Top

Skeletal Radiology

Published in:

01-12-2012 | Scientific Article

The epidemiology of cervical spondylotic myelopathy

Authors: J. R. Northover, J. B. Wild, J. Braybrooke, J. Blanco

Published in: Skeletal Radiology | Issue 12/2012

Abstract

Objectives

This is an observational study looking at the epidemiology of cervical spondylotic myelopathy of patients presenting to our hospital.

Materials and methods

The notes and MRI scans of 41 patients presenting to the Leicester General Hospital with a clinical diagnosis of cervical myelopathy between January 2004 and December 2008 were reviewed retrospectively.

Results

Cervical myelopathy was found to be more common in male patients to the ratio of approximately 2.7:1, with an average age at diagnosis of 63.8 years. Multi-level disease was seen in the majority of patients, with C5/6 being the most commonly affected level.

Conclusions

Cervical myelopathy predominantly affects men in their 7th decade of life. It is often a multi-level disease with C5/6 being the most commonly affected. It has little in common with cervical radiculopathy and is more analogous to lumber spinal stenosis.

Brain WR, et al. The neurological manifestations of cervical spondylosis. Brain. 1952;75:187–225.PubMedCrossRef

Sampath P, Bendebba M, Davis JD, Ducker TB. Outcome of patients treated for cervical myelopathy: a prospective, multicenter study with independent clinical review. Spine. 2000;25(6):670–6.PubMedCrossRef

Simeone FA, Rothman RH. Cervical disc disease. The spine. 2nd ed. Philadelphia: Saunders; 1982. p. 440–76.

Dillin WH. Clinical syndromes in cervical myelopathy. The spine. 5th ed. Philadelphia: Saunders; 2006. p. 775–88.

Boden SD, McCowin PR, Davis DO, et al. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72(8):1178–84.PubMed

Lee MJ, Cassinelli EH, Rire KD. Prevalence of cervical spine stenosis. Anatomic study in cadavers. J Bone Joint Surg Am. 2007;89(2):376–80.PubMedCrossRef

Radhakrishnan K, Litchy WJ, O’Fallon M, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain. 1994;1994(117):325–35.CrossRef

Kelsey JL, Githens SD, Walter SD, et al. An epidemiological study of acute prolapsed cervical intervertebral disc. J Bone Joint Surg Am. 1984;66(6):907–14.PubMed

Lees F, Turner JWA. Natural history and prognosis of cervical spondylosis. Br Med J. 1963;2:1607–10.PubMedCrossRef

10.

Martinelli TA, Wiesel SW. Epidemiology of spinal stenosis. Instr Course Lect. 1992;41:179–81.PubMed

11.

Penning L. Normal movements of the cervical spine. Am J Roentgenol. 1978;130:317–26.PubMed

Title: The epidemiology of cervical spondylotic myelopathy
Authors: J. R. Northover
J. B. Wild
J. Braybrooke
J. Blanco
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 12/2012
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-012-1388-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The epidemiology of cervical spondylotic myelopathy

Abstract

Objectives

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 12/2012

3-T MRI assessment of osteophyte formation in patients with unilateral anterior cruciate ligament injury and reconstruction

Painless groin mass and multiple erythematous to violaceous skin lesions: diagnosis and discussion

Can MR imaging challenge the commonly accepted theory of the pathogenesis of solitary enchondroma of long bone?

Paleopathological findings in radiographs of ancient and modern Greek skulls

Painless groin mass and multiple erythematous to violaceous skin lesions

Assessment of lumbar vertebrae morphology by magnetic resonance imaging in osteoporosis