Neurologic Complications in Managing Degenerative Cervical Myelopathy: Pathogenesis, Prevention, and Management

Neurosurg Clin N Am. 2018 Jan;29(1):129-137. doi: 10.1016/j.nec.2017.09.008. Epub 2017 Oct 27.

Abstract

Degenerative cervical myelopathy is a common neurologic condition induced by compression of the spinal cord due to degenerative changes of the cervical spine. It is one of the leading causes of acquired disability in adults and manifests as a slow deterioration of the symptoms in a majority of the patients. A variety of nonsurgical and surgical treatments have been performed to ameliorate or halt the symptoms, and a number of articles describe their methods, efficacy, and complications. In this article, the pathogenesis, prevention, and management of the neurologic complications are reviewed.

Keywords: Cervical myelopathy; Neurologic complications; Nonsurgical treatment; Surgery.

Publication types

  • Review

MeSH terms

  • Brain Ischemia / etiology*
  • Conservative Treatment / adverse effects*
  • Decompression, Surgical / adverse effects*
  • Disease Progression
  • Humans
  • Spinal Cord Injuries / etiology*
  • Spondylosis / surgery
  • Spondylosis / therapy*