Journal
EXPERT REVIEW OF NEUROTHERAPEUTICS
Volume 20, Issue 10, Pages 1037-1046Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/14737175.2020.1798231
Keywords
Degenerative cervical myelopathy (DCM); multidisciplinary; cervical spondylotic myelopathy (CSM); ossification of the posterior longitudinal (OPLL); myelopathy; degenerative disc disease; prehabilitation
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Introduction Degenerative cervical myelopathy (DCM) is a prevalent condition causing significant impairment spanning several domains of health. A multidisciplinary approach to the care of DCM would be ideal in utilizing complex treatments from different disciplines to address broad patient needs. Areas covered In this article the authors will discuss the importance of multidisciplinary care and establish a general framework for its use. The authors will then highlight the potential role of a multidisciplinary team in each aspect of DCM care including assessment, diagnosis, decision-making, surgical intervention, non-operative therapy, monitoring, and postoperative care. Expert opinion In order to provide comprehensive personalized care to DCM patients, it is necessary to have a multidisciplinary team composed by a combination of the patient, surgeon, primary care practitioner, neurologist, anesthesiologist, radiologist, physiatrist, nurses, physiotherapist, occupational therapist, pain specialist, and social workers all functioning independently and communicating to achieve a common goal.
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