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Information & Treatment
About the treatment
Symptoms and Pain Localisation
Cervico-arthrosic myelopathy manifests as chronic neck pain, associated with neurological symptoms such as muscle weakness, balance disorders, numbness or tingling in the arms and legs.
Symptoms may also include difficulty coordinating hand movements and stiffness in the lower limbs.
About the treatment
Causes & Factors
This pathology is caused by compression of the spinal cord at cervical level, generally linked to osteoarthritis.
Degenerated intervertebral discs and bony growths (osteophytes) cause the spinal canal to narrow, compressing the spinal cord.
Risk factors include age, wear and tear of the cervical vertebrae, and previous neck trauma.
About the treatment
Duration and treatment
Treatment depends on the severity of symptoms and spinal cord compression.
- Conservative treatment can be tried as a first-line treatment for mild forms.
- If symptoms persist or worsen, medical consultation is necessary.
- In cases of severe or progressive myelopathy, surgery to decompress the spinal cord is often recommended to avoid worsening symptoms.
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Diagnosis
MRI or CT scan recommended to assess spinal cord compression at cervical level. X-rays can also be taken to examine signs of arthrosis and degeneration of cervical discs and vertebrae.
Conservative Treatment
Relative rest with anti-inflammatories and painkillers to reduce symptoms. A cervical collar may be prescribed to stabilize the neck. Physiotherapy can also be used to improve mobility.
Physical therapy
Focused on rehabilitation to improve muscle strength and mobility, reduce tension and correct posture. Useful for relieving mild symptoms and preventing disease progression.
Indications for Surgery
Surgery considered if neurological symptoms worsen or if conservative treatment fails. The aim is to decompress the spinal cord and stabilize the cervical vertebrae to prevent irreversible damage.
When to seek emergency treatment
In the event of limb weakness, walking difficulties, incontinence or loss of coordination, immediate consultation is necessary to avoid irreversible worsening of symptoms.
Types of Surgery
Surgical options include cervical decompression by laminectomy or laminoplasty, and spinal stabilization by fusion in cases of severe degeneration.
Post-operative convalescence
Improvement in neurological symptoms is generally seen after decompression. Post-operative pain diminishes within 2 to 3 weeks, but full recovery may take several months.
Persistent pain
Residual pain or neurological symptoms may persist if the spinal cord has been compressed for too long. These pains can be treated with medication and appropriate rehabilitation.
Cervical Fusion and Stabilization Surgery
In cases of vertebral instability, stabilization with screws and plates is sometimes necessary after decompression to maintain vertebral alignment and prevent future complications.
Purpose of the operation
The main objective is to decompress the spinal cord to prevent a worsening of neurological symptoms. Post-operative rehabilitation is crucial to improve mobility and strengthen neck muscles.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
