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    Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10].

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    Author
    Rodrigues-Pinto, Ricardo
    Montenegro, Thiago S
    Davies, Benjamin M
    Kato, So
    Kawaguchi, Yoshiharu
    Ito, Manabu
    Zileli, Mehmet
    Kwon, Brian K
    Fehlings, Michael G
    Koljonen, Paul A
    Kurpad, Shekar N
    Guest, James D
    Aarabi, Bizhan
    Rahimi-Movaghar, Vafa
    Wilson, Jefferson R
    Kotter, Mark R N
    Harrop, James S
    Show allShow less

    Date
    2022-02
    Journal
    Global Spine Journal
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/21925682211062494
    Abstract
    Study Design: Literature Review (Narrative). Objective: To introduce the number 10 research priority for Degenerative Cervical Myelopathy: Individualizing Surgery. Methods: 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. Results: 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. Conclusion: Developing the evidence to better guide surgical decision-making at the individual patient level is a research priority for Degenerative Cervical Myelopathy. © The Author(s) 2021.
    Keyword
    cervical spine
    cervical spondylotic myelopathy
    degenerative cervical myelopathy
    myelopathy
    nontraumatic spinal cord injury
    spondylosis
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18231
    ae974a485f413a2113503eed53cd6c53
    10.1177/21925682211062494
    Scopus Count
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