Cervical spondylitic myelopathy

Question 1

What causes cervical spondylosis?

Answer 1

degenerative OA of the cervical vertebral bodies which narrows spinal canal and presses on spinal cord

Question 2

What percentage of patients with cervical spondylosis end up with myelopathy?

Answer 2

5-10%

Question 3

Features of cervical spondylitic myelopathy

Answer 3

motor weakness
sensory loss
bladder/bowel dysfunction
neck pain
wide-based, ataxic or spastic gait

UMN signs in lower legs
- increased reflexes
- increased tone
- upgoing plantars