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Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History
Degenerative cervical myelopathy (DCM) is a leading cause of spinal cord injury and a major contributor to morbidity resulting from narrowing of the spinal canal due to osteoarthritic changes. This narrowing produces chronic spinal cord compression and neurologic disability with a variety of symptom...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396963/ https://www.ncbi.nlm.nih.gov/pubmed/34441921 http://dx.doi.org/10.3390/jcm10163626 |
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author | Lannon, Melissa Kachur, Edward |
author_facet | Lannon, Melissa Kachur, Edward |
author_sort | Lannon, Melissa |
collection | PubMed |
description | Degenerative cervical myelopathy (DCM) is a leading cause of spinal cord injury and a major contributor to morbidity resulting from narrowing of the spinal canal due to osteoarthritic changes. This narrowing produces chronic spinal cord compression and neurologic disability with a variety of symptoms ranging from mild numbness in the upper extremities to quadriparesis and incontinence. Clinicians from all specialties should be familiar with the early signs and symptoms of this prevalent condition to prevent gradual neurologic compromise through surgical consultation, where appropriate. The purpose of this review is to familiarize medical practitioners with the pathophysiology, common presentations, diagnosis, and management (conservative and surgical) for DCM to develop informed discussions with patients and recognize those in need of early surgical referral to prevent severe neurologic deterioration. |
format | Online Article Text |
id | pubmed-8396963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83969632021-08-28 Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History Lannon, Melissa Kachur, Edward J Clin Med Review Degenerative cervical myelopathy (DCM) is a leading cause of spinal cord injury and a major contributor to morbidity resulting from narrowing of the spinal canal due to osteoarthritic changes. This narrowing produces chronic spinal cord compression and neurologic disability with a variety of symptoms ranging from mild numbness in the upper extremities to quadriparesis and incontinence. Clinicians from all specialties should be familiar with the early signs and symptoms of this prevalent condition to prevent gradual neurologic compromise through surgical consultation, where appropriate. The purpose of this review is to familiarize medical practitioners with the pathophysiology, common presentations, diagnosis, and management (conservative and surgical) for DCM to develop informed discussions with patients and recognize those in need of early surgical referral to prevent severe neurologic deterioration. MDPI 2021-08-17 /pmc/articles/PMC8396963/ /pubmed/34441921 http://dx.doi.org/10.3390/jcm10163626 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Lannon, Melissa Kachur, Edward Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title | Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title_full | Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title_fullStr | Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title_full_unstemmed | Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title_short | Degenerative Cervical Myelopathy: Clinical Presentation, Assessment, and Natural History |
title_sort | degenerative cervical myelopathy: clinical presentation, assessment, and natural history |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396963/ https://www.ncbi.nlm.nih.gov/pubmed/34441921 http://dx.doi.org/10.3390/jcm10163626 |
work_keys_str_mv | AT lannonmelissa degenerativecervicalmyelopathyclinicalpresentationassessmentandnaturalhistory AT kachuredward degenerativecervicalmyelopathyclinicalpresentationassessmentandnaturalhistory |