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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...

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Autores principales: Lannon, Melissa, Kachur, Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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
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