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

dc.contributor.authorFehlings, Michael G.
dc.contributor.authorKwon, Brian K.
dc.contributor.authorTetreault, Lindsay A.
dc.contributor.funderAOSpine
dc.contributor.funderOntario Neurotrauma Foundation
dc.contributor.funderCervical Spine Research Society
dc.contributor.funderAmerican Association of Neurological Surgeons
dc.contributor.funderCongress of Neurological Surgeons
dc.contributor.funderGerry and Tootsie Halbert Chair in Neural Repair and Regeneration
dc.contributor.funderDeZwirek Family Foundation
dc.contributor.funderKrembil Foundation
dc.date.accessioned2018-03-09T12:55:06Z
dc.date.available2018-03-09T12:55:06Z
dc.date.issued2017
dc.description.abstractStudy 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.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFehlings, 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: 10.1177/2192568217701714en
dc.identifier.doi10.1177/2192568217701714
dc.identifier.endpage7
dc.identifier.issn2192-5682
dc.identifier.issued3S
dc.identifier.journaltitleGlobal Spine Journalen
dc.identifier.startpage6
dc.identifier.urihttps://hdl.handle.net/10468/5591
dc.identifier.volume7
dc.language.isoenen
dc.publisherSage Publicationsen
dc.relation.urihttp://journals.sagepub.com/doi/10.1177/2192568217701714
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.urihttp://www.creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectGuidelinesen
dc.subjectGuideline developmenten
dc.subjectSpinal cord injuryen
dc.subjectSCIen
dc.subjectDegenerative cervical myelopathyen
dc.subjectDCMen
dc.subjectClinical guidelinesen
dc.titleGuidelines for the management of degenerative cervical myelopathy and spinal cord injury: an introduction to a focus issueen
dc.typeOtheren
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