Posted 7/28/2018 11:14 AM (GMT -7)
Seashell, I agree with your explanation on L4-L5, but the myelopathy is the keyword. I have cervical spinal stenosis which is narrowing of the spinal canal. However, in certain areas of the cervical spine, in addition to the narrowing, I have dysfunction and deterioration of the spine (C6-T1) which is called cervical myelopathy. The symptoms I am having are clumsy and staggering of the foot, occasional drop foot, and I have a spastic gait. In addition to this problem, I am starting to develop bladder incontinence which is a symptom of cervical myelopathy signifying the seriousness of this problem. So the answer hopefully is a cervical laminectomy.
It seems like the lumbar spine would be responsible for this problem (and it can be), but in my case the surgeon thinks the gait and bladder problem is caused by deterioration of the cervical spine. I am confident with his decision and hope that my normal gait will be restored once this surgery is done.
I do also have spinal stenosis at L4 and L5 which could be causing this gait problem as those two nerves are specifically noted for causing balance problems in the feet. But the surgeon is hoping this cervical operation will be the answer. He has also said that while I do have some spondylesis also along with other problems in the lumbar spine, I may be facing that surgery down the road.
Hope this explanation is helpful to you - I didn't catch onto it until I understood that cervical stenosis and cervical myelopathy are two different things.