal cord affected but may include:

  • Changes in gait and coordination Proprioception, which allows us to sense the position and location of our arms or legs without looking at them, can be affected, leading to difficulty balancing or controlling fine motor movements.
  • Weakness, numbness, or tingling Gradual or sudden weakness as well as feelings of “pins and needles” can affect the extremities.
  • Pain Pain in the neck or back, depending on the location of the compression, and also radiates to the arms or legs.
  • Changes in reflexes Spinal cord compression can result in changes in reflex responses or hyperactive reflexes.
  • Bowel and bladder dysfunction In severe cases, spinal cord compression can result in difficulty controlling bowel or bladder function.

Because myelopathy symptoms are not unique to this condition, imaging tests like an X-ray or MRI may be needed to rule out other causes and to locate the compression. Myelopathy symptoms often serve as an indicator of an underlying condition directly associated with the spinal cord.

Treatment

Treatment for myelopathy rarely involves conservative treatment because the longer a patient is experiencing myelopathy the more likely their symptoms will be permanent or progress. Surgery to relieve the compression causing the myelopathy halts its progression and is the preferred treatment for patients who can undergo surgery. Dr. Avramis will create an individualized treatment plan to help relieve symptoms and slow down progression.

Surgical intervention
  • Decompression surgery Decompression surgery aims to relieve pressure on the spinal cord and nerves by removing parts of bone or tissue that are causing the compression. By creating more spaces within the spinal canal, decompression surgery addresses the root cause of myelopathy.
  • Spinal fusion Particularly beneficial when myelopathy is associated with conditions like spinal instability or degenerative disc disease, a spinal fusion stabilizes the spine by joining two or more vertebrae together. This helps prevent excessive movement and instability.
It's important to note that various conditions, such as spinal stenosis, herniated discs, tumors, or degenerative changes in the spine can cause myelopathy. The specific combination of symptoms can provide valuable information to healthcare professionals for determining the underlying cause and planning appropriate treatment. Prompt medical evaluation for those experiencing symptoms suggestive of myelopathy is recommended to identify the cause and initiate appropriate interventions.
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Our team at Avramis Spine & Scoliosis is here to help. To request an appointment or for any other inquiries, please fill out the form.

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Contact

Our team at Avramis Spine & Scoliosis is here to help. To request an appointment or for any other inquiries, please fill out the form.