Establishing Diagnostic Criteria for Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 3] Publisher



Hilton B¹ ; Gardner EL² ; Jiang Z³ ; Tetreault L⁴ ; Wilson JRF⁵ ; Zipser CM⁶ ; Riew KD⁷ ; Guest JD⁸ ; Harrop JS⁹ ; Fehlings MG¹⁰ ; Rodriguespinto R^{11, 12} ; Rahimimovaghar V¹³ ; Aarabi B¹⁴ ; Koljonen PA¹⁵ Show All Authors
Source: Global Spine Journal Published:2022

Abstract

Study Design: Narrative review. Objectives: To discuss the importance of establishing diagnostic criteria in Degenerative Cervical Myelopathy (DCM), including factors that must be taken into account and challenges that must be overcome in this process. Methods: Literature review summarising current evidence of establishing diagnostic criteria for DCM. Results: Degenerative Cervical Myelopathy (DCM) is characterised by a degenerative process of the cervical spine resulting in chronic spinal cord dysfunction and subsequent neurological disability. Diagnostic delays lead to progressive neurological decline with associated reduction in quality of life for patients. Surgical decompression may halt neurologic worsening and, in many cases, improves function. Therefore, making a prompt diagnosis of DCM in order to facilitate early surgical intervention is a clinical priority in DCM. Conclusion: There are often extensive delays in the diagnosis of DCM. Presently, no single set of diagnostic criteria exists for DCM, making it challenging for clinicians to make the diagnosis. Earlier diagnosis and subsequent specialist referral could lead to improved patient outcomes using existing treatment modalities. © The Author(s) 2022.