Mielomalatia and stenosis

///Mielomalatia and stenosis
Mielomalatia and stenosis
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  • Shadije
    Participant
    Post count: 1

    Hello Dr. Coreman, i have done a scanner and it seems i have damaged neck bones from c1 to c6. The damage is from two stenosis, four discal hernie and also mielomalatia. The symptoms are problemswhen moving legs and arms, expecially the extremeties. Doctors tould me i should be operated. I would like to know the chances of success meaning that can i move as before the operation. Can there be side effects from this kind of operation? And how long is the healing time after the operation. Maybe i can not avoid it but i would like to know what are my chances.

    Thank you very much doctor

    Donald Corenman, MD, DC
    Moderator
    Post count: 6361

    If you have cervical stenosis (narrowing of the spinal canal) and myelomalacia, you need surgery. The narrowed canal injures the spinal cord. This causes nerve tracts within the cord to be injured. The diameter of the spinal cord is made up of nerve tracts so injury to these tracts will cause some to “drop out”. This in turn causes the cord diameter to diminish (myelomalacia). Surgery is needed to prevent the progression of this damage and allow some recovery. The surgery is not too difficult to recover from but avoiding this surgery will allow further progression of damage to the cord.

    Generally, the surgery is an ACDF at multiple levels. See https://neckandback.com/treatments/anterior-cervical-decompression-and-fusion-acdf/ and https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

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