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Degenerative Cervical Myelopathy: A Spectrum of Degenerative Spondylopathies

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Degenerative Cervical Myelopathy and Radiculopathy

Abstract

Degenerative cervical myelopathy (DCM) is an overarching term that describes the various age-related and progressive changes of intervertebral discs, ligaments, and vertebrae, which result in spinal cord impairment through static and dynamic injury mechanisms. At the present time, there remain a large number of ICD-10 codes that describe conditions that may fall under DCM. The term DCM was recently introduced with the growing recognition that these patients present with a constellation of the aforementioned anatomical changes and that previous diagnostic delineation within this group had not been clear in the literature. These factors have ultimately impeded knowledge dissemination and have resulted in under-recognition of the collective importance of this spectrum of disorders in the healthcare community. Following the introduction of the term, a guideline development for the management of patients with DCM, with sponsorship from the Cervical Spine Research Society and AOSpine, has been formulated. Previous guidelines by AANS/CNS focused on the surgical management of cervical spondylotic myelopathy and were published in 2009. However, these guidelines have been somewhat outdated given the recent introduction of the term DCM and publication of prospective and multicenter studies on the surgical management of DCM. The AANS/CNS spine section guidelines are slated to be updated in 2019.

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Notes

  1. 1.

    https://clinicaltrials.gov/ct2/show/NCT01257828

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Authors and Affiliations

  1. Department of Neurosurgery, Yale University and University of Cincinnati, Cincinnati, OH, USA

    Aria Nouri

  2. Division of Neurosurgery and Spine Program, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Jean-Christophe Murray & Michael G. Fehlings

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  1. Aria Nouri
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  2. Jean-Christophe Murray
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  1. Columbia University Medical Center, New York, NY, USA

    Michael G. Kaiser

  2. Atlanta Brain and Spine Care, Atlanta, GA, USA

    Regis W. Haid

  3. Duke University Health System, Durham, NC, USA

    Christopher I. Shaffrey

  4. Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Michael G. Fehlings

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Nouri, A., Murray, JC., Fehlings, M.G. (2019). Degenerative Cervical Myelopathy: A Spectrum of Degenerative Spondylopathies. In: Kaiser, M., Haid, R., Shaffrey, C., Fehlings, M. (eds) Degenerative Cervical Myelopathy and Radiculopathy . Springer, Cham. https://doi.org/10.1007/978-3-319-97952-6_4

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