Management Of Degenerative Cervical Myelopathy - An Update

Manejo Da Mielopatia Cervical Degeneratiiva - Uma Atualização

dc.creatorJoaquim
dc.creatorAndrei F.; Ghizoni
dc.creatorEnrico; Tedeschi
dc.creatorHelder; Hsu
dc.creatorWellington K.; Patel
dc.creatorAlpesh A.
dc.date2016
dc.date2017-08-30T17:36:45Z
dc.date2017-08-30T17:36:45Z
dc.date.accessioned2018-03-29T05:29:22Z
dc.date.available2018-03-29T05:29:22Z
dc.identifierRevista Da Associação Médica Brasileira. Associação Médica Brasileira, v. 62, n. 9, p. 886 - 894
dc.identifier0104-4230
dc.identifierS0104-42302016000900886
dc.identifierhttp://www.scielo.br/scielo.php?pid=S0104-42302016000900886&script=sci_arttext
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/324572
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1358790
dc.descriptionDegenerative cervical myelopathy (DCM) is the most common cause of spinal cord dysfunction in adult patients. Patients generally present with a slow, progressive neurological decline or a stepwise deterioration pattern. In this paper, we discuss the most important factors involved in the management of DCM, including a discussion about the surgical approaches. Method The authors performed an extensive review of the peer-reviewed literature addressing the aforementioned objectives. Results Although the diagnosis is clinical, magnetic resonance imaging (MRI) is the study of choice to confirm stenosis and also to exclude the differential diagnosis. The severity the clinical symptoms of DCM are evaluated by different scales, but the modified Japanese Orthopedic Association (mJOA) and the Nürick scale are probably the most commonly used. Spontaneous clinical improvement is rare and surgery is the main treatment form in an attempt to prevent further neurological deterioration and, potentially, to provide some improvement in symptoms and function. Anterior, posterior or combined cervical approaches are used to decompress the spinal cord, with adjunctive fusion being commonly performed. The choice of one approach over the other depends on patient characteristics (such as number of involved levels, site of compression, cervical alignment, previous surgeries, bone quality, presence of instability, among others) as well as surgeon preference and experience. Conclusion Spine surgeons must understand the advantages and disadvantages of all surgical techniques to choose the best procedure for their patients. Further comparative studies are necessary to establish the superiority of one approach over the other when multiple options are available.
dc.description62
dc.description9
dc.description886
dc.description894
dc.languageIngles
dc.publisherAssociação Médica Brasileira
dc.relationRevista da Associação Médica Brasileira
dc.rightsaberto
dc.sourceScielo
dc.subjectCervical Myelopathy
dc.subjectSpondylotic Myelopathy
dc.subjectSurgical Approach
dc.subjectAnterior Approach
dc.subjectOsterior Approach
dc.subjectMielopatia Cervical
dc.subjectMielopatia Espondilótica
dc.subjectAbordagem Cirúrgica
dc.subjectAbordagem Anterior
dc.subjectAbordagem Posterior
dc.titleManagement Of Degenerative Cervical Myelopathy - An Update
dc.titleManejo Da Mielopatia Cervical Degeneratiiva - Uma Atualização
dc.typeArtículos de revistas


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