Guidelines for the management of degenerative cervical myelopathy and spinal cord injury: an introduction to a focus issue

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Date
2017
Authors
Fehlings, Michael G.
Kwon, Brian K.
Tetreault, Lindsay A.
Journal Title
Journal ISSN
Volume Title
Publisher
Sage Publications
Published Version
10.1177/2192568217701714
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Journal Issue
Abstract
Study Design: Introduction to a guidelines project. Objectives: The objective of this focus issue is to present guidelines that outline how to best manage patients with degenerative cervical myelopathy (DCM) and spinal cord injury (SCI). Topics addressed in this focus issue include: 1) management strategies for patients with mild, moderate and severe DCM; and 2a) timing of surgical decompression; b) the use of methylprednisolone sodium succinate; c) the type and timing of anticoagulation strategies; d) the role of magnetic resonance imaging in clinical decision making and outcome prediction; and e) the type and timing of rehabilitation in patients with SCI. Methods: Systematic reviews were conducted to address key clinical questions and to synthesize the current body of evidence. A multidisciplinary guideline development group used the results of these reviews, along with their clinical expertise, to develop clinical practice guidelines, in a process that adhered to methodology proposed by the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) Working Group. Results: The multidisciplinary guideline development group combined the systematic review findings with their clinical expertise and opinions to formulate recommendations on how to manage patients with DCM and SCI. Conclusions: These guidelines will serve as tools to assist clinicians in their decision making by offering a perspective that combines the available evidence, expertise from a variety of clinicians, and patient values.
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Keywords
Guidelines , Guideline development , Spinal cord injury , SCI , Degenerative cervical myelopathy , DCM , Clinical guidelines
Citation
Fehlings, M. G., Kwon, B. K. and Tetreault, L. A. (2017) 'Guidelines for the management of degenerative cervical myelopathy and spinal cord injury: an introduction to a focus issue', Global Spine Journal, 7(3S), pp. 6-7. doi: 10.1177/2192568217701714
Link to publisher’s version
http://journals.sagepub.com/doi/10.1177/2192568217701714
URI
https://hdl.handle.net/10468/5591
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Medicine - Journal Articles
Copyright
© 2017, the Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/ ) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).