Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10].
cervical spine
cervical spondylotic myelopathy
degenerative cervical myelopathy
myelopathy
nontraumatic spinal cord injury
spondylosis
Journal
Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
entrez:
17
2
2022
pubmed:
18
2
2022
medline:
18
2
2022
Statut:
ppublish
Résumé
Literature Review (Narrative). To introduce the number 10 research priority for Degenerative Cervical Myelopathy: Individualizing Surgery. This article summarizes the current recommendations and indications for surgery, including how known prognostic factors such as injury time, age, disease severity, and associated comorbidities impact surgical outcome. It also considers key areas of uncertainty that should be the focus of future research. While a small proportion of conservatively managed patients may remain stable, the majority will deteriorate over time. To date, surgical decompression is the mainstay of treatment, able to halt disease progression and improve neurologic function and quality of life for most patients. Whilst this recognition has led to recommendations on when to offer surgery, there remain many uncertainties including the type of surgery, or timing in milder and/or asymptomatic cases. Their clarification has the potential to transform outcomes, by ensuring surgery offers each individual its maximum benefit. Developing the evidence to better guide surgical decision-making at the individual patient level is a research priority for Degenerative Cervical Myelopathy.
Identifiants
pubmed: 35174733
doi: 10.1177/21925682211062494
pmc: PMC8859702
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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