Cervical Spondylotic Myelopathy: Pathophysiology, Clinical Presentation, and Treatment

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The Natural History and Clinical Presentation of Cervical Spondylotic Myelopathy

Cervical spondylotic myelopathy (CSM) refers to impaired function of the spinal cord caused by degenerative changes of the cervical spine resulting in spinal cord compression. It is the most common disorder in the United States causing dysfunction of the spinal cord. A literature review of the natural history of mild cervical myelopathy is undertaken. Clinical presentation and current concepts ...

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Clinical equipoise and treatment decisions in cervical spondylotic myelopathy.

OBJECTIVE The primary objective of this study is to evaluate clinician attitudes towards the treatment of cervical spondylotic myelopathy (CSM) in order to determine whether clinical equipoise exists for a segment of this patient population. The secondary objective is to examine the factors that influence treatment decisions. METHODS Cross-sectional internet-based survey of neurologists, neur...

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Cervical Spondylotic Myelopathy: Pathophysiology, Diagnosis, and Surgical Techniques

Cervical spondylotic myelopathy is a degenerative spinal disease which may lead to significant clinical morbidity. The onset of symptoms is usually insidious, with long periods of fixed disability and episodic worsening events. Regarding the pathophysiology of CSM, the repeated injuries to the spinal cord are caused by both static and dynamic mechanical factors. The combination of these factors...

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Cervical spondylotic myelopathy.

Cervical spondylosis is a condition in which there is progressive degeneration of the intervertebral joints of the cervical spine. It is widespread throughout the adult population such that is has been estimated that on the basis of plain X-rays 50% over the age of 50 years and 75 % over the age of 65 suffer from the condition. It is indeed fortunate that only a small proportion suffer from the...

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Cervical surgical techniques for the treatment of cervical spondylotic myelopathy.

OBJECT The objective of this systematic review was to use evidence-based medicine to compare the efficacy of different surgical techniques for the treatment of cervical spondylotic myelopathy (CSM). METHODS The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to anterior and posterior cervical spine surgery and CSM. The guidelines group...

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ژورنال

عنوان ژورنال: HSS Journal ®

سال: 2011

ISSN: 1556-3316,1556-3324

DOI: 10.1007/s11420-011-9208-1