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Treatment of degenerative cervical spondylosis with radiculopathy. Clinical practice guidelines endorsed by The Polish Society of Spinal Surgery
Affiliations- Department of Neurosurgery, Regional Medical Center, Opole, Poland
- Department of Neurosurgery, Specialist Medical Center, Polanica-Zdroj, Poland
- Department of Neurosurgery, Regional Neurosurgery and Neurotrauma Center, Zielona Gora, Poland
- 1 st Department of Radiology, Medical University of Warsaw, Chałubińskiego str 5, 02-004 Warsaw, Poland
- Department of Orthopedics and Traumatology, Poznan University of Medical Sciences, Poznan, Poland
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Abstract
Degenerative cervical spondylosis (DCS) with radiculopathy is the most common indication for cervical spine surgery despite favorable natural history. Advances in spinal surgery in conjunction with difficulties in measuring the outcomes caused the paucity of uniform guidelines for the surgical management of DCS.
AimsThe aim of this paper is to develop guidelines for surgical treatment of DCS. For this purpose the available up-to-date literature relevant on the topic was critically reviewed.
Methods and resultsSix questions regarding most important clinical questions encountered in the daily practice were formulated. They were answered based upon the systematic literature review, thus creating a set of guidelines. The guidelines were categorized into four tiers based on the level of evidence (I–III and X). They were designed to assist in the selection of optimal and effective treatment leading to the most successful outcome.
ConclusionsThe evidence based medicine (EBM) is increasingly popular among spinal surgeons. It allows making unbiased, optimal clinical decisions, eliminating the detrimental effect of numerous conflicts of interest. The key role of opinion leaders as well as professional societies is to provide guidelines for practice based on available clinical evidence. The present work contains a set of guidelines for surgical treatment of DCS officially endorsed by the Polish Spine Surgery Society.
Abstract
Degenerative cervical spondylosis (DCS) with radiculopathy is the most common indication for cervical spine surgery despite favorable natural history. Advances in spinal surgery in conjunction with difficulties in measuring the outcomes caused the paucity of uniform guidelines for the surgical management of DCS.
AimsThe aim of this paper is to develop guidelines for surgical treatment of DCS. For this purpose the available up-to-date literature relevant on the topic was critically reviewed.
Methods and resultsSix questions regarding most important clinical questions encountered in the daily practice were formulated. They were answered based upon the systematic literature review, thus creating a set of guidelines. The guidelines were categorized into four tiers based on the level of evidence (I–III and X). They were designed to assist in the selection of optimal and effective treatment leading to the most successful outcome.
ConclusionsThe evidence based medicine (EBM) is increasingly popular among spinal surgeons. It allows making unbiased, optimal clinical decisions, eliminating the detrimental effect of numerous conflicts of interest. The key role of opinion leaders as well as professional societies is to provide guidelines for practice based on available clinical evidence. The present work contains a set of guidelines for surgical treatment of DCS officially endorsed by the Polish Spine Surgery Society.
Keywords
Cervical spondylosis, Radiculopathy, Spinal surgery, Guidelines, Cervical disc herniation
About this articleTitle
Treatment of degenerative cervical spondylosis with radiculopathy. Clinical practice guidelines endorsed by The Polish Society of Spinal Surgery
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Review Article
Pages
109-113
Page views
350
Article views/downloads
866
DOI
10.1016/j.pjnns.2015.12.002
Bibliographic record
Neurol Neurochir Pol 2016;50(2):109-113.
Keywords
Cervical spondylosis
Radiculopathy
Spinal surgery
Guidelines
Cervical disc herniation
Authors
Dariusz Latka
Grzegorz Miekisiak
Pawel Jarmuzek
Marcin Lachowski
Jacek Kaczmarczyk
