Myelopathy
Myelopathy is a progressive neurological condition caused by compression of the spinal cord. It most commonly occurs in the cervical (neck) spine but can also develop in the thoracic spine. Unlike radiculopathy, which affects a single spinal nerve, myelopathy affects the spinal cord itself and can cause widespread problems with movement, sensation, coordination, and balance below the level of compression.
If left untreated, chronic spinal cord compression can lead to permanent nerve damage and progressive loss of function.
Non-Surgical Management
Treatment depends on the severity of symptoms and the degree of spinal cord compression. Mild cases may be managed conservatively while being closely monitored for progression.
Treatment options may include:
Observation with regular follow-up
Physical therapy
Anti-inflammatory medications (NSAIDs)
Neuropathic pain medications
Surgical Management
Surgery is typically recommended when neurological symptoms continue to progress or when significant spinal cord compression is present. The goal of surgery is to relieve pressure on the spinal cord and prevent further neurological decline.
Treatment options may include:
Anterior Cervical Discectomy and Fusion (ACDF)
Cervical Corpectomy
Posterior Cervical Laminectomy
Cervical Laminoplasty
Thoracic or Lumbar Decompression Surgery, when appropriate
Ready to Take the Next Step?
Whether you're seeking a second opinion or exploring treatment options, our fellowship-trained spine specialists are here to help. Schedule a consultation to discuss your symptoms and learn about the treatment options that are right for you.