Türk Nöroşirürji Dergisi 2022 , Vol 32 , Num 3
Degenerative Cervical Spinal Pathologies and Current Approaches to Treatment Options
Abdurrahim TAŞ1,Abdurrahman AYCAN1,Ramazan PAŞAHAN2
1Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Van, Türkiye
2İnönü Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Malatya, Türkiye
Degenerative Cervical Myelopathy is the most common cause of non-traumatic spinal cord dysfunction. It is especially seen in the elderly population. More than 70% of individuals over 65 have pathological or radiological manifestations of cervical degenerative disease. The clinical presentation of DSM can be defined as a syndrome associated with upper extremity dysfunction (clumsiness, lethargy, paresthesia, etc.), lower extremity findings (imbalance, fatigue, lethargy, etc.), and bladder dysfunction (sudden urinary incontinence). Magnetic Resonance Imaging is the gold standard for DSM diagnosis. Computed tomography imaging is essential in determining ossification and in surgical planning. Cervical CT is an indispensable imaging method for planning an anterior, posterior, or combined approach. The primary differential diagnoses include amyotrophic lateral sclerosis, multiple sclerosis, normal pressure hydrocephalus, and intracranial diseases. Surgical treatment for DSM disease is the primary treatment option for patients with progressively worsening balance and skills. With the surgical approaches that can be applied in an anterior, posterior, or combined manner, the main goal should be to open the spinal cord, correct the cervical physiological lordosis, and provide stability. Anahtar Kelimeler : Degenerative, Cervical spinal pathologies, Approaches