Cervical spinal stenosis

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Cervical spinal stenosis
Illu vertebral column.jpg
A human vertebral column

Cervical spinal stenosis is a bone disease involving the narrowing of the spinal canal at the level of the neck. It is frequently due to chronic degeneration,[1] but may also be congenital. Treatment is frequently surgical.[1]

Cervical spinal stenosis is one of the most common forms of spinal stenosis, along with lumbar spinal stenosis (which occurs at the level of the lower back instead of in the neck). Thoracic spinal stenosis, at the level of the mid-back, is much less common.[2] Cervical spinal stenosis can be far more dangerous by compressing the spinal cord. Cervical canal stenosis may lead to serious symptoms such as major body weakness and paralysis. Such severe spinal stenosis symptoms are virtually absent in lumbar stenosis, however, as the spinal cord terminates at the top end of the adult lumbar spine, with only nerve roots (cauda equina) continuing further down.[3] Cervical spinal stenosis is a condition involving narrowing of the spinal canal at the level of the neck. It is frequently due to chronic degeneration,[1] but may also be congenital or traumatic. Treatment frequently is surgical.[1]

Diagnosis[edit]

Treatments[edit]

Non-surgical treatment[edit]

Potential non-surgical treatments include:

  • Education about the course of the condition and how to relieve symptoms
  • Medicines to relieve pain and inflammation, such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Exercise, to maintain or achieve overall good health, aerobic exercise, such as riding a stationary bicycle, which allows for a forward lean, walking, or swimming can relieve symptoms
  • Weight loss, to relieve symptoms and slow progression of the stenosis
  • Physical therapy, to provide education, instruction, and support for self-care; physical therapy instructs on stretching and strength exercises that may lead to a decrease in pain and other symptoms

Surgery[edit]

Potential surgical treatments include:

See also[edit]

References[edit]

  1. ^ a b c d Meyer F, Börm W, Thomé C (May 2008). "Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment". Dtsch Arztebl Int. 105 (20): 366–72. doi:10.3238/arztebl.2008.0366. PMC 2696878Freely accessible. PMID 19626174. 
  2. ^ Vokshoor A (February 14, 2010). "Spinal Stenosis". eMedicine. Retrieved December 30, 2010. 
  3. ^ Waxman, SG (2000). Correlative Neuroanatomy (24th ed.). 
  4. ^ "Laminectomy". Retrieved 19 December 2012.