Cervical Stenosis is usually due to progressive and worsening Cervical Degeneration. As patients lose disc height and integrity, there is no cushion for the cervical bones and the added stress causes cervical osteophytes to develop. As the osteophytes worsen, they grow anteriorly (to the front) and posteriorly (to the back) can compress the spinal cord causing Cervical Myelopathy. When the osteophytes grow posteriorly, they can approach the spinal cord and cause compression. Depending on the degree of compression, patients may or may not have symptoms of Cervical Myelopathy. Sometimes patients are diagnosed with Cervical Stenosis, but the compression is minimal and they are asymptomatic. When Cervical Stenosis becomes symptomatic, patients usually develop Cervical Neck Pain and/or Cervical Myelopathy. Cervical Stenosis can also cause Foraminal Stenosis and lead to Cervical Radiculopathy with or without Cervical Myelopathy. An MRI of the Cervical Spine is the gold standard for diagnosing patients with Cervical Stenosis. Depending on their presentation and symptoms, most patients will be started on a course of conservative care including non-steroidal anti-inflammatory agents and physical therapy. Only in patients with Cervical Myelopathy in the presence of Cervical Stenosis would surgery be considered sooner than later. Most patients can be treated with anterior cervical decompression and fusion although some patients may have severe degeneration and require both an anterior and posterior approach for surgical care. The goal of the surgeon is to treat with conservative care when possible and only reserve surgery for patients who: (1) fail conservative therapy, or (2) have severe weakness and at risk for paralysis. The majority of patients with Cervical Stenosis will respond to conservative care and not require surgery. Cervical stenosis can also occur at more than one level; when this occurs, it can span from C3-4 to C6-7 and rather than a multi-level anterior approach, your surgeon may decide to perform a posterior decompression and fusion to address all levels at once.
Cervical Stenosis
The Cervical Center is dedicated to the treatment and outcomes of patients who suffer from problems related to the cervical spine including any condition related to bone, nerve, or soft tissue. Our program is focused on high quality clinical outcomes and the most effective treatments for all conditions related to the cervical spine.
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Angelo Troiano14/11/2022Very professional and thorough with my surgery.
Faith Schwenker22/03/2022Dr. Abraham’s did my surgery and it was a great success. After nearly 8 years of pain, I finally found a doctor who could help me. My sciatica nerve was compressing my L4 and L5 which was giving me pain and a very poor quality of life. Not only does Dr. Abraham’s have a great bedside manner, but also he certainly knows the complexities of the spine. Thank you so much for giving me my life back!! P.S. I have referred his name to several of my friends and they too have had a successful outcome!!
Kathleen Cully28/05/2021Dr. Abrahams is an extremely compassionate and highly skilled neurosurgeon who, along with Dr. C. Shannon, saved my husband's life by removing a complicated malignant metastatic brain tumor during a very long surgery. In addition, Dr. Abrahams has been my surgeon for several spinal procedures and I trust him with my life.
Kathleen Darcy22/02/2021My experience was great 😊. Dr Abraham was fabulous.
Xavier Masi15/02/2021Dr. Abrahams is the best, very caring and takes time out to listen instead of rushing!!! thanks Doc.. I might have to come see you again. Anthony
Dale15/02/2021😷 Dr Abrahams is THE BEST! He is the absolute best brain & spine surgeon by far! His group is beyond excellent! My back & neck had been fractured in an accident, and I made the mistake of seeing a "spine doctor on Tarrytown Road," who did not want to see me again unless I needed more surgery! I was outright denied an appointment, even after this "doctor" performed a lumbar laminectomy on me!!!😡 I was miserable and in excruciating pain. Then everything changed.... 🙏THANK GOD I FOUND DR ABRAHAMS! He took all the time he needed with me to come up with a new plan and thoroughly explained the correct surgery I needed. I had a fractured sacrum, lower back S1, right up to L5, needing spinal fusion. I also had cervical herniations. My life changed after Dr Abrahams took care of my surgery, his office still checks up on me to make sure I'm doing well. The office and entire staff is so helpful, friendly and caring. I recommend Dr Abrahams on a regular basis to people I meet that have brain or spine problems. Dr Abrahams is also BRILLIANT. He is the creator of many medical devices that he received patents for. When you go in his office your eyes won't know what to look at first he has so many awards & patents. He's a MUST GO TO doctor! He changed my life, and I am forever grateful to him, Lisa (his personal coordinator), and his entire staff, fellow doctors that are also in group with Dr Abrahams. I HIGHLY RECOMMEND HIM as well as the doctors in practice within his group. You will get the best care by far.😊
Helena Mattis12/01/2021Dr. Abrahams literally saved my life. I went to him back in 2004 in horrible shape after being misdiagnosed by my Primary Care Physician. He went above and beyond in saving my life. I highly recommend him for his skills, ability, his humanity and love he demonstrates for both his patients and his work. Helena Edwards
Farah Rubeo13/09/2020Dr. Abrahams performed back surgery on me 6 years ago . I was 38 yrs old and in excruciating pain, not able to walk for longer longer than 5 minutes, sleeplessness nights and constantly being put on pain medication , including countless rounds of PT. Surgery was my only option to return to the quality of life I had before my injury and I am beyond grateful for Dr. Abrahams and his team. I have been playing softball, exercising , walking my dog and enjoying everything that I have missed for years! Dr. Abrahams to me Is a lifesaver! The best of the best !