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Laminoplasty is a surgical procedure that has been developed as an alternative to cervical laminectomy, which is used to treat cervical myelopathy. Laminoplasty reconstructs the vertebral lamina to decompress the spinal cord. The term laminoplasty means, "to create a hinge to lift the lamina." [1]
Surgical management options include extensive cervical laminectomy with or without an additional posterior arthrodesis, anterior decompression and arthrodesis, and posterior cervical laminoplasty. [3] Treatment decisions can be made based on a grading systems devised by Hirabayashi et al., [5] supplemented by the Nurick myelopathy ...
Ultimately, the aim of physical therapy is to loosen and relax the tight muscles and ligaments that contribute to the symptoms, and to strengthen those muscles to prevent further reocurrences of the condition. However, studies have found conflicting conclusions in regards to the effectiveness of physical therapy as a treatment option for NC ...
Surgical treatment that includes a laminectomy is the most effective remedy for severe spinal stenosis; however, most cases of spinal stenosis are not severe enough to require surgery. When the disabling symptoms of spinal stenosis are primarily neurogenic claudication and the laminectomy is done without spinal fusion, there is generally a more ...
Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. [3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings.
Cervical spinal nerve C7 controls triceps and wrist extension. Cervical spinal nerve C8 helps control the hand. [18] The cervicocranial syndrome occurs when symptoms arise due to cervical vertebrae damage (misalignment, collapse, shift or disease, such as tumor) resulting in the improper functioning of the cervical spinal nerves.
Physical examination is used to determine the severity of the disease by examining the extent of observable CSM symptoms. [7] [16] The severity of CSM symptoms indicates of the amount of pressure the cervical spine is under. Physical examination involves flexibility of the neck, strength and reflexes of limb muscles, gait patterns, etc. [12]
Weight loss, to relieve symptoms and slow the progression of the stenosis; Physical therapy to support self-care. [37] Also may give instructions on stretching and strength exercises that may lead to a decrease in pain and other symptoms. Lumbar epidural steroid or anesthetic injections have low quality evidence to support their use. [36] [38]
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