An Algorithmic Roadmap for Surgical Management of Degenerative Cervical Myelopathy: A Narrative Review

초록

al e ic (DCM)myelopathyic a leading iscause of disability, its withsurgical being crucialmanagement for neuro-ogi al patientoutc mes. G livenc ovariedthe presentations and of severities treatment DCM, options diverse. are Surgeons often chal-facees i lengsel cting the mostn eappropriate surgical approach, as there is no universally answer. This correctnarrative review aims to aid the deisio-m kin pr cessc inn ag oDCM treatingby prsenting structured treatmenta algorithm. The authors categorizedsurgical scenarios based on an algori hm, outlinig suitable t treatment methods each for Foursituation. primary scenarios identifwere ied based on the numbe of l ve s r quirinr esurgeryl e K-lineg and status: (1) K-line (+) and <= 3 levels,K-line (2)(+) and >= 3 levels,K-line (3)(-) and <= 3 lev-el , a d ( ) K line s(-) adn >= 43 -This levels. categorizatio in aids thedeterminin g of appropriatenesanterior or pos terior approaches and the necessity or fusion, f the consideringsurgical levelsK-line andThe status. complexity of surgical and situationsthe diversity f t eat ent metho so DCMm for be dcaeffectively by man agedutilizing an algorithmic approach. Furthermore, surgical that techniquesmi imize stags an naddress e d challengingconditions could ptentially outcomes DCMenhance intratment.K yw rds Degenerat

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