open access

Vol 50, No 2 (2016)
Review article
Submitted: 2015-11-19
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Treatment of degenerative cervical spondylosis with radiculopathy. Clinical practice guidelines endorsed by The Polish Society of Spinal Surgery

Dariusz Latka, Grzegorz Miekisiak, Pawel Jarmuzek, Marcin Lachowski, Jacek Kaczmarczyk
DOI: 10.1016/j.pjnns.2015.12.002
·
Neurol Neurochir Pol 2016;50(2):109-113.

open access

Vol 50, No 2 (2016)
Review article
Submitted: 2015-11-19

Abstract

Introduction

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.

Aims

The 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 results

Six 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.

Conclusions

The 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

Introduction

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.

Aims

The 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 results

Six 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.

Conclusions

The 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.

Get Citation

Keywords

Cervical spondylosis, Radiculopathy, Spinal surgery, Guidelines, Cervical disc herniation

About this article
Title

Treatment of degenerative cervical spondylosis with radiculopathy. Clinical practice guidelines endorsed by The Polish Society of Spinal Surgery

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 50, No 2 (2016)

Pages

109-113

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

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