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@inbook{491447,
author = {Kadaňka, Zdeněk and Bednařík, Josef},
address = {New York},
booktitle = {Advances in spinal fusion: molecular science, biomechanics and clinical management},
keywords = {spondylotic myelopathy; compressive myelopathy; cervical myelopathy},
language = {eng},
location = {New York},
isbn = {0-8247-4310-5},
pages = {325-337},
publisher = {Dekker M.},
title = {Spondylotic cervical myelopathy- clinical aspects},
year = {2003}
}
TY - CHAP
ID - 491447
AU - Kadaňka, Zdeněk - Bednařík, Josef
PY - 2003
TI - Spondylotic cervical myelopathy- clinical aspects
VL - Marcel Dekker, Inc., 1
PB - Dekker M.
CY - New York
SN - 0824743105
KW - spondylotic myelopathy
KW - compressive myelopathy
KW - cervical myelopathy
N2 - Spondylotic cervical myelopathy is the most frequent cause of cervical myelopathy in the population over 15 years of age. What makes the SCM clinically so loaded is its potentially malignant natural course and the potentially calamitous results of surgery. The treatment of SCM is a matter of controversy in the literature. Surgery is logical response to the stenotic process, but no good evidence exists that decompressive surgery with anterior or posterior approach can improve the clinical outcome for the victims of this disease. Prospective studies of the surgical approach to this disease are generally lacking.. The results of our randomised prospective study did not show any important difference between the outcome for patients with mild and moderate forms of SCM treated surgically or conservatively over a 36-month period. Neither of these methods can prevent an unfavourable course for a proportion (20-30%) of these patients. The possibility remains (besides efforts to improve our therapeutic armamentarium) of analysing a group of patients responding positively or negatively to conservative and surgical treatment and to assess the prediction factors for good or bad outcomes, i.e. to find measures enabling the choice of patients who may profit from the conservative or from the surgical approach. We are at the point of finalising a study that could address this question.
ER -
KADAŇKA, Zdeněk a Josef BEDNAŘÍK. Spondylotic cervical myelopathy- clinical aspects. In \textit{Advances in spinal fusion: molecular science, biomechanics and clinical management}. New York: Dekker M. s.~325-337. Marcel Dekker, Inc., 1. ISBN~0-8247-4310-5. 2003.
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