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dc.contributor.authorRodrigues-Pinto, Ricardo
dc.contributor.authorMontenegro, Thiago S
dc.contributor.authorDavies, Benjamin M
dc.contributor.authorKato, So
dc.contributor.authorKawaguchi, Yoshiharu
dc.contributor.authorIto, Manabu
dc.contributor.authorZileli, Mehmet
dc.contributor.authorKwon, Brian K
dc.contributor.authorFehlings, Michael G
dc.contributor.authorKoljonen, Paul A
dc.contributor.authorKurpad, Shekar N
dc.contributor.authorGuest, James D
dc.contributor.authorAarabi, Bizhan
dc.contributor.authorRahimi-Movaghar, Vafa
dc.contributor.authorWilson, Jefferson R
dc.contributor.authorKotter, Mark R N
dc.contributor.authorHarrop, James S
dc.date.accessioned2022-03-14T13:21:18Z
dc.date.available2022-03-14T13:21:18Z
dc.date.issued2022-02
dc.identifier.urihttp://hdl.handle.net/10713/18231
dc.description.abstractStudy 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.en_US
dc.description.urihttps://doi.org/10.1177/21925682211062494en_US
dc.language.isoenen_US
dc.publisherSAGE Publications Inc.en_US
dc.relation.ispartofGlobal Spine Journalen_US
dc.subjectcervical spineen_US
dc.subjectcervical spondylotic myelopathyen_US
dc.subjectdegenerative cervical myelopathyen_US
dc.subjectmyelopathyen_US
dc.subjectnontraumatic spinal cord injuryen_US
dc.subjectspondylosisen_US
dc.titleOptimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10].en_US
dc.typeArticleen_US
dc.identifier.doi10.1177/21925682211062494
dc.identifier.pmid35174733
dc.source.journaltitleGlobal spine journal
dc.source.volume12
dc.source.issue1_suppl
dc.source.beginpage147S
dc.source.endpage158S
dc.source.countryEngland


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