Current Diagnosis and Management of Cervical Spondylotic Myelopathy.

ABSTRACT:

Study design

Review.

Objectives

Cervical spondylotic myelopathy (CSM) is a major cause of disability, particular in elderly patients. Awareness and understanding of CSM is imperative to facilitate early diagnosis and management. This review article addresses CSM with regard to its epidemiology, anatomical considerations, pathophysiology, clinical manifestations, imaging characteristics, treatment approaches and outcomes, and the cost-effectiveness of surgical options.

Methods

The authors performed an extensive review of the peer-reviewed literature addressing the aforementioned objectives.

Results

The clinical presentation and natural history of CSM is variable, alternating between quiescent and insidious to stepwise decline or rapid neurological deterioration.

SUBMITTER: Bakhsheshian J 

PROVIDER: S-EPMC5582708 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature