Cervical Spine Disorders

Cervical Spine Disorders 

Cervical Spine :-

The cervical spine is the most flexible anatomic region in the axial skeleton. Distinct segments of the cervical spine give us the ability to perform complex neck motions like head turning or tilting and to carry weight or absorb impact while protecting the delicate spinal cord and nerve roots that pass through the cervical vertebra.

Cervical Spine Disorders:-

Cervical spine disorders are a problem for many adults. The cervical spine contains many different anatomic structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings that can detect painful problems when they occur.

Causes:-

• Age
• Sports Injury
• Accidents
• Being overweight and not exercising
• Having a job that requires heavy lifting or a lot of bending and twisting
• Past neck injury (often several years before)
• Past spine surgery
• Ruptured or slipped disk
• Severe arthritis
• Small fractures to the spine from osteoporosis

Symptoms:-

Pain : when the different parts of the cervical spine are injured or start to wear out, your neck can be a significant source of pain and discomfort.

Weakness : Numbness is a very common and significant symptom of a cervical disorder. However, it is a poorly understood and difficult to describe symptom.

Numbness : Weakness is not one of the more common symptoms of a cervical spine disorder, but when it is present it indicates a relatively more severe case of nerve compression and it does require in-depth investigation.

Treatments:-

Posterior Microdiscectomy

This procedure is performed through a vertical incision in the posterior (back) of your neck, generally in the middle. This approach may be considered for a large soft disc herniation that is located on the side of the spinal cord. A high speed burr is used to remove some of the facet joint, and the nerve root is identified under the facet joint. The nerve root needs to be gently moved to the side to free up the disc herniation.

Posterior Cervical Laminectomy

This procedure requires a small incision in the middle of the neck to remove bone spur formations or disc material. The foramen, the passage in the vertebrae of the spine through which the spinal nerve roots travel is enlarged, to allow the nerves to pass through.

Surgeon will remove a section of the lamina (the back bony part of the vertebrae) and ligament to find the exact area of the compression. An operating microscope is used to create an opening, and part of the lamina is removed to take pressure off the nerves and spinal cord. If needed, bone spurs, tissue and any disc fragments causing the compression are also removed.

Anterior Cervical Disectomy

This operation is performed on the neck to relieve pressure on one or more nerve roots, or on the spinal cord. The cervical spine is reached through a small incision in the anterior (front) of your neck. If only one disc is to be removed, it will typically be a small horizontal incision in the crease of the skin. If the operation is more extensive, it may require a slanted or longer incision. After the soft tissues of the neck are separated, the intervertebral disc and bone spurs are removed. The space left between the vertebrae may be left open or filled with a small piece of bone through spinal fusion.

Anterior Cervical Corpectomy

This operation is performed in conjunction with the anterior cervical disectomy. The corpectomy is often done for multi-level cervical stenosis with spinal cord compression caused by bone spur formations. In this procedure, the neurosurgeon removes a part of the vertebral body to relieve pressure on the spinal cord. One or more vertebral bodies may be removed including the adjoining discs. The incision is generally larger. The space between the vertebrae is filled using a small piece of bone through spinal fusion. Because more bone is removed, the recovery process for the fusion to heal and the neck to become stable is generally longer than with anterior cervical discectomy. Surgeon may select to use a metal plate that is screwed into the front of the vertebra to help the healing process.

 

Cervical Artificial Replacement

This procedure allows us to decompress the nerves in your neck without compromising your ability to move your neck. Traditionally, orthopaedic surgeons treat neck pain caused by pressure on the nerves and spinal cord with fusion surgery, which unites affected vertebrae into one solid bone. This resolves pain, but replaces it with neck stiffness. Cervical artificial replacement not only resolves your pain, it preserves your neck range of motion. This unique motion-sparing technique also allows you to return to your normal activities faster and with fewer post-operative safety measures.

Spine Rehabilitation

Spinal rehabilitation is the discipline of medicine that guides the physical, psychological, and social recovery of individuals who have become partially or totally disabled because of spinal disease or injury. Because the muscles and joints of the spine are not easily observed, the need for rehabilitation from spinal disorders has been recognized slowly and rehabilitation gains have been more difficult to measure by objective standards. Manual or manipulative therapy may be effective for the treatment of pain and restoration of movement in the short term, but it has not been shown to be effective in the long term.

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