A 39-year-old man presented with progressive gait disturbance and urinary incontinence. Medical history disclosed nephrolithiasis, dark urine, osteopenia osteoarthrosis for 15 years. Examination crural spastic paraparesis sensory level at T1 hyperpigmentation of the sclerae (figure). Neuroimaging studies cervical spondylotic myelopathy several discs prolapses. Homogentisic acid levels by HPLC w...

Spondylotic myelopathy is an old age problem of cervical spine. Different modes of treatment are available. Surgical intervention is indicated when conservative trials failed. Traditional laminectomy may cause multiple complications especially kyphotic deformity and epidural scarring. To avoid these complications a variety of laminoplasties were evolved in Japan as an alternative to laminectomy...

Dorsal decompression in patients, presenting with cervical spondylotic myelopathy with no signs of instability, is a standard surgical option. Laminectomy or laminoplasty is applied to reduce the pressure on the myelon. The aim of this study was to evaluate the clinical outcome in a consecutive series of patients. This retrospective study included a total of 65 patients who underwent laminectom...

The degenerative spinal cord disease cervical spondylotic myelopathy (CSM), and caused by trauma, can result in debilitating symptoms affecting quality of life. This study used acupotomy other Korean medicine treatments (acupuncture, herbal medicine, physical therapy) to improve the CSM myelopathy. visual analog scale, modified Japanese Orthopaedic Association scale (mJOA scale), Nurick grading...

Cervical spondylotic myelopathy is a well-known cause of disability among older people. A significant amount of these patients is asymptomatic. Once the symptoms start, the worsening may follow a progressive manner. We should suspect of spondylotic myelopathy in any individual over 55 years presenting progressive changes in gait or losing fine motor control of the upper limbs. Despite its frequ...

Background context: Intramedullary signal intensity changes on magnetic resonance imaging (MRI) in cervical spondylotic myelopathy are thought to be indicative of the prognosis. However, the prognostic significance of signal intensity changes remains controversial. Purpose: To determine the radiographic and clinical factors that correlate with the prognosis after surgery in patients with cervic...