Mildly Symptomatic Myelopathy: Watch and Wait

Dr. Cho argues non-surgical management should be offered to mildly symptomatic myelopathy patients.
#SamualChoMD #cervicalspineresearchsociety #CSRS #cervicalspine #spineresearch #spinesurgery #annualmeetingprogram #spinedisease #spinetreatment #MildlySymptomaticMyelopathy
Keywords: cervical myelopathy, mJOA, non-surgical management, cervical stenosis, OPLL
The Cervical Spine Research Society® is a multidisciplinary organization of individuals interested in clinical and research problems of the cervical spine. Its purpose is to provide a forum for the exchange and development of ideas and philosophy regarding the diagnosis and treatment of cervical spine injury and disease. The organization values collegial interaction and strong scientific principles.
The Cervical Spine Research Society is the recognized authority on diseases of the cervical spine.
To achieve this vision, the Cervical Spine Research Society will strive for excellence in presenting the Annual Meeting program; promoting high quality meaningful research; making available to the public the best information about diseases and their treatment; collaborating with other organizations that will benefit our members and the public; being a resource for other institutions who need accurate information about the cervical spine; and satisfy the expectations of the membership.

[@sengacheng]

Fifty-two patients experienced complications (prevalence, 18.7%), with no significant differences among the severity groups. this is quote from the paper

[@JE-wf1xp]

Tysm!

[@cmbooks2000]

Thank you

[@jasonwill5949]

Thank you. This is the question I’m facing

[@imveryhungry112]

are you going to do the surgery? Im waiting for a while on mine.

[@imveryhungry112]

An 18.7 percent complication rate for decompression surgery is, really high. Can that really be right? That means, 19 out of every 100 people who get that surgery are going to have really bad problems from it. Would anyone take blood pressure medicine if 19 out of every 100 got severe complications from it? That rate sucks they need to do more research and advance the science for us patients.

[@tommccormick9290]

If not for needing my job, I'd prefer surgery now. I'm an active 66, work security and into strength training. 4 months ago I was diagnosed with moderate myelopathy. Hands & arms seem unaffected but feels like I'm on a trampoline when walking and running feels so awkward that I avoid it if possible.

[@imveryhungry112]

if your 66 cant you just collect social security and then get medicare to pay for the operation and chill out for a while and recover?

[@angml1122]

Is it true that patients will get paralyzed if not treated. What is going to happen immediately after the decompression surgery? Painful and difficulty swallowing and neck unable to move etc.. Thanks in advance for your response.

[@tinabren]

What kind of neurological decline do we experience my short term memory is deteriorating

[@imveryhungry112]

look up the mjoa assessment. It shows you what symptoms to look for. Memory is not one of the symptoms on there its stuff like, are your hands numb, can you walk ok, can you button a shirt. stuff like that.

[@buck2559]

i was diagnosed with congenital cervical spinal canal stanosis, i also have foraminal stenosis and ddd, spondylosis spondylolisthesis and other conditions in my neck.i had plates and screws put in at c3 and c4 back in 2016. about two months ago i started have bad headaches in back of my head and down left shoulder,it hurts even in my lef eye. i went to a sports medicine doctor he did a exray that should spondylosis that naturally fused c2 and c3. I have got to go for a MRI on the 14th of this month.to see if anything has gotten the worse. god i sont want to have another surgery, i and scared and don't know what to do. I just turned 50 and i am disabled and have been since 2012.but something has got to be sone about my headaches?

[@claw2093]

understand your frustration and worries. May God Bless You for getting the best treatment from a good health care team.