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Conservative treatment of craniocervical instability includes physical therapy [10] [11] and the use of a cervical collar to keep the neck stable. Prolotherapy, including with stem cells, is a treatment option, but there is no scientific evidence supporting the success of this approach. [12] [verification needed]
Surgery to treat a CSF-venous fistula in CSF leak patients is highly effective. [86] Neurosurgery is available to directly repair leaking meningeal diverticula . The areas of dura leak can be tied together in a process called ligation and then a metal clip can be placed in order to hold the ligation closed. [ 24 ]
Cervical spine disorders are illnesses that affect the cervical spine, which is made up of the upper first seven vertebrae, encasing and shielding the spinal cord. This fragment of the spine starts from the region above the shoulder blades and ends by supporting and connecting the skull .
Cervical spinal stenosis is a bone disease involving the narrowing of the spinal canal at the level of the neck. It is frequently due to chronic degeneration, [1] but may also be congenital. Treatment is frequently surgical. [1]
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Instability of the cervical spine can cause endangerment of patients and their neurological integrity. [28] Correction and decompression cervical spinal surgeries significantly increase quality of life and reduce symptoms. Post-surgery, 93 to 100 percent of patients report reduced cervicocranial syndrome symptoms such as neck pain. [29] [30]
Cervical facet joint block – minor injections at the joints of the affected regions of the cervical spine Media branch block and radio-frequency ablation – diagnosis and alleviation of pain from specific medial branches of the spinal nerve upon administering anaesthetics in the cervical region of interest to locate the area for treatment.
Underlying problems (e.g. craniocervical junction abnormalities, postoperative scarring, spinal tumors) are corrected when possible. Surgical decompression of the foramen magnum and upper cervical cord is the only useful treatment, but surgery usually cannot reverse severe neurologic deterioration.