Outcome of Patients With Mild Degenerative Cervical Myelopathy Treated Nonoperatively: An Observational Study From the Canadian Spine Outcome and Research Network
Neurological deterioration or the need for surgery is relatively uncommon in patients with conservatively treated mild DCM. A deterioration rate of 13.3% at 1 year and a conversion rate of 12.1% over 3.4 years with no clear risk factors were noted. Crossover patients presented with worse mJOA. No other clinically significant parameter was found to be a risk factor for neurological deterioration nor a driver for crossover.
Authors
- Najmedden Attabib (ORCID: https://orcid.org/0000-0001-9845-6505)
- Sean Christie (ORCID: https://orcid.org/0000-0002-3540-6022)
- Supriya Singh (ORCID: https://orcid.org/0000-0003-3555-5447)
- Jérôme Paquet (ORCID: https://orcid.org/0000-0003-1390-2428)
- Philippe Phan (ORCID: https://orcid.org/0000-0003-0270-6210)
- Neil Manson
- Christopher Small (ORCID: https://orcid.org/0000-0002-9336-7391)
- Michael H. Weber (ORCID: https://orcid.org/0000-0002-3176-8165)
- Alex Soroceanu
- Hamilton Hall (ORCID: https://orcid.org/0000-0002-3269-2043)
- Christopher S. Bailey (ORCID: https://orcid.org/0000-0001-5508-8415)
- Andrew Nataraj (ORCID: https://orcid.org/0000-0002-1469-6518)
- Charles G. Fisher (ORCID: https://orcid.org/0000-0003-0374-2854)
- Jefferson R. Wilson (ORCID: https://orcid.org/0000-0001-5965-0305)
- David W. Cadotte (ORCID: https://orcid.org/0000-0003-2581-5903)
- Greg McIntosh (ORCID: https://orcid.org/0000-0002-0268-6523)
- Andrew Glennie (ORCID: https://orcid.org/0000-0002-7548-1334)
- Nikolaus Kögl (ORCID: https://orcid.org/0000-0003-2953-0753)
- W. Bradley Jacobs
- Raja Rampersaud
- Nicolas Dea
Institutions
- Western University (CA)
- Dalhousie University (CA)
- Innsbruck Medical University (AT)
- University of Calgary (CA)
- University of Toronto (CA)
- Alberta Hospital Edmonton (CA)
- Ottawa Hospital (CA)
- London Health Sciences Centre (CA)
- McGill University Health Centre (CA)
- Horizon Health Network (CA)
- University of Alberta Hospital (CA)
- Arthritis Society (CA)
- Canadian Arthritis Network (CA)
- Centre hospitalier universitaire de Québec (CA)
- Research Canada (CA)
- Canadian Respiratory Research Network (CA)
- Centre hospitalier de l'Université Laval (CA)
- Centre Hospitalier de l’Université de Montréal (CA)
- Vancouver Spine Surgery Institute (CA)
- Université Laval (CA)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-10-15
- DOI
- https://doi.org/10.1227/neu.0000000000003803
- Citations
- 1
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 2.01