Cervical Stenosis Overview  

The process that leads to compression of the spinal cord is usually a result of cervical degeneration or cervical spondylosis (arthritis).  Other causes include vertebral fracture of dislocation, herniated discs, tumors, viral infections, and vascular causes.

Diagnosis 

The first step in the diagnosis of cervical stenosis is a thorough history and physical examination which can done at any of our DFW offices conveniently located to the Dallas, Irving, Red Oak, Plano, Southlake, Grapevine, Colleyville, Duncanville areas.  Your physician will likely ask you about your symptoms and perform a thorough examination to look for subtle signs of myelopathy.  At times, patients with myelopathy will present with a characteristic gait, or other physical examination cues such as weakness in their muscles, atrophy or hyperreflexia.

Diagnostic tests that are used in establishing the diagnosis are x-rays, along with magnetic resonance imaging and or computed tomography with myelography.

Treatment Options

Nonsurgical options can be considered by the physician after examination of the patient and evaluation of the imaging studies if the patient presents with mild symptoms from cervical stenosis that does not appear to be progressing.  Though if a patient appears to be suffering from severe cord compression on imaging, demonstrates significant weakness either in the arms and or the legs, or has bowel or bladder incontinence, proceeding directly to surgery may be advised in order to give the patient the best chance of recovering.

Surgical Treatment

The objective of surgery is to relieve compression on the spinal cord, which can be achieved by the following procedures:

  • ACDF
  • Cervical corpectomy
  • Cervical laminectomy and fusion
  • Cervical laminoplasty

Again, if you have any questions about treatment options available to you please contact our office and remember we are conveniently located to the Dallas, Irving, Red Oak, Plano, Southlake, Grapevine, Colleyville and Duncanville marketplaces.

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