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Chapter-248 Cervical Disc Degenerative Disorders

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Garg Bhavuk
2. Tandon Vikas
ISBN
9789385891052
DOI
10.5005/jp/books/12869_249
Edition
3/e
Publishing Year
2016
Pages
22
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi, India, Postgraduate Institute of Medical Education and Research, Chandigarh, India, All India Institute of Medical Sciences, New Delhi, India; Postgraduate Institute of Medical Education and Research, Chandigarh, India, All India Institute of Medical Sciences (AIIMS), New Delhi, India, IJRI, All India Institute of Medical Sciences New Delhi, India; Texilla American University, South America, IJRI, All India Institute of Medical Sciences, New Delhi, India; Texilla American University, South America, Lady Hardinge Medical College, New Delhi, India
2. Indian Spinal Injuries Centre, Vasant Kunj, Sector-C, New Delhi, India, Deformity Correction Fellowship USA, Minimally Invasive Surgery (Germany); Indian Spinal Injuries Centre, New Delhi, India
Chapter keywords
Degenerative disc disease, DDD, cervical nerve root, axial neck pain, cervical radiculopathy, anterior approach, cervical spondylotic myelopathy, CSM, intramedullary lesion, fusion, posterior decompression, laminectomy

Abstract

Degenerative disc disease (DDD) of the cervical spine is the most common musculoskeletal disorder. Patients with DDD can be grouped into three different clinical syndromes of radiculopathy, myelopathy and the more common axial neck pain. Cervical radiculopathy is due to compression and/or inflammation of the nerve root and it presents with radiating pain in the upper limb in a specific dermatomal distribution and rarely with motor weakness. Myelopathy due to compression of the spinal cord can occur because of a variety of mechanisms during the degenerative process and presents as paresthesia of hand and feet, clumsiness of hands, spasticity of the lower limbs, gait disturbance with or without urinary urge incontinence. Patients with severe symptoms benefit from operative management. The choice of treatment should be individualized to the clinical and anatomic, patient-specific characteristics. Various options exist for the surgical treatment of multilevel CSM and the surgeon’s primary goal should be to halt the further progression of the myelopathy. The surgeon must explain the procedure and its limitations along with the various options with patients.

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