№ 167Neurology15 min read
Neurological consequences of cervical and lumbar spondylosis
1. Big picture
Spondylosis means degenerative disease of the spine: disc degeneration, osteophytes, facet joint arthrosis, ligament thickening, and narrowing of intervertebral foramina or the spinal canal.
For the neurology exam, the key is not the X-ray finding itself, but what neurological structure is compressed:
| Structure affected | Clinical consequence |
|---|---|
| Nerve root | Radiculopathy: dermatomal pain, sensory loss, reduced reflex, myotomal weakness |
| Cervical spinal cord | Cervical myelopathy: upper motor neuron signs, spastic gait, tetraparesis/paraparesis |
| Lumbar spinal canal / cauda roots | Neurogenic claudication, cauda equina syndrome |
| Cer |
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