Cervical Spondylotic Myelopathy is a degenerative condition of the cervical spine caused by age-related changes such as disc degeneration, bone spur formation, and ligament thickening. These changes lead to narrowing of the spinal canal, which compresses the spinal cord and affects nerve function. Patients commonly experience neck stiffness, hand weakness, coordination problems, and difficulty walking. The condition progresses gradually and, if not treated in time, can result in significant neurological impairment, including loss of balance and bladder control. Early diagnosis and appropriate management are crucial to prevent permanent damage.

Symptoms & Clinical Features

Cervical spondylotic myelopathy presents with a variety of neurological symptoms that typically worsen over time due to increasing spinal cord compression. These symptoms often affect both motor and sensory functions, making everyday activities difficult.

• Neck pain and stiffness
• Numbness or tingling in hands and arms
• Hand clumsiness and weak grip
• Difficulty walking or maintaining balance
• Muscle weakness in upper or lower limbs

Diagnosis & Treatment

Diagnosis involves a combination of clinical examination and imaging studies to assess the extent of spinal cord compression. Treatment depends on the severity of symptoms, ranging from conservative management in mild cases to surgical intervention in more advanced stages.

• MRI is the gold standard for diagnosis
• X-rays and CT scans help evaluate bone changes
• Physical therapy and medications for mild cases
• Surgical decompression in severe cases
• Early treatment improves outcomes and prevents progression