Cervical Spinal Stenosis Injury Specialists Frederick MD

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Thomas Francis Ryan, MD
(301) 652-6616
5473 Prince William Ct
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1969

Data Provided By:
C Jeffrey Bowman, DDS
(301) 662-3366
10 W College Ter
Frederick, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Saidi G Osman, MD
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nairobi, Coll Of Hlth Sci, Nairobi, Kenya
Graduation Year: 1977

Data Provided By:
Shao-Huang Chiu, MD
(301) 663-0131
187 Thomas Johnson Dr Ste 1
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Taipei Med Coll, Taipei, Taiwan (385-04 Prior 1/71)
Graduation Year: 1966

Data Provided By:
Robert T Fisher
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialty
Orthopedic Surgery

Data Provided By:
Adam Mitchell Mecinski, MD
(301) 739-7790
915 Toll House Ave Ste 309
Frederick, MD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided By:
Kristin S Nesbitt, MD
(301) 694-8311
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1998

Data Provided By:
David Laverne Kowalk, MD
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1991

Data Provided By:
Mark David Charlson, MD
(301) 694-8311
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1997

Data Provided By:
Mark Douglas Chilton, MD
(301) 695-4505
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1980

Data Provided By:
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Cervical Spinal Stenosis

A Patient's Guide to Cervical Spinal Stenosis

Introduction

Anatomy

What parts make up the spine and neck ?

The spine is made of a column of bones. Each bone, or vertebra, is formed by a round block of bone, called a vertebral body. A bony ring attaches to the back of the vertebral body, forming a canal.

This bony ring is formed by two sets of bones. One set, the pedicle bones, attaches to the back of each vertebral body. On the other end, each pedicle bone connects with a lamina bone. The lamina bones form a protective roof over the back of the spinal cord. When the vertebra bones are stacked on top of each other, the bony rings forms a long bony tube that surrounds and protects the spinal cord as it passes through the spine.

An intervertebral disc fits between each vertebral body and provides a space between the spine bones. The disc works like a shock absorber. It protects the spine against the daily pull of gravity. It also protects the spine during activities that put strong force on the spine, such as jumping, running, and lifting.

An intervertebral disc is made up of two parts. The center, called the nucleus, is spongy. It provides most of the ability to absorb shock. The nucleus is held in place by the annulus, a series of strong ligament rings surrounding it. Ligaments are strong connective tissues that attach bones to other bones.

Related Document: A Patient's Guide to Cervical Spine Anatomy

Causes

Why do I have this problem?

The bony spinal canal normally has more than enough room for the spinal cord. Typically, the canal is 17 to 18 millimeters around, slightly less than the size of a penny. Spinal stenosis occurs when the canal narrows to 13 millimeters or less. When the size drops to 10 millimeters, severe symptoms of myelopathy occur. Myelopathy is a term for any condition that affects the spinal cord. The symptoms of myelopathy result from pressure against the spinal cord and reduced blood supply in the spinal cord as a result of the pressure.

Spinal stenosis may develop for any number of reasons. Some of the more common causes of spinal stenosis include

  • congenital stenosis
  • degeneration
  • spinal instability
  • disc herniation
  • constriction of the blood supply to the spinal cord

Congenital Stenosis

Some people are born with a spinal canal that is narrower than normal. This is called congenital stenosis. They may not feel problems early in life, but having a narrow canal to begin with places them at risk for stenosis. Even a minor neck injury can set them up to have pressure against the spinal cord. People born with a narrow spinal canal often have problems later in life, because the canal tends to become narrower due to the affects of aging. These degenerative changes often involve the formation of bone spurs (small bony projections) that point into the spinal canal and put pressure on the spinal cord.

Degeneration

Degeneration is the most c...

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