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Cervical & lumbar

spondylosis
DR. Fatema talaat

The spine

33 vertebrae:
7 cervical
12 thoracic
5 lumbar
5 sacral (sacrum,
which
does
not
contain any discs)
4 coccygeal

Spinal cord:

Ends at lower end


of L1.
Cauda equina:
Multiple
nerve
roots begin at
the level of L1

Spondylosis :
Age-related degeneration ('wear and tear') of :
-the bones (vertebrae)
-discs.

M anifestation of sponylosis
(cervical& lum bar):
1-Rootcom pression(radiculopathy):
-sensory (derm atom al)
-m otor(LM N w eakness in m s supplied by
com pressed root)
2-Cord com pression (m yelopathy):
-sensory aff
ection below levelofcom pression
(both superfi
cial& deep) (spinothalam ic & posterior
colum n)

-m otorUM NL below levelofcom pression

M otor af e
fction:
w hich m s?

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