Cervical myelopathy diagnosis and surgery in Noida. Spinal cord compression causing hand clumsiness, gait difficulty — ACDF or posterior decompression. Team Sushrut, Medanta Noida.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Hand clumsiness
difficulty with fine movements (buttoning, writing, typing)
Title
Unsteady gait (walking as if on ice)
Title
Urinary urgency or frequency
Title
Neck pain (may be absent)
Title
Arm weakness or leg heaviness
Title
Electric shock sensation down the spine on neck flexion (Lhermitte's sign)
Title
Hyperreflexia on examination
Treatments
Title
Anterior cervical discectomy and fusion (ACDF) for 1–2 level disease
Title
Anterior cervical corpectomy and fusion (ACCF) for multi-level compression
Title
Posterior cervical laminectomy and fusion
Title
Posterior cervical laminoplasty (motion-preserving)
Title
Intraoperative neurophysiological monitoring
Title
Post-operative physiotherapy and rehabilitation
