Degenerative Cervical Spondylosis- Is Instability the Primary Point of Pathogenesis?
|Atul Goel MCH*|
|Professor and Head of Department, Department of Neurosurgery, King Edward VII Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, India|
|Corresponding Author :||Atul Goel
Department of Neurosurgery
K.E.M. Hospital and Seth G.S. Medical College
Parel, Mumbai, India
Fax: 22- 24143435
E-mail: [email protected]
|Received: December 03, 2015 Accepted: December 17, 2015 Published: December 19, 2015|
|Citation: Atul Goel CH (2015) Degenerative Cervical Spondylosis- Is Instability the Primary Point of Pathogenesis? J Spine 4:271.doi:10.4172/2165-7939.1000271|
|Copyright: © 2015 Atul Goel CH. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Degenerative spinal ‘disease’ is a frequent cause of radiculopathy and myelopathy and can lead to disabling symptoms and neurological deficits. The issue has been under extensive discussion for over a century. Disc degeneration and ‘age-related’ loss of its water content has been universally agreed to be the nodal point of pathogenesis that leads to a cascade of pathological events that are clubbed under the term ‘spinal degenerative spondylosis’. The essential elements in the degenerative process are intrusion into the spinal canal by ‘pathological’ thickening of posterior longitudinal ligaments (osteophytes) and liagmentum flavum. The entire process leads to reduction in the spinal canal or root canal space slated for traverse of neural tissues resulting in spinal cord (myelopathy) or root compressive symptoms (radiculopathy).