Clinical prognostic indicators of surgical outcome in cervical spondylotic myelopathy

Langston T. Holly, Paul G. Matz, Paul A. Anderson, Michael W. Groff, Robert F. Heary, Michael G. Kaiser, Praveen V. Mummaneni, Timothy C. Ryken, Tanvir F. Choudhri, Edward J. Vresilovic, Daniel K. Resnick

Research output: Contribution to journalReview article

73 Scopus citations

Abstract

Object. The objective of this systematic review was to use evidence-based medicine to assess whether clinical factors predict surgical outcomes in patients undergoing cervical surgery. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to clinical preoperative factors. Abstracts were reviewed, and studies that met the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Preoperative sensory-evoked potentials may aid in providing prognostic information in selected patients in whom clinical factors do not provide clear guidance (Class II). Age, duration of symptoms, and preoperative neurological function may commonly affect outcome (Class III). Conclusions. Age, duration of symptoms, and preoperative neurological function should be discussed with patients when surgical intervention for cervical spondylotic myelopathy is considered. Preoperative sensory-evoked potentials may be considered for patients in whom clinical factors do not provide clear guidance if such information would potentially change therapeutic decisions.

Original languageEnglish (US)
Pages (from-to)112-118
Number of pages7
JournalJournal of Neurosurgery: Spine
Volume11
Issue number2
DOIs
StatePublished - Aug 2009

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Clinical prognostic indicators of surgical outcome in cervical spondylotic myelopathy'. Together they form a unique fingerprint.

  • Cite this

    Holly, L. T., Matz, P. G., Anderson, P. A., Groff, M. W., Heary, R. F., Kaiser, M. G., Mummaneni, P. V., Ryken, T. C., Choudhri, T. F., Vresilovic, E. J., & Resnick, D. K. (2009). Clinical prognostic indicators of surgical outcome in cervical spondylotic myelopathy. Journal of Neurosurgery: Spine, 11(2), 112-118. https://doi.org/10.3171/2009.1.SPINE08718