DOI: 10.36347/sasjs.2022.v08i11.001

Pages: 665-668

Introduction: Cervical spondylotic myelopathy (CSM) most frequently occur in old age because of degenerative change in the cervical vertebrate, intervertebral disc, and hypertrophy of ligamentum flava that create pressure on the spinal cord. Cervical spondylotic myelopathy manifests as long-tract clinical findings in the upper and lower extremities caused by spinal cord compression. Cervical myelopathy is a clinical syndrome that may result from cervical spondylosis. When cervical myelopathy is a result of spondylosis, it is referred to as cervical spondylotic myelopathy. The study aimed to analyze the involvement of the disc space of the vertebral column in cervical spondylotic myelopathy. Methods: This study was carried out at the department of orthopaedics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. The study was conducted on 30 participants from March 2012 to September 2014. Result: Among the 30 cases, 24 (80%) cases were male and 6 (20%) cases were female. The age range was from 31-60 years. 15(50%) were manual workers, 12(40%) were sedentary workers and 3(10%) were housewives. the majority of the patients 15(50%) had suffered from the symptoms for 10 to 12 months. The most common level of myelopathy was the C5/6 level 13 (44.44%). Among the 30 patients, 27 (90%) cases were presented with myelopathy and the other 3(10%) cases were presented with myeloradiculopathy. Conclusion: Cervical spondylotic myelopathy is a progressive neurological disease that requires surgical intervention in most cases. In terms of interspace disc involvement, C5 C6 was the most frequent space which is 66.7%. C4 C5 and C6 C7 had the same frequency of involvement which was 10% indicating the second most common spaces concurrently.