Establishing Diagnostic Criteria for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 3].
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Authors
Hilton, Bryn
Gardner, Emma L
Jiang, Zhilin
Tetreault, Lindsay
Wilson, Jamie RF
Zipser, Carl Moritz
Riew, K Daniel
Guest, James D
Harrop, James S
Rahimi-Movaghar, Vafa
Aarabi, Bizhan
Kotter, Mark RN
Kwon, Brian K
Publication Date
2022-02Journal Title
Global Spine J
ISSN
2192-5682
Publisher
SAGE Publications
Volume
12
Issue
1_suppl
Pages
55S-63S
Language
eng
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Hilton, B., Gardner, E. L., Jiang, Z., Tetreault, L., Wilson, J. R., Zipser, C. M., Riew, K. D., et al. (2022). Establishing Diagnostic Criteria for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 3].. Global Spine J, 12 (1_suppl), 55S-63S. https://doi.org/10.1177/21925682211030871
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.
Keywords
Spine, Cervical, Diagnostic, Criteria, Degenerative, Myelopathy
Sponsorship
National Institute for Health Research (NIHR) (ACF-2015-14-009, NIHR300696)
Identifiers
35174729, PMC8859706
External DOI: https://doi.org/10.1177/21925682211030871
This record's URL: https://www.repository.cam.ac.uk/handle/1810/335246
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: https://creativecommons.org/licenses/by-nc-nd/4.0/
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