Cervical Myelopathy
Cases
4
A 73-year-old male presented with imbalance while walking along with bilateral upper limb radiculopathy. Clinical evaluation and radiological assessment revealed cervical degenerative pathology with neural element compression contributing to cervical myelopathy and radiculopathy. Despite conservative management, the patient continued to experience gait instability and upper limb symptoms affecting daily activities. Patient underwent cervical decompression and stabilization surgery, following which he experienced symptomatic improvement with better balance, reduced radicular pain, and improved functional mobility.
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A 37-year-old male presented with neck pain associated with right upper limb radiculopathy. Radiological evaluation revealed cervical disc pathology with neural compression correlating with his clinical symptoms. Despite adequate conservative treatment, the patient continued to experience persistent radicular pain and functional discomfort affecting routine activities. Owing to persistent symptoms and failure of non-operative management, he underwent cervical decompression surgery, resulting in significant symptomatic relief and improvement in upper limb function.
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A 54-year-old male presented with neck pain and progressive difficulty in movements of all four limbs. Clinical and radiological evaluation revealed cervical kyphotic deformity with instability causing significant cervical cord compression and myelopathic symptoms. The patient experienced worsening neurological dysfunction and impaired functional mobility despite conservative treatment measures. In view of progressive myelopathy and spinal instability, he underwent cervical deformity correction and stabilization using cervical pedicle screw fixation. Following surgery, the patient demonstrated improvement in neurological symptoms, better limb function and enhanced overall mobility.
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A 62-year-old male presented with chronic neck pain associated with progressive difficulty in walking. Clinical and radiological evaluation revealed multilevel cervical spinal canal stenosis with cord compression causing cervical myelopathy. The patient continued to experience worsening gait imbalance and functional limitation despite conservative management. In view of progressive neurological symptoms and significant cervical cord compression, he underwent C2–C7 cervical pedicle screw instrumentation with decompressive laminectomy. Following surgery, the patient demonstrated improvement in gait, reduction in neck pain, and better overall neurological and functional status.
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