Spinal stenosis at the cervical level: clinic, diagnosis and treatment

Author:

Yarikov A.1,Pavlinov S.2,Garipov I.3,Logutov A.4,Fraerman A.5,Perlmutter O.5,Kalinkin A.6,Pavlova E.7,Sosnin A.8,Volkov I.9,Simonov A.10,Kotelnikov A.3

Affiliation:

1. Volga District Medical Center, Federal Biomedical Agency of Russia, Nizhny Novgorod , N.I. Lobachesky Nizhny Novgorod State Research University, City Clinical Hospital Thirty-Nine, Nizhny Novgorod

2. LLC «Medical Center “MIRT”», Kostroma

3. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan 6-Federal Siberian Research and Clinical Center, Federal Biomedical Agency of Russia, Krasnoyarsk

4. Federal Siberian Research and Clinical Center, Federal Biomedical Agency of Russia, Krasnoyarsk , Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk

5. City Clinical Hospital Thirty-Nine, Nizhny Novgorod

6. Federal Siberian Research and Clinical Center, Federal Biomedical Agency of Russia, Krasnoyarsk, Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry

7. Far Eastern District Medical Center, Federal Biomedical Agency of Russia, Vladivostok

8. Siberian Federal Scientific and Clinical Center, Federal Medical Biological Agency of Russia, Seversk

9. Clinical hospital of Russian Railways-Medicine, Vladivostok

10. Ya.L. Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics, Ministry of Health of Russia

Abstract

The article analyzes in detail the modern data on spinal canal stenosis in the cervical spine. The cause of its development may be various degenerative changes in the cervical spine that affect one or more anatomical structures, including vertebrae, intervertebral discs, joints and ligaments of the spine. The clinical forms are considered and the available data on the pathogenesis, diagnosis and treatment of cervical spinal stenosis are analyzed. The differential diagnosis of cervical myelopathy is complex, but a detailed clinical analysis, the use of modern neuroimaging methods make it possible to make a nosological diagnosis, assess the severity of the lesion, choose the appropriate therapy, the scope of surgical treatment and determine the prognosis of the disease. The differentiated nature of surgical decompression operations makes it possible to achieve the best results of neurological recovery of patients and compliance with the principles of minimal invasiveness.

Publisher

Russian Vrach, Publishing House Ltd.

Reference51 articles.

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