8 papers · updated 2026-09-26 · Spine · All topics
The newest papers on degenerative cervical myelopathy from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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This meta-analysis found ACDF, PCDF, and laminoplasty yield similar neurological recovery for multilevel cervical myelopathy, but differ in pain, motion, hospital stay, and complications—guiding approach selection.
In this cohort, 68% of patients had persistent neck/shoulder symptoms 2 years after DCM surgery, with female sex, longer symptom duration, and higher preoperative VAS score predicting persistence.
In this multicenter study of 721 CSM patients, preoperative T2 signal intensity on MRI did not independently predict worse 2-year neurological or patient-reported outcomes after adjusting for confounders.
In rat and cell models, extracts from both combustible cigarettes and heated tobacco products worsened motor/sensory deficits and neuronal damage in cervical myelopathy, suggesting HTPs are not a safer alternative for these patients.
Corpectomy-containing anterior cervical procedures showed higher perioperative morbidity than non-corpectomy procedures for myelopathy; much of difference reflects ossified posterior longitudinal ligament pathology.
In a prospective cohort with cervical myelopathy, adding preoperative MRS metabolite ratios (Cho/NAA, Cr/NAA, MIn/NAA) to clinical/imaging data substantially improved prediction of postoperative neurological recovery (AUC up to 0.92).
Diagnosis and Management of Degenerative Cervical Myelopathy.
This review outlines evolving diagnosis and surgical management of degenerative cervical myelopathy, favoring earlier surgical intervention and highlighting shifts from laminectomy toward laminoplasty/fusion and disk arthroplasty to reduce complications.
Failure of Surgical Equipoise in Posterior Cord Syndrome Myelopathy.
Two cases show posterior cord syndrome in cervical spondylotic myelopathy failed anterior decompression but responded to posterior decompression, suggesting posterior approach should be considered when this syndrome is clinically diagnosed.
Symptomatic adjacent-segment disease occurs in 25.6% of patients within 10 years after single anterior cervical arthrodesis, particularly at C5-C6 and C6-C7 levels with preexisting degeneration.
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