Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10].
Publication/Presentation Date
2-1-2022
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.
Volume
12
Issue
1_suppl
First Page
147
Last Page
147
ISSN
2192-5682
Published In/Presented At
Rodrigues-Pinto, R., Montenegro, T. S., Davies, B. M., Kato, S., Kawaguchi, Y., Ito, M., Zileli, M., Kwon, B. K., Fehlings, M. G., Koljonen, P. A., Kurpad, S. N., Guest, J. D., Aarabi, B., Rahimi-Movaghar, V., Wilson, J. R., Kotter, M. R. N., & Harrop, J. S. (2022). Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10]. Global spine journal, 12(1_suppl), 147S–158S. https://doi.org/10.1177/21925682211062494
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35174733
Department(s)
Administration and Leadership
Document Type
Article