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

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

*この論文の責任著者

研究成果: ジャーナルへの寄稿学術論文査読

26 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)147S-158S
ジャーナルGlobal Spine Journal
12
1
DOI
出版ステータス出版済み - 2022/02

ASJC Scopus 主題領域

  • 外科
  • 整形外科およびスポーツ医学
  • 臨床神経学

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