ISOLATED DEGENERATIVE C1 SPINAL STENOSIS: CASE REPORT AND REVIEW OF THE LITERATURE

İngilizce (OpenAlex)

Cervical spinal stenosis (CSS) is a pathology typically seen in males over the age of 65 years, at C5-6 and C6-7 distances, often due to a decrease in the cervical canal diameter, resulting from the degenerative process and the formation of a secondary neural compression. Although degeneration of the cervical spinal elements is the primary pathologic lesion in CSS, secondary compression of the spinal cord or spinal vascular structures is responsible for the emergence of myelopathy symptoms. Risk factors for normally localised CSS include increasing age, male gender, disc degeneration, loss of vertebral height due to ageing (with trauma or osteoporosis), posterior longitudinal ligament calcification and the presence of a congenital anomaly (Congenital CSC, Klippel-Feil Syndrome). Clinically, progressive myelopathic complaints are prominent depending on the degree of stenosis. Diagnosis is made by measuring the anteroposterior diameter of the cervical canal radiologically. Treatment is by surgical decompression with or without fusion, in patients having progressive clinical symptoms, with radiological evidence of a narrow canal and the existence of neurological compression. In this report, two patients without systemic/rheumatologic concomitant disease and congenital predisposing factors, who were operated for isolated C1 narrow canal were discussed with a review of the literature.