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. 2019 Sep;16(3):403-407.
doi: 10.14245/ns.1938238.119. Epub 2019 Sep 30.

Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Jutty Parthiban  1 , Oscar L Alves  2 , Komal Prasad Chandrachari  3 , Premanand Ramani  4 , Mehmet Zileli  5
Affiliations

Value of Surgery and Nonsurgical Approaches for Cervical Spondylotic Myelopathy: WFNS Spine Committee Recommendations

Jutty Parthiban et al. Neurospine. 2019 Sep.

Abstract

Cervical spondylotic myelopathy (CSM) is a common cause of adult spinal cord dysfunction. Although the therapeutic options for moderate to severe CSM patients have been established well, the existing guidelines for therapeutic decisions in mild cases of CSM are unclear. We present a review of literature on conservative treatment and surgery for CSM and suggest general recommendations applicable in various clinical presentations and in different geographic locations across the globe, with due considerations to available resources and locally prevalent practices.

Keywords: Cervical spondylotic myelopathy; Degenerative cervical myelopathy; Recommendations; Surgical management.

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Conflict of interest statement

The authors have nothing to disclose.

References

    1. Nikolaidis I, Fouyas IP, Sandercock PA, et al. Surgery for cervical radiculopathy or myelopathy. Cochrane Database Syst Rev. 2010;(1)(22 Suppl 1):CD001466. - PMC - PubMed
    1. Rhee JM, Shamji MF, Erwin WM, et al. Nonoperative management of cervical myelopathy: a systematic review. Spine (Phila Pa 1976) 2013;38(22 Suppl 1):S55–67. - PubMed
    1. Fehlings MG, Tetreault LA, Riew KD, et al. A clinical practice guideline for the management of patients with degenerative cervical myelopathy: recommendations for patients with mild, moderate, and severe disease and nonmyelopathic patients with evidence of cord compression. Global Spine J. 2017;7(3 Suppl):70S–83S. - PMC - PubMed
    1. Davies BM, McHugh M, Elgheriani A, et al. Reported outcome measures in degenerative cervical myelopathy: a systematic review. PLoS One. 2016;11:e0157263. - PMC - PubMed
    1. Fehlings MG, Tetreault LA, Kurpad S, et al. Change in functional impairment, disability, and quality of life following operative treatment for degenerative cervical myelopathy: a systematic review and meta-analysis. Global Spine J. 2017;7(3 Suppl):53S–69S. - PMC - PubMed

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