What is the efficacy of surgical intervention for cervical spondylotic myelopathy in spondylosis?

Updated: Nov 09, 2018
  • Author: Sandeep S Rana, MD; Chief Editor: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS  more...
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Answer

Surgical intervention for cervical spondylotic myelopathy is controversial.

In 1992, a thorough review of the literature pertaining to surgery for cervical spondylotic myelopathy concluded that the chances for improvement after surgery for cervical spondylotic myelopathy were approximately 50%. The conclusion was that large multicenter trials are needed to determine the benefit of surgery and to establish criteria for the operation/approach of operation. Also noted was that diagnostic errors still occur, namely with amyotrophic lateral sclerosis and multiple sclerosis. [37]


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