29.03.2024

Spinal cord compression spinal

Spinal cord compression of the spine is a condition in which there is compression of the spinal cord. It occurs in various pathologies. A complex of symptoms that result from this are called myelopathy. The consequences of this condition very difficult.

Compression is because due to certain injuries or diseases of the spinal cord is pinched, so it can not function properly. Due to show neurological signs.

It should be noted that the compression of the spinal cord may occur for different reasons. The main factors causing acute pressure, are injuries and fractures of the spine.

Reasons

These include compression fractures of vertebra or several, which are characterized by the displacement of the bones, damage of the intervertebral discs and bone, which is manifested hematoma. Damage to intervertebral discs is their rupture or displacement, and is particularly frequent in the cervical and thoracic. Another cause of acute compression may be subluxation, dislocation of the spine. Spinal cord compression due to injury, develops rapidly over several hours.

Another reasons that result in compression of the spinal cord can be:

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  • the presence of a tumor;
  • abscess a subdural or epidural type;
  • the presence of hematoma;
  • damage to the intervertebral discs.

State data refer to the group of subacute compression. Such compression of the spinal cord develops from several days to weeks.

Can also be diseases and conditions that relate to chronic compression of the spinal cord:

  • Protrusion in the spinal canal. It can be bone or cartilage, and is manifested in different parts of the spine (cervical, thoracic and lumbar). Such pathologies can be attributed to the manifestation of osteophytes or spondylosis. Quite often they appear if people have a narrow spinal canal (congenital feature).
  • Malformation of blood vessels.
  • Tumors of extramedullary and intramedullary types.

It should be noted that the violations in craniocervical the transition, including subluxation anantasesha joint can provoke both acute and subacute chronic compression of the spinal cord.

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Symptoms

Compression of the spinal cord most often manifests this symptom is pain in the back. This feature is one of the earliest. Further, the intensity of pain will increase, as a rule, it happens gradually. It is noted still pain localised between the shoulder blades, which is characterized by the manifestation in the nighttime. This symptom indicates compression of the nerve roots. Further this will develop radicular syndrome. But the pain between the shoulder blades may also indicate metastatic lesions of the spine.

Pain during intramedullary tumor processes differ significantly, as this raises searing pain that is difficult to precisely localize. On can occur with spastic paresis.

In addition, there are such symptoms:

  • Parestezii.
  • Weakness of the limbs.
  • Dysfunction of the urinary system. Those violations included discomfort at the beginning of urination, weak stream, men lack of erection /orgasm/ejaculation.
  • Impaired outflow of fluid from the kidneys, but this condition is often painless.

These symptoms are often associated with other diseases such as urinary tract obstruction or severe lesions of the prostate.

Late symptoms include sensitivity. Often it is reduced in the region of the anal sphincter, there may be another decline in tone. Also the sensitivity can be violated near the genitals. If a person with the installation of a urinary catheter, no sensitivity, that is, he does not feel, as the tube moves through the urethra. This may indicate compression of the cauda equina. When the diagnosis tests the level of muscular-articular sensitivity and the sensitivity of the vibrating type.

Various pareses that occur as a result of the compression, initially accompanied by a slight clumsiness and gradually grows to a complete loss of muscle tone.

Compression of the spinal cord may manifest additional symptoms

  • reduced blood pressure;
  • fever;
  • bradycardia.
Diagnosis and treatment

Diagnostic methods that can detect compression of the spinal cord, are MRI and CT-myelography. If you suspect this pathology through a lumbar puncture into the spinal cord enter Iohexol. This contrast agent, which requires a small amount of. It’s spreading down your spinal cord to the level where there is a blockade. This requires the introduction of the drug by cervical puncture. This gives the possibility to determine the upper limit of the blockade.

And MRI and CT will help to determine the presence of tumors, bone damage. If a specific medical facility does not have these devices, then immediately conducted x-rays of the spine, and then have doctors decide what action should be performed.

To eliminate infection, you need to conduct a study of blood and urine.

Treatment of spinal cord compression is always directed at eliminating pressure. Quite often the process is reversible, but there are cases when there is a complete dysfunction of the spinal cord.

If the tumor is diagnosed, emergency surgery. In the case of a malignant tumor, the patient is prescribed radiation therapy. After that carried out a laminectomy. That is surgical decompression. But practice shows that such operation continues to the patient’s life for on average 6 months.

If spinal cord compression in all patients shown pain medications. Individual therapies appoints qualified personnel only.

Forecasts

It should be noted that a very important factor in the prognosis is the patient’s condition. If he is at the time of contact can move independently, the chance that the paralysis will be small – 10-30%. As for patients already paralyzed, the chances of independent movement after medical therapy small. This occurs in 20-40% of cases.

Also if there are violations in the urogenital system, only 40% of the time everything is restored. The average life expectancy is 1.5 years. But it in patients who are treated on an outpatient basis.

One thought on “Spinal cord compression spinal

  1. Why viewers still make use of to read news papers when in this technological globe all is existing on net?

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