Cervical Spondylotic Myelopathy: From the World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations

Author:

Costa FrancescoORCID,Anania Carla DanielaORCID,Agrillo UmbertoORCID,Roberto AssiettiORCID,Claudio BernucciORCID,Simona BistazzoniORCID,Daniele BongettaORCID,Carlo BrembillaORCID,Barbara CappellettoORCID,Ardico Cocciaro,Battista Costella Giovanni,Raffaele De Falco,Andrea De RosaORCID,Carlo Del VecchioORCID,Mauro DobranORCID,Vito FiorenzaORCID,Diego GarbossaORCID,Giancarlo GuizzardiORCID,Corrado IaccarinoORCID,Claudio Irace,Michele Incerti,Innocenzi GualtieroORCID,Alessandro LandiORCID,Giancarlo LastrucciORCID,Giuseppe MaidaORCID,Ciro Mastrantuoni,Rosario MaugeriORCID,Vincenzo MeglioORCID,Nicola MontemurroORCID,Pierpaolo Nina,Andrea Parlangeli,Giovanni PinnaORCID,Federico Pretti Pier,Armando Rapanà,Alessandro RicciORCID,Rossella RispoliORCID,Stefano RomoliORCID,Sbaffi Per Filippo,Teresa SommaORCID,Enrico TessitoreORCID,Matteo VitaliORCID,Zerbi AlbertoORCID,Gianluigi ZonaORCID,Barbanera Andrea

Abstract

Cervical spondylotic myelopathy (CSM) is a progressively growing pathology to afford by a spinal surgeon due to the aging of the population, associated with better treatment management and the best diagnosis and treatment solutions are greatly discussed. Nowadays that scientific literature is progressively increasing to identify the gold standard in diagnosis and treatment can be very challenging. This is particularly evident in spinal surgery with many different indications not only in different countries but also in the same local reality. In this scenario, many neurosurgical societies works to identify some guideline or recommendations to help spinal surgeons in daily practice. Furthermore, in an era in which legal issues are increasingly present in clinical practice to have some indications globally accepted can be very useful. World Federation of Neurosurgical Societies (WFNS) few years ago starts this process creating a list of recommendations originating from a worldwide steering committee to respect all the local reality. The spinal section of Italian Neurosurgical Society decides to adopt the WFNS recommendations with some revision basing on Italian scenario. The steering committee of the Spinal Section of Italian Neurosurgical Society identify 7 groups to review the literature of the last 10 years about different topics on CSM and to analyses the WFNS recommendations to adapt it to the Italian daily practice. The statements were discussed and voted in 2 sessions to obtain the final version. A list of recommendations on natural course and clinical presentation; diagnostic tests; conservative and surgical treatment; anterior, posterior and combined surgical treatment; role of neurophysiological monitoring and follow-up and outcome was created with only few new or revised statements respect the ones of WFNS. The Spine Section of Italian Neurosurgical Society create a list of recommendations that represent the more contemporary treatment concepts for CSM as presented in the highest quality clinical literature and best clinical practices available on this subject.

Publisher

The Korean Spinal Neurosurgery Society

Subject

Neurology (clinical),Surgery

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