A clinical practice guideline for the management of degenerative cervical myelopathy: introduction, rationale, and scope

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dc.contributor.author Fehlings, Michael G.
dc.contributor.author Tetreault, Lindsay A.
dc.contributor.author Riew, K. Daniel
dc.contributor.author Middleton, James W.
dc.contributor.author Wang, Jeffrey C.
dc.date.accessioned 2018-03-09T12:55:06Z
dc.date.available 2018-03-09T12:55:06Z
dc.date.issued 2017
dc.identifier.citation Fehlings, M. G., Tetreault, L. A., Riew, K. D., Middleton, J. W. and Wang, J. C. (2017) 'A clinical practice guideline for the management of degenerative cervical myelopathy: introduction, rationale, and scope', Global Spine Journal, 7(3s), pp. 21-27. doi: 10.1177/2192568217703088 en
dc.identifier.volume 7
dc.identifier.issued 3S
dc.identifier.startpage 21
dc.identifier.endpage 27
dc.identifier.issn 2192-5682
dc.identifier.uri http://hdl.handle.net/10468/5592
dc.identifier.doi 10.1177/2192568217703088
dc.description.abstract Degenerative cervical myelopathy (DCM) is a progressive spine disease and the most common cause of spinal cord dysfunction in adults worldwide. Patients with DCM may present with common signs and symptoms of neurological dysfunction, such as paresthesia, abnormal gait, decreased hand dexterity, hyperreflexia, increased tone, and sensory dysfunction. Clinicians across several specialties encounter patients with DCM, including primary care physicians, rehabilitation specialists, therapists, rheumatologists, neurologists, and spinal surgeons. Currently, there are no guidelines that outline how to best manage patients with mild (defined as a modified Japanese Orthopedic Association (mJOA) score of 15-17), moderate (mJOA = 12-14), or severe (mJOA <= 11) myelopathy, or nonmyelopathic patients with evidence of cord compression. This guideline provides evidencebased recommendations to specify appropriate treatment strategies for these populations. The intent of our recommendations is to (1) help identify patients at high risk of neurological deterioration, (2) define the role of nonoperative and operative management in each patient population, and (3) determine which patients are most likely to benefit from surgical intervention. The ultimate goal of these guidelines is to improve outcomes and reduce morbidity in patients with DCM by promoting standardization of care and encouraging clinicians to make evidence-informed decisions. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Sage Publications en
dc.relation.uri http://journals.sagepub.com/doi/10.1177/2192568217703088
dc.rights © 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). en
dc.rights.uri http://www.creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject Cervical spondylotic myelopathy en
dc.subject Degenerative cervical myelopathy en
dc.subject Guideline development en
dc.subject Guidelines en
dc.title A clinical practice guideline for the management of degenerative cervical myelopathy: introduction, rationale, and scope en
dc.type Other en
dc.internal.authorcontactother Lindsay A. Tetreault, Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 Email: 116100017@umail.ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder AOSpine
dc.contributor.funder Cervical Spine Research Society
dc.contributor.funder Gerald and Tootsie Halbert Chair in Neural Repair and Regeneration
dc.contributor.funder DeZwirek Family Foundation
dc.contributor.funder Krembil Foundation
dc.description.status Peer reviewed en
dc.identifier.journaltitle Global Spine Journal en


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© 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). Except where otherwise noted, this item's license is described as © 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).
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