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European Spine Journal

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01-04-2015 | Review Article

Risk factors for development of myelopathy in patients with cervical spondylotic cord compression

Authors: Shunji Matsunaga, Setsuro Komiya, Yoshiaki Toyama

Published in: European Spine Journal | Special Issue 2/2015

Abstract

Purpose

To clarify risk factors for the development of myelopathy in patients with cervical spondylotic cord compression.

Method

The authors reviewed articles in which risk factors for the development of myelopathy in patients with cervical spondylotic cord compression were discussed. Ossification of the posterior longitudinal ligament (OPLL) was also reviewed as a disease which causes cervical cord compression to clarify pathomechanism of the development of myelopathy.

Results

Cervical motion segment disorders are considered to be multifactorial, and developmental size of the canal and foramina, pathological encroachment, biomechanical effects, and circulatory deficiencies are always present to some degree. Static and dynamic factors should be considered for the development of myelopathy. To clarify the pathomechanism of the development of myelopathy in patients with cervical spondylotic spinal cord compression, the exact natural history of CSM should be understood.

Conclusion

Several predictable risk factors for the development of myelopathy have been proposed in CSM or OPLL studies, but they were not definitive. Further prospective population-based study is needed to clarify the mechanism.

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Title: Risk factors for development of myelopathy in patients with cervical spondylotic cord compression
Authors: Shunji Matsunaga
Setsuro Komiya
Yoshiaki Toyama
Publication date: 01-04-2015
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 2/2015
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-2839-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for development of myelopathy in patients with cervical spondylotic cord compression

Abstract

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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