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

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

Affiliations
  • 1Department of Neurosurgery, Kovai Medical Center Hospital, Coimbatore, India. juttyparthiban@gmail.com
  • 2Department of Neurosurgery, Hospital Lusiadas Porto, Porto, Portugal.
  • 3Narayana Hrudayalaya Institutes of Neurosciences, Bangalore, India.
  • 4Lilavati Hospitals, Mumbai, India.
  • 5Department of Neurosurgery, Ege University, Izmir, Turkey.

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.

Keyword

Cervical spondylotic myelopathy; Degenerative cervical myelopathy; Surgical management; Recommendations

MeSH Terms

Adult
Geographic Locations
Humans
Spinal Cord
Spinal Cord Diseases*
Spine*
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