Cervical Spine Myelopathy: Symptoms, Diagnosis, Treatment, and Overlapping Conditions

Cervical spine myelopathy often results from the compression of the cervical spinal cord, leading to gait disturbances. This condition can be diagnosed using X-rays, which reveal spondylosis and lordosis loss, and MRIs, which show spinal cord compression. Some patients with lumbar spinal stenosis also exhibit these symptoms. Crucial examination pointers include inquiring about neck pain, walking instability, and checking for upper motor neuron signs such as spasticity and hyperreflexia. Surgical intervention, especially anterior approaches, is recommended in cases with significant cervical spine kyphosis. Cervical spine issues can overlap with shoulder problems, manifesting in symptoms like arm pain, numbness, and paresthesia. While surgery is an option, many patients benefit from conservative treatments like therapy and NSAIDs.