Symptoms:-
- Neck pain
- Tingling numbness
- Pain around the shoulder blade
- Pain along the arm and in the fingers
- Increasing pain during standing, sitting, sneezing, coughing, or bending the neck backward
- Muscle weakness, making it difficult to lift the arm or grasp things
- Stiffness
- Headaches, mostly in the back of the head
- Numbness or tingling sensation in the shoulder and arms
- Loss of balance and control over bladder and bowel movements
Management Options:-
Investigation
- Clinical Assessment
- Xray Cervical Spine
- MRI
Conservative Trial (medicine, physiotherapy, postural modification)
Surgical:-
- Anterior cervical discectomy and fusion
- Anterior cervical corpectomy with fusion
Cervical Compressive Myelopathy:-
- Neck pain
- Tingling numbness
- Pain around the shoulder blade
- Tightness of all 4 limbs
- Difficulty in walking
- Pain along the arm and in the fingers
- Muscle weakness, making it difficult to lift the arm or grasp things
- Neck pain and stiffness
- Headaches, mostly in the back of the head
- Numbness or tingling sensation in the shoulder and arms
- Loss of balance and control over bladder and bowel movements
Causes:-
- Ossified posterior longitudinal ligament
- Cervical canal stenosis
Management Options:-
Investigation
- Clinical Assessment
- Xray Cervical Spine
- MRI
Conservative Trial (medicine, physiotherapy, postural modification)
Surgical:-
- Anterior cervical approach
- Posterior cervical approach- cervical laminectomy and lateral mass fixation
Lumber Disc Problem:-
- Back Pain
- Tingling Numbness
- Lower limb Weakness
- Bowel Bladder Deficit
- Sensory Deficit
Management options:-
Investigation
- Conservative Trial
- Micro Lumber Discectomy
Surgical:-
- Endoscopic discectomy, trans-foraminal endoscopic discectomy, unilateral-bi portal endoscopic discectomy, PSLD-Percutaneous Stenoscopic Lumber Decompression
Lumber Canal Stenosis:-
- Back pain
- Tingling numbness in the lower limb
- Unable to stand
- Difficulty in walking due to severe pain
- Lower limb Weakness
- Bowel bladder deficit
- Sensory deficit
Management Options:-
Investigation
- MRI
- Xray:-Dynamic x-ray LS spine
- Conservative Trial
Surgical:-
- Micro lumber decompression plus fixation
- TLIF (Transforaminal Lumber Interbody Fusion)
- MIS TLIF (Minimally Invasive Spine Surgery)
- OLIF (Oblique Lumber Interbody Fusion)
- MIS FIXATION
- MIS TLIF
- OLIF
Neutral Tube Defect:-
- Swelling at back
- Limb weakness
- Bowel bladder incontinence
- Sensory deficit
- Non-healing ulcer
- Associated with hydrocephalus
- Neuro-cutaneous marker
- Discharging sinus from the back
Management Option:-
- Surgical Repair