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Syringomyelia associated with cervical spondylotic myelopathy causing canal stenosis. A rare association
Affiliations- Department of Neurosurgery, Ernst Moritz Arndt University, Germany
- Department of Neurosurgery, Cairo University, Egypt
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Abstract
Although cervical spondylosis is extremely common, only few cases with associated syrinx have been reported. Depending on review of two large data bases, we report this case series. In addition, we evaluated the posterior decompression as the management option in treatment of this rare condition.
Materials and methodsData of all cases with cervical spondylosis and canal stenosis that sought medical advice or needed decompressive laminectomy/laminoplasty between the years 2006 and 2015 were checked in manually. Perioperative data, together with follow up were reviewed.
ResultsOut of five cases found in the reviewed data; four cases undergone posterior decompression (laminectomy in two cases and laminoplasty in the other). One case refused surgery. Along mean follow up period of 6.25 months; three cases improved markedly, while in one case no improvement occurred.
ConclusionCervical spondylotic myelopathy can rarely cause syringomyelia. Posterior decompression would be the preferable management option with clinical improvement of most of the cases.
Abstract
Although cervical spondylosis is extremely common, only few cases with associated syrinx have been reported. Depending on review of two large data bases, we report this case series. In addition, we evaluated the posterior decompression as the management option in treatment of this rare condition.
Materials and methodsData of all cases with cervical spondylosis and canal stenosis that sought medical advice or needed decompressive laminectomy/laminoplasty between the years 2006 and 2015 were checked in manually. Perioperative data, together with follow up were reviewed.
ResultsOut of five cases found in the reviewed data; four cases undergone posterior decompression (laminectomy in two cases and laminoplasty in the other). One case refused surgery. Along mean follow up period of 6.25 months; three cases improved markedly, while in one case no improvement occurred.
ConclusionCervical spondylotic myelopathy can rarely cause syringomyelia. Posterior decompression would be the preferable management option with clinical improvement of most of the cases.
Keywords
Syringomyelia, Spondylotic myelopathy, Laminectomy, Laminoplasty
About this articleTitle
Syringomyelia associated with cervical spondylotic myelopathy causing canal stenosis. A rare association
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
471-475
Page views
331
Article views/downloads
1117
DOI
10.1016/j.pjnns.2017.08.002
Bibliographic record
Neurol Neurochir Pol 2017;51(6):471-475.
Keywords
Syringomyelia
Spondylotic myelopathy
Laminectomy
Laminoplasty
Authors
Dirk Pillich
Ehab El Refaee
Jan-Uwe Mueller
Amr Safwat
Henry W.S. Schroeder
Joerg Baldauf
