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10.1177/2192568217699208 http://scihub22266oqcxt.onion/10.1177/2192568217699208 C5582708!5582708 !28894688     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28894688 &cmd=llinks): Failed to open stream: HTTP request failed! 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Current Diagnosis and Management of Cervical Spondylotic Myelopathy |pdf=|usr=}}{{28894688 }} gab.com Text Current Diagnosis and Management of Cervical Spondylotic Myelopathy JO: Global Spine J http://www.kidney.de/pget.php?&tw=1&pmid=28894688 #FOAvip 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. For mild CSM, conservative options could be employed with careful observation. However, surgical intervention has shown to be superior for moderate to severe CSM. The success of operative or conservative management of CSM is multifactorial and high-quality studies are lacking. The optimal surgical approach is still under debate, and can vary depending on the number of levels involved, location of the pathology and baseline cervical sagittal alignment. CONCLUSIONS: Early recognition and treatment of CSM, before the onset of spinal cord damage, is essential for optimal outcomes. The goal of surgery is to decompress the cord with expansion of the spinal canal, while restoring cervical lordosis, and stabilizing when the risk of cervical kyphosis is high. Further high-quality randomized clinical studies with long-term follow up are still needed to further define the natural history and help predict the ideal surgical strategy. Twit Text FOAVip Current Diagnosis and Management of Cervical Spondylotic Myelopathy ????Global Spine J http://www.kidney.de/pget.php?&tw=1&pmid=28894688 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28894688 #FOAvip English Wikipedia <ref>{{Cite pmid|28894688 }}</ref> Current Diagnosis and Management of Cervical Spondylotic Myelopathy #MMPMID28894688 Bakhsheshian J ; Mehta VA ; Liu JC Global Spine J 2017[Sep]; 7 (6 ): 572-586 PMID28894688 show ga 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. For mild CSM, conservative options could be employed with careful observation. However, surgical intervention has shown to be superior for moderate to severe CSM. The success of operative or conservative management of CSM is multifactorial and high-quality studies are lacking. The optimal surgical approach is still under debate, and can vary depending on the number of levels involved, location of the pathology and baseline cervical sagittal alignment. CONCLUSIONS: Early recognition and treatment of CSM, before the onset of spinal cord damage, is essential for optimal outcomes. The goal of surgery is to decompress the cord with expansion of the spinal canal, while restoring cervical lordosis, and stabilizing when the risk of cervical kyphosis is high. Further high-quality randomized clinical studies with long-term follow up are still needed to further define the natural history and help predict the ideal surgical strategy. äCurrent Diagnosis and Management of Cervical Spondylotic Myelopathy (epmc).pdf DeepDyve Pubget Overpricing