ConditionsCervical Myelopathy

Cervical Myelopathy

Cervical myelopathy is a serious condition involving spinal cord compression in the neck. Early diagnosis and treatment by a spine surgery specialist like Dr. Basques is critical to prevent permanent neurological damage.

Cervical myelopathy is compression of the spinal cord in the cervical (neck) region, typically caused by degenerative changes such as disc herniations, bone spurs (osteophytes), and ligament thickening that narrow the spinal canal. Unlike radiculopathy (nerve root compression), myelopathy affects the spinal cord itself, leading to progressive neurological dysfunction. Common causes include cervical spondylosis (age-related wear and tear), ossification of the posterior longitudinal ligament (OPLL), and congenital spinal stenosis. Symptoms often develop gradually and may go unnoticed until significant cord damage has occurred. This is why prompt evaluation by a fellowship-trained spine surgeon is essential. Dr. Basques provides expert diagnosis and surgical treatment for cervical myelopathy, serving patients from across Rhode Island, Massachusetts, Connecticut, and New England.

Common Symptoms

Loss of balance or unsteady gait
Clumsiness in hands — dropping objects, difficulty buttoning shirts
Difficulty with fine motor tasks like writing
Numbness or tingling in hands
Weakness in arms or legs
Neck pain or stiffness
Urinary urgency or frequency (late symptom)

Diagnosis

Diagnosis begins with a comprehensive neurological examination assessing balance, gait, reflexes, strength, and sensation. MRI of the cervical spine is the key imaging study showing spinal cord compression and any signal changes within the cord. CT scans may be used to evaluate bony anatomy and ossification. Dr. Basques may also obtain flexion-extension X-rays to assess spinal stability.

Treatment Options

Dr. Basques always starts with the least invasive treatment appropriate for your condition. Surgery is only considered when non-surgical options have been exhausted.

Non-Surgical Treatments

Physical therapy (for mild cases)
Activity modification
Cervical collar (temporary, for mild cases)
Anti-inflammatory medications
Close monitoring for progression

Get a Personalized Treatment Plan

Dr. Basques will evaluate your condition and recommend the most advanced, least invasive approach. Serving Rhode Island, Massachusetts, Connecticut, and all of New England.

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