Global spine journal
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Global spine journal · Sep 2017
ReviewNonoperative Versus Operative Management for the Treatment Degenerative Cervical Myelopathy: An Updated Systematic Review.
Systematic review (update). ⋯ Nonoperative management results in similar outcomes as surgical treatment in patients with a modified JOA ≥ 13, single-level myelopathy and intramedullary signal change on T2-weighted magnetic resonance imaging. Furthermore, patients managed nonoperatively for DCM have higher rates of hospitalization for spinal cord injury than those treated surgically. The overall level of evidence for these findings was rated as low.