Spine Archive: Myelopathy

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Treatment for Myelopathy

Cervical stenosis and more specifically, spinal stenosis with myelopathy can affect elderly patients. This and other conditions are detailed here in Dr. Anthony Leone’s Knowledge Center.

A condition related to compression within the spinal cord, myelopathy can be painful and debilitating. The only effective treatment for a cervical stenosis involving myelopathy involves decompression of the spinal canal via surgical means. In addition, exercises related to this target area can help relieve associated pain.

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Indications for Surgery in Spinal Arthropathy, Western New York

Contact Dr. Anthony Leone today to learn more about spine surgery and neurologic impairment.

Neurologic impairment is the most urgent indication for surgery in patients with spinal arthropathy. Impairment can be determined by history, clinical examination, electrodiagnostic studies, or MRI. Because progression of myelopathy is the natural history in rheumatoid arthritis, any myelopathic findings should be considered a surgical indication.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

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Surgical Treatment for Radiculopathy and Myelopathy, Western New York

You can learn more about disk herniations and surgical intervention in the Knowledge Center or by contacting Dr. Anthony Leone.

Anterior decompression can be performed, as initially described in the classic study by Smith and Robinson. When there is a central disk herniation, significant uncovertebral spurring, or central canal stenosis, anterior decompression is the most direct means of decompressing the neural elements. Transverse incisions are made for one, two, or arguably three levels, and oblique incisions may be necessary for longer exposures. The level of incision can be guided by anatomic landmarks.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

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Surgical Treatment in Thoracic Discopathy, Erie County

Contact Dr. Anthony Leone regarding spinal discomfort.

Surgical intervention is indicated for patients who have myelopathy or who have unrelenting pain and failed a course of nonsurgical treatment. Decision-making regarding the most appropriate surgical approach should be based on the level of herniation, its location relative to the spinal cord, disc consistency, and the surgeon’s experience with the approach. The patient’s age and medical condition must be considered. Surgical approaches may be either anterior or posterior, as described later.¹

¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.

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Thoracic Disk Herniations, Erie Co.

Learn more from Dr. Leone regarding disk herniations here in the Knowledge Center.

Thoracic disk herniations (TDH) have been found in up to 11% of presumed asymptomatic individuals in autopsy studies. TDH can be symptomatic, however, causing axial pain, radicular pain, or even myelopathy. Patients may give a history of trauma, such as axial load or automobile accident.¹

¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.