What Is the Treatment for Spondylosis With Myelopathy?

Treatment for spondylosis with myelopathy starts with the use of nonsteroidal anti-inflammatory medications or steroids to reduce pain and inflammation, physical therapy and temporary immobilization of the affected area, according to Dr. Bernard A. Rawlins. Doctors sometimes recommend surgical treatment for myelopathy to relieve pressure on the spinal cord.

Cervical spondylosis with cervical myelopathy, commonly called cervical spondylotic myelopathy, is the most common spinal cord disorder for people over the age of 55, notes the American Family Physician. This condition affects the neck, but spondylosis, which is the stiffening of the vertebrae, can affect any part of the back or neck, according to eMedicineHealth. Myelopathy, which is injury to the spinal cord, often occurs due to spondylosis.

If the symptoms of cervical spondylotic myelopathy continue to progress with noninvasive treatments, a doctor may recommend surgery, notes Spine-health. Doctors also consider surgery if six to eight weeks of treatment with physical therapy and medication do not diminish symptoms.

Cervical laminectomy was once the surgical procedure of choice to treat the majority of cervical spondylotic myelopathy cases, explains Spine-health. During this surgery, the doctor removes a portion of the back of the spinal canal to eliminate the compression of the nerves. As of 2015, doctors sometimes remove a portion of the front of the spinal canal instead of the posterior of the canal to create a better surgical result.