Surgical treatment of cervical spondylotic myelopathy: Time for a controlled trial

Rowland, Lewis P.

doi:10.1212/wnl.42.1.5

Cited by 157Cervical and Thoracic MyelopathyThyroid and Parathyroid SurgerySpine and Intervertebral Disc Pathology

Surgical treatment of cervical spondylotic myelopathy: Time for a controlled trial

Rowland, Lewis P.·1992·Neurology

DOI 10.1212/wnl.42.1.5

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Abstract

Surgical procedures on the cervical spine are accepted therapies for the myelopathy of cervical spondylosis. However, reported improvement rates vary widely, and many reports indicate improvement in about one-half of the cases. It has not been proven that outcome after surgery is better than the natural history or conservative therapy. Radiographic or imaging evidence of cord impingement or compression may be seen in asymptomatic people. There are no clear guides to the selection of patients who may benefit from the operation and there has been no standardization of preoperative evaluation, trials of conservative therapy, ascertainment of progressive disability, or assessment of outcome. A multicenter controlled trial might answer these questions.

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From Rate of medial temporal lobe atrophy in typical aging and Alzheimer's disease (1998) · cites this paper as [30]

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Background
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CERVICAL LAMINECTOMY
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Authors: Rowland, L. P.
Affiliations: NewYork–Presbyterian Hospital (US)
Corresponding author: Rowland, Lewis P.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1992-01
Volume: 42
Issue: 1
Pages: 5-5
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.42.1.5
OpenAlex: W2048057683
Cited by: 157
References: 0
Citations by year: 2026: 3 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 1 · 2014: 5 · 2013: 5 · 2012: 3
FWCI: 7.82
Type: journal article
Language: en
Open access: closed
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (GCRC-00645)
National Institute of Neurological Disorders and Stroke (NS-11766)
Topics: Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Keywords: cervical spondylotic myelopathy, cervical spondylosis, cervical spine surgery, surgical outcomes, conservative treatment, patient selection, preoperative assessment, spinal cord compression, natural history (disease), disability progression
MeSH terms: Animals, Humans, Levodopa, Neurology, Parkinson Disease, Parkinson Disease, Secondary, Selegiline, MPTP Poisoning

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Surgical treatment of cervical spondylotic myelopathy: Time for a controlled trial

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