Browse > Article

A Case Study on Cervical Spondylotic Myelopathy  

Lee, Young-Hwa (Department of Medicine, Graduate School of Keimyung University)
Kwon, Won-An (Department of Physical Therapy, Keuk-Dong College)
Publication Information
Journal of the Korean Society of Physical Medicine / v.5, no.3, 2010 , pp. 331-339 More about this Journal
Abstract
Purpose : Cervical spondylotic myelopathy is a varied clinical syndromes and the most serious condition of cervical spondylosis. Spinal cord dysfunction is often caused by the compression on spinal cord. The purpose of this report was to describe physical examination and the process of disorders on cervical spondylotic myelopathy(CSM). Methods : Three cases with cervical myelopathy were presented with magnetic resonance image(MRI), Nurick's grade and Japanese Orthopaedic Association(JOA) score. Results : This studies showed a variable clinical course with gradual neurological deterioration in two cases. but one case was improved by operation and a regular aerobic exercise. MRI, Nurick's grade, JOA score are a useful adjunct for CSM evaluation. Conclusion : The state of CSM is variable, which may affect conservative treatments and surgery. It is needed to be a carefull approach and studies for a conservative treatment and management on CSM.
Keywords
Cervical spondylotic myelopathy; Spinal cord; Nurick's grade; JOA score;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Reed J, Buck S. The effect of regular aerobic exercise on positive-aetivated affect: A metaanalysis. Psychol Sport Exerc. 2009;10(6):581-94.   DOI   ScienceOn
2 Sutoo D, Akiyama K. Regulation of brain function by exercise. Neurobiol Dis. 2003;13(1):1-14.   DOI   ScienceOn
3 Chen XQ, Yang HL, Wang GL et al. Surgery for thoracic myelopathy caused by ossification of the ligamentum flavum. J Clin Neurosci. 2009; 16(10): 1316-20.   DOI   ScienceOn
4 Sampath P, Bendebba M, Davis JD et aI. Outcome of patients treated for cervical myelopathy. A prospective, multicenter study with independent clinical review. Spine (phila Pa 1976). 2000;25 (6):670-6.   DOI   ScienceOn
5 Hirabayashi K, Miyakawa J, Satomi K et al. Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine (phila Pa 1976). 1981;6(4):354-64.   DOI   ScienceOn
6 Kadanka Z, Mares M, Bednanik J et al. Approaches to spondylotic cervical myelopathy: conservative versus surgical results in a 3-year follow-up study. Spine(phila Pa 1976). 2002;27(20):2205-10.   DOI   ScienceOn
7 Matz PG, Anderson PA, Holly LT et aI. The natural history of cervical spondylotic myelopathy. J Neurosurg Spine. 2009;11(2):104-11.   DOI   ScienceOn
8 Sadasivan KK, Reddy RP, Albright JA. The natural history of cervical spondylotic myelopathy. Yale J Bioi Med. 1993;66(3):235-42.
9 Salvi PJ, Jones JC, Weigert BJ. The assessment of cervical myelopathy. Spine J. 2006;6(6Suppl): 182S-9S.
10 Vasudevan A, Knuckey NW. Ossification of the ligamentum flavum. J Clin Neurosci. 2002;9(3): 311-3.   DOI   ScienceOn
11 Ombregt L, Bisschop P, ter Veer HJ. A system of orthopaedic medicine. London. Orurchill Livingstone. 2003.
12 Patel SN, Kenner NW, Osbourne CA. Myelopathy: A Report of Two Cases. J Manipulative Physiol Ther. 2005;28(7):539-46.   DOI   ScienceOn
13 Lavelle WF, Bell GR Cervical myelopathy: History and physical examination. Seminars in Spine Surgery. 2007;19(1):6-11.   DOI   ScienceOn
14 최대혁, 최희남, 전태원, 파워 운동생리학. 서울. 라이프사이언스, 2008.
15 Law MD Jr, Bernhardt M, White AA 3rd Evaluation and management of cervical spondylotic myelopathy. Instr Course Lect. 1995;44:99-110.
16 Matsumoto M, Chiba K, Ishikawa M et al. Relationships between outcomes of conservative treatment and magnetic resonance imaging findings in patients with mild cervical myelopathy caused by soft disc herniations. Spine(Phila Pa 1976). 2001;26(14):1592-8.   DOI   ScienceOn
17 Matz PG. Does nonoperative management play a role in the treatment of cervical spondylotic myelopathy? Spine J. 2006;6(6 Suppl):175S-81S.
18 Nurick S. The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis. Brain. 1972; 95(1):101-8.   DOI   ScienceOn
19 Rumi MN, Tim Yoon S. Cervical myelopathy history and physical examination. Seminars in Spine Surgery. 2004;16(4):234-40.
20 Kuhtz-Buschbeck JP, JOhnk S, Mader S et al. Analysis of gait in cervical myelopathy. Gait & Posture. 1999;9(3):184-9.   DOI   ScienceOn
21 Baptiste DC, Fehlings MG. Pathophysiology of cervical myelopathy. Spine J. 2006;6(6 Suppl): 190S-7S.
22 Edwards CC 2nd, Riew KD, Anderson PA et al. Cervical myelopathy. current diagnostic and treatment strategies. Spine J. 2003;3(1):68-81.   DOI   ScienceOn
23 Bohlman HH, Emery SE. The pathophysiology of cervical spondylosis and myelopathy. Spine(Phila Pa 1976). 1988;13(7):843-6.   DOI   ScienceOn
24 Chae CH, Jung SL, An SH et al. Treadmill exercise improves cognitive function and facilitates nerve growth factor signaling by activating mitogen-activated protein kinase/extracellular signal-regulated kinase 112 in the strepto:zotocin-induced diabetic rat hippocampus. Neuroscience. 2009;16(4):1665-73.
25 Clarke E, Robinson PK. Cervical myelopathy: A complication of cervical spondylosis. Brain. 1956; 79(3):483-510.   DOI   ScienceOn
26 Fukuoka M, Matsui N, Otsuka T et al. Magnetic resonance imaging of experimental subacute spinal cord compression. Spine(phila Pa 1976). 1998;23 (14):1540-9.   DOI   ScienceOn
27 Greek MJ, Eismont FJ. Surgical options for the treatment of cervical spondylotic myelopathy. Orthop Clin North Am. 2002;33(2):329-48.   DOI   ScienceOn
28 Al-Mefty O, Harkey HL, Marawi I et al. Experimental chronic compressive cervical myelopathy. J Neurosurg. 1993;79(4):550-61.   DOI   ScienceOn