Multidisciplinary approach to degenerative cervical myelopathy

Expert Rev Neurother. 2020 Oct;20(10):1037-1046. doi: 10.1080/14737175.2020.1798231. Epub 2020 Aug 4.

Abstract

Introduction: Degenerative cervical myelopathy (DCM) is a prevalent condition causing significant impairment spanning several domains of health. A multidisciplinary approach to the care of DCM would be ideal in utilizing complex treatments from different disciplines to address broad patient needs.

Areas covered: In this article the authors will discuss the importance of multidisciplinary care and establish a general framework for its use. The authors will then highlight the potential role of a multidisciplinary team in each aspect of DCM care including assessment, diagnosis, decision-making, surgical intervention, non-operative therapy, monitoring, and postoperative care.

Expert opinion: In order to provide comprehensive personalized care to DCM patients, it is necessary to have a multidisciplinary team composed by a combination of the patient, surgeon, primary care practitioner, neurologist, anesthesiologist, radiologist, physiatrist, nurses, physiotherapist, occupational therapist, pain specialist, and social workers all functioning independently and communicating to achieve a common goal.

Keywords: Degenerative cervical myelopathy (DCM); cervical spondylotic myelopathy (CSM); degenerative disc disease; multidisciplinary; myelopathy; ossification of the posterior longitudinal (OPLL); prehabilitation.

Publication types

  • Review

MeSH terms

  • Cervical Cord / pathology*
  • Cervical Vertebrae / pathology*
  • Humans
  • Neurodegenerative Diseases / pathology
  • Neurodegenerative Diseases / therapy*
  • Spinal Cord Diseases / pathology
  • Spinal Cord Diseases / therapy*