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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 R11, 12 ; Rahimimovaghar V13 ; Aarabi B14 ; Koljonen PA15 Show All Authors
Authors
  1. Hilton B1
  2. Gardner EL2
  3. Jiang Z3
  4. Tetreault L4
  5. Wilson JRF5
  6. Zipser CM6
  7. Riew KD7
  8. Guest JD8
  9. Harrop JS9
  10. Fehlings MG10
  11. Rodriguespinto R11, 12
  12. Rahimimovaghar V13
  13. Aarabi B14
  14. Koljonen PA15
  15. Kotter MRN16, 17
  16. Davies BM16, 17
  17. Kwon BK18
Show Affiliations
Authors Affiliations
  1. 1. Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
  2. 2. Colchester Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, United Kingdom
  3. 3. Kings College Hospital, Kings College Hospital NHS Foundation Trust, London, United Kingdom
  4. 4. Langone Health, Graduate Medical Education, Department of Neurology, New York University, NY, United States
  5. 5. University of Nebraska Medical Center, Department of Neurosurgery, Omaha, NE, United States
  6. 6. University Spine Center, Balgrist University Hospital, Zurich, Switzerland
  7. 7. Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, NY, United States
  8. 8. Department of Neurosurgery and The Miami Project to Cure Paralysis, The Miller School of Medicine, University of Miami, Miami, FL, United States
  9. 9. Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, United States
  10. 10. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada
  11. 11. Department of Orthopaedics, Spinal Unit (UVM), Centro Hospitalar Universitario do Porto - Hospital de Santo Antonio, Porto, Portugal
  12. 12. Department of Orthopaedics, Instituto de CiM), Centro Hospital, Portugal
  13. 13. Department of Neurosurgery, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  14. 14. Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States
  15. 15. Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong
  16. 16. Myelopathy.org, International Charity for Degenerative Cervical Myelopathy, United Kingdom
  17. 17. Department of Neurosurgery, University of Cambridge, Cambridge, United Kingdom
  18. 18. Department of Orthopaedics, University of British Columbia, Blusson Spinal Cord Center, Vancouver, BC, Canada

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.
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