Journal
NEUROSURGERY CLINICS OF NORTH AMERICA
Volume 29, Issue 1, Pages 21-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.nec.2017.09.002
Keywords
Cervical spondylotic myelopathy; Degenerative cervical myelopathy; Natural history; Outcomes; Spine surgery; Spinal cord
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Although degenerative cervical myelopathy (DCM) is the leading cause of spinal cord dysfunction among adults worldwide, little is known about its natural history. There is mounting evidence of the effectiveness of surgery for DCM in halting progression of symptoms and, in fact, in improving neurologic outcomes, functional status, and quality of life. However, surgical decision making relies on a weighing of the risks and benefits of alternative strategies. The authors reviewed the available literature pertaining to the natural course of DCM and the predictors of outcome of nonoperative approaches.
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