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World J Clin Cases. Jun 16, 2013; 1(3): 111-115
Published online Jun 16, 2013. doi: 10.12998/wjcc.v1.i3.111
Published online Jun 16, 2013. doi: 10.12998/wjcc.v1.i3.111
Syringomyelia associated with cervical spondylosis: A rare condition
Alessandro Landi, Lorenzo Nigro, Nicola Marotta, Cristina Mancarella, Pasquale Donnarumma, Roberto Delfini, Division of Neurosurgery, Department of Neurology and Psichiatry, University of Rome Sapienza, 00181 Rome, Italy
Author contributions: Landi A and Nigro L offered the primary contribution to conception and design, acquisition of data, analysis and interpretation of data; Nigro L drafting the article and revising it critically for important intellectual content; Marotta N, Mancarella C, Donnarumma P and Delfini R also contributed to this paper.
Correspondence to: Alessandro Landi, MD, PhD, Division of Neurosurgery, Department of Neurology and Psichiatry, University of Rome Sapienza, Policlinico Umberto I, Viale del Policlinico 155, 00181 Rome, Italy. dott.alessandro.landi@gmail.com
Telephone: +39-32-90641772 Fax: +39-6-4997911
Received: February 2, 2013
Revised: April 11, 2013
Accepted: May 16, 2013
Published online: June 16, 2013
Revised: April 11, 2013
Accepted: May 16, 2013
Published online: June 16, 2013
Core Tip
Core tip: Our study assume that central cord syndrome can result in syringomyelia. We postulate that cervical spine instability may be the cause of myelomalacia and consequently syrinx. In cervical spondylosis with related central cord syndrome or syringomyelia we underline the importance of surgical decompression and stabilization. Surgical decompression prevents “complications of cervical spondylosis” at the base of syringomyelia. Stabilization is also necessary to prevent instability of the cervical spine at the base of central cord syndrome or syringomyelia. Finally we propose the surgical treatment also for patients affected by central cord syndrome showing advanced state of the symptoms and magnetic resonance imaging.