Cervical spondylosis

Question 1

Definition

Answer 1

Chronic degenerative condition of the cervical spine that affects the vertebral bodies and intevertebral discs of the neck( in the form of disk herniation and spur formation) as well as contents of the spinal canal

Cervical sponylosis with compression of the cord (Myelopathy) and nerve root is the elaing cause of progressive spastic quadriparesis with sensory loss below the neck.

Question 2

Clinical features

Question 3

Signs

Answer 3

• Limited, painful neck movement + crepitus- be careful
• Neck flexion may produce tingling down the spine

Signs of cord compression:

• spastic leg weakness (often 1 leg> other)
• weak clumsly hands
• numbness in hands
• Heavy legs
• foot drop/ poor walking
• incontinence, hesitancy and urgency are often late