Description
In this informative session led by Dr. Rohit Shetty, the complexities of cervical spondylotic myelopathy (CSM), now more commonly referred to as degenerative cervical myelopathy (DCM), are explored. Dr. Shetty outlines the natural progression of the disease, emphasizing its multifactorial nature and the genetic predisposition that plays a significant role in its development as individuals age. He discusses the various degenerative changes that occur in the spine, including disk degeneration and osteophyte formation, which lead to spinal cord compression.
Dr. Shetty delves into the clinical presentation of myelopathy, highlighting its often insidious onset, where patients may initially report vague symptoms such as generalized body pain and weakness, which can easily be overlooked. A critical point made is the importance of thorough clinical evaluation and the need to differentiate myelopathy from related conditions. He mentions that about 80% of patients may experience sensory impairments, but other symptoms can vary widely.
The speaker then touches on radiographic evaluations like MRI and CT scans, explaining their role in surgical planning. Emphasizing the importance of recognizing symptoms that indicate neurological decline, he notes that surgical intervention can significantly improve outcomes for patients exhibiting severe cord compression. Patients are informed that while surgery can prevent further deterioration, the recovery process may extend over two to three years.
Throughout his talk, Dr. Shetty encourages open conversations with patients about their options, the unpredictability of disease progression, and the necessity of tailored management plans based on individual health circumstances. The session concludes with a discussion of postoperative complications and a call to recognize the subtle presentations of myelopathy, urging medical professionals to remain vigilant and thorough in their patient evaluations.