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As motor function degenerates, muscle spasticity and atrophy may occur. Medications such as NSAIDs and gabapentinoids may be prescribed to reduce swelling of the spinal cord, pain, and spasticity. [9] Research is underway to consider the potential of stem cells for treatment of neurodegenerative diseases.
Postoperative radiation is delivered within 2–3 weeks of surgical decompression. Emergency radiation therapy (usually 20 grays in 5 fractions, 30 grays in 10 fractions or 8 grays in 1 fraction) is the mainstay of treatment for malignant spinal cord compression. It is very effective as pain control and local disease control.
The presence and severity of myelopathy can also be evaluated by means of transcranial magnetic stimulation (TMS), a neurophysiological method that allows the measurement of the time required for a neural impulse to cross the pyramidal tracts, starting from the cerebral cortex and ending at the anterior horn cells of the cervical, thoracic or ...
A group of muscles innervated through a specific part of the spine is called a myotome, and injury to that part of the spinal cord can cause problems with movements that involve those muscles. The muscles may contract uncontrollably ( spasticity ), become weak , or be completely paralysed .
The lumbar (or lower back) region is the area between the lower ribs and gluteal fold which includes five lumbar vertebrae (L1–L5) and the sacrum. In between these vertebrae are fibrocartilaginous discs , which act as cushions, preventing the vertebrae from rubbing together while at the same time protecting the spinal cord .
It can be classified by the part of the spine affected into cervical, thoracic, and lumbar stenosis. [2] Lumbar stenosis is the most common, followed by cervical stenosis. [2] Diagnosis is generally based on symptoms and medical imaging. [4] Treatment may involve medications, bracing, or surgery. [6]