AO Spine Clinical Practice Recommendations for Diagnosis and Management of Degenerative Cervical Myelopathy: Evidence Based Decision Making - A Review of Cutting Edge Recent Literature Related to Degenerative Cervical Myelopathy Article Swipe
Michael G. Fehlings
,
Nathan Evaniew
,
Paula Valerie ter Wengel
,
Aditya Vedantam
,
Daipayan Guha
,
Konstantinos Margetis
,
Aria Nouri
,
Aminul I. Ahmed
,
Chris J. Neal
,
Benjamin M. Davies
,
Mario Ganau
,
Jefferson R. Wilson
,
Allan Martín
,
Lukas Grassner
,
Lindsay Tetreault
,
Vafa Rahimi‐Movaghar
,
Rex A. W. Marco
,
James S. Harrop
,
James D. Guest
,
Mohammed Ali Alvi
,
Karlo M. Pedro
,
Brian Kwon
,
Charles G. Fisher
,
Shekar N. Kurpad
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1177/21925682251331050
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1177/21925682251331050
Study Design Literature review of key topics related to degenerative cervical myelopathy (DCM) with critical appraisal and clinical recommendations. Objective This article summarizes several key current topics related to the management of DCM. Methods Recent literature related to the management of DCM was reviewed. Four articles were selected and critically appraised. Recommendations were graded as Strong or Conditional. Results Article 1: The Relationship Between pre-operative MRI Signal Intensity and outcomes. Conditional recommendation to use diffusion-weighted imaging MR signal changes in the cervical cord to evaluate prognosis following surgical intervention for DCM. Article 2: Efficacy and Safety of Surgery for Mild DCM. Conditional recommendation that surgery is a valid option for mild DCM with favourable clinical outcomes. Article 3: Effect of Ventral vs Dorsal Spinal Surgery on Patient-Reported Physical Functioning in Patients With Cervical Spondylotic Myelopathy: A Randomized Clinical Trial. Strong recommendation that there is equipoise in the outcomes of anterior vs posterior surgical approaches in cases where either technique could be used. Article 4: Machine learning-based cluster analysis of DCM phenotypes. Conditional recommendation that clinicians consider pain, medical frailty, and the impact on health-related quality of life when counselling patients. Conclusions DCM requires a multidimensional assessment including neurological dysfunction, pain, impact on health-related quality of life, medical frailty and MR imaging changes in the cord. Surgical treatment is effective and is a valid option for mild DCM. In patients where either anterior or posterior surgical approaches can be used, both techniques afford similar clinical benefit albeit with different complication profiles.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1177/21925682251331050
- OA Status
- gold
- Cited By
- 1
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409696696
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409696696Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/21925682251331050Digital Object Identifier
- Title
-
AO Spine Clinical Practice Recommendations for Diagnosis and Management of Degenerative Cervical Myelopathy: Evidence Based Decision Making - A Review of Cutting Edge Recent Literature Related to Degenerative Cervical MyelopathyWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
-
2025-04-21Full publication date if available
- Authors
-
Michael G. Fehlings, Nathan Evaniew, Paula Valerie ter Wengel, Aditya Vedantam, Daipayan Guha, Konstantinos Margetis, Aria Nouri, Aminul I. Ahmed, Chris J. Neal, Benjamin M. Davies, Mario Ganau, Jefferson R. Wilson, Allan Martín, Lukas Grassner, Lindsay Tetreault, Vafa Rahimi‐Movaghar, Rex A. W. Marco, James S. Harrop, James D. Guest, Mohammed Ali Alvi, Karlo M. Pedro, Brian Kwon, Charles G. Fisher, Shekar N. KurpadList of authors in order
- Landing page
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https://doi.org/10.1177/21925682251331050Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1177/21925682251331050Direct OA link when available
- Concepts
-
Medicine, Myelopathy, Cervical spine, Clinical Practice, Degenerative Disorder, Degenerative disease, Surgery, Physical therapy, Spinal cord, Central nervous system disease, Pathology, Disease, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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