fbpx

Cervical Spine Stenosis

Cervical spine stenosis (CSS) is a degenerative disease that most often happens over time, with years of wear and tear. This is more commonly referred to as arthritis of the spine. The spinal canal and neural foramen narrow and compress the spinal cord and nerve roots. Stenosis occurs when pressure increases inflaming the facet joints.

Studies show that we can start the degenerative process, depending on how well we take care of our bodies, as early as our 30s. Genetics and congenital factors can predispose a person for stenosis. Usually the very severe symptoms don’t show until age 60 and older. Other causes of CSS include cervical spondylosis and diffuse idiopathic skeletal hyperostosis (DISH), or calcification of the posterior longitudinal ligament.

The cervical spine

The cervical spine is made up of the first seven vertebrae in the spine. The first two vertebral bodies in the cervical spine are called the atlas and the axis. The cervical spine is much more mobile than the thoracic (mid-back) or the lumbar (lower-back).

Symptoms of cervical spine stenosis

Because of constriction and inflammation it may cause symptoms of shooting pain, that may feel a little like an electric shock. This can be especially so if you flex your neck and tip your chin to your chest. Other sensations may include numbness, tingling, weakness, burning, and pins and needles in the involved extremity.

Your Consultant will have to do testing because these types of symptoms can also be due to other problems such as disc herniation.

Stenosis is a chronic, progressive process that can have episodes of worsening.

Diagnosis of cervical spine stenosis

Most often the best diagnostic tool is MRI (Magnetic Resonance Imaging). With this method you don’t have the concern of radiation exposure found with X-Rays. X-Rays are still used in some cases. MRI can also determine whether or not the spinal cord is narrowing and where the narrowing is occurring, the degree of the compression, and any nerve roots that may be involved. After the diagnosis is made, a plan of treatment can be implemented.

Treatment for cervical spine stenosis

That depends on the severity of the diagnosis and the particular individual patient. If the diagnosis is a mild problem, the physician may implement physiotherapy (which may include water therapy) and/or the use of a cervical collar. The treatment plan could also include anti-infammatory and analgesic medications to help control and lessen inflammation and pain. The exact physical therapy regimen would have to be decided by your Consultant along with a physical therapist. If the diagnosis is a severe form causing a lot of other physical problems, then most probably you’ll be looking at surgical options.

Cervical spine stenosis surgery

This depends on the severity and the individual patient. The Consultant looks at other health concerns and age in each patient since there are risks in all surgical procedures. Some options include:

Laminectomy

A surgical procedure to remove a portion of the vertebral bone called the lamina. The minimal form of the procedure requires only small skin incisions, the back muscles are pushed aside rather than cut, and the parts of the vertebra adjacent to the lamina are left intact. Recovery from the minimal procedure can occur within a few days

Anterior cervical disectomy

An operation where the cervical spine is reached through a small incision in the front of your neck.  After the soft tissues of your neck are separated, the intervertebral disc and bone spurs are removed.

Anterior cervical disectomy with fusion

An operation performed on the upper spine to relieve pressure on one or more nerve roots and/or the spinal cord.  The term is derived from the words anterior (front), cervical (neck) and fusion (joining the vertebrae with a bone graft).

Foraminotomy

Surgical opening or enlargement of the bony opening traversed by a nerve root as it leaves the spinal canal. A procedure carried out alone or in conjunction with disc surgery.

Corpectomy

Excision of vertebral body usually combined with interpostion of prosthesis or bone graft.

Laminoplasty

The lamina are hinged laterally and opened like a door, and secured in their new position with suture or bone to enlarge the spinal canal.

Cervical Fusion

It involves the stabilization of two or more vertebrae by locking them together (fusing them). The fusion stops the vertebral motion and as a result, the pain is also stopped. Trauma and degenerative disc disease (DDD) can cause a need for this type surgery. This procedure can take 2 to 6 hours to perform, depending on the number of vertebrae involved. One of the risks involved in this procedure is that the bone graft may not take. This also leaves the patient with less mobility of the neck. This is one reason why physicians are now looking at Cervical Disc Replacement or Artificial Disc Replacement.

Artificial disc replacement

A surgical procedure in which degenerated intervertebral discs in the spinal column are replaced with artificial devices in the lumbar (lower) or cervical (upper) spine. The procedure is used to treat chronic, severe low back pain and cervical pain resulting from degenerative disc disease. Artificial disc replacement has been developed as an alternative to spinal fusion, with the goal of pain reduction or elimination, while still allowing motion throughout the spine. Another possible benefit is the prevention of premature breakdown in adjacent levels of the spine, a potential risk in fusion surgeries.

Contact us

For further questions relating to Cervical Spine Stenosis or to book an appointment call us on 020 3370 1030 or email spinespecialists@hje.org.uk

Spine Clinic

The Spine Clinic at St John & St Elizabeth Hospital is a centre for excellence in the diagnosis, intervention and aftercare of all spinal conditions.

A patient speaking to a receptionist

Patient information

Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

Make an enquiry

If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 020 3370 1030.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

*Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

    Make an enquiry

    Latest articles

    The latest news, insights and views from St John and Elizabeth Hospital.

    Find out what we’re doing to keep you safe, read expert articles and interviews with our leading specialist Consultants, learn more about common conditions and get your questions answered.

    05th July 2022

    What to expect as you recover from a stroke

    The sooner you begin therapy after a stroke, the more likely you are…

    first signs of mini-stroke

    24th May 2022

    The first signs of a mini-stroke and how to recover

    Having a stroke is a frightening experience, which over 100,000 people go through…

    home remedies for stomach pain

    05th May 2022

    Home remedies for stomach pain and when you should go to the hospital

    We all know what it’s like to have an upset tum or be…

    About hje hospital

    18th March 2022

    About St John & St Elizabeth Hospital

    Over the coming months, in planned phases, we’re opening the last few areas…

    health insurance

    18th March 2022

    Should you get health insurance?

    When it comes to paying for private healthcare, there are two main options…

    staying healthy while travelling

    17th March 2022

    5 tips for staying healthy abroad

    After the past couple of years we’ve had, you might be itching to…

    Private Cyst Removal

    20th January 2022

    What are cysts, and is cyst removal always needed?

    Cysts are a common skin condition, but what causes them, and do you…

    treatment after stroke

    18th January 2022

    Treatment after a stroke: What can you expect?

    A stroke occurs every five minutes in the UK. Post-stroke treatment is critical…

    medical professional looking into microscope

    12th January 2022

    Under the microscope: The many benefits of private healthcare

    Whatever your situation, there might come a point when you consider going private…

    shoulder pain

    11th January 2022

    What causes shoulder pain and what can you do about it?

    The shoulder is made up of various joints and tendons that allow a…

    gallbladder attack

    04th December 2021

    Are you having a gallbladder attack? Find out more about the causes, symptoms and treatment

    A gallbladder attack can happen at a moment’s notice and cause aggressive pain….

    overactive bladder

    02nd December 2021

    Constantly need to pee? How to treat an overactive bladder

    If you regularly get the feeling that you’ve “got to go”, you’re not…