Treatment for Cervical Spondylosis with Muscle Spasm and Reversed Cervical Lordosis

Understanding the Condition

Cervical spondylosis can put pressure on nerves and spinal cord, causing pain, numbness, or weakness in arms and hands 1

For cervical spondylosis with muscle spasm indicated by reversal of cervical lordosis on X-ray, treatment should include short-term muscle relaxants (up to 2-3 weeks), physical therapy, and pain management, with surgery reserved for cases with severe or progressive neurological deficits 1
Exercises to strengthen neck muscles and improve posture 1
Anti-inflammatory medications to reduce pain and inflammation 1
Hot/cold therapy for temporary pain relief 1
Activity modification to avoid positions that worsen symptoms 2

Anterior cervical discectomy and fusion (ACDF) is effective for 1-2 level disease 4
Anterior corpectomy is recommended for 3-segment disease 3
Laminoplasty preserves motion and reduces axial neck pain 6
Laminectomy with fusion prevents post-laminectomy kyphosis 7, 8

Cervical spondylosis often has a mixed progression with periods of stability 2
Long periods of severe stenosis can lead to potentially irreversible damage to the spinal cord 2
Post-surgical kyphosis occurs in approximately 10% of patients after laminoplasty 6
C5 nerve palsy can develop after surgery, especially when laminae are elevated to an angle > 60° 6
Pseudarthrosis (nonunion) can occur in approximately 10.9% of cases after corpectomy 5

Presence of progressive neurological deficits 1
Failure to respond to conservative treatment after 3 months 1
Signs of cervical myelopathy (difficulty with fine motor skills, gait disturbances) 1
Evidence of significant spinal cord compression on imaging 1