Cervical myelopathy in older population

Postgraduate Thesis uoadl:2837419 225 Read counter

Unit:
ΠΜΣ Μεταβολικά Νοσήματα των Οστών
Library of the School of Health Sciences
Deposit date:
2018-12-11
Year:
2018
Author:
Mylonas Nikolaos
Supervisors info:
Λυρίτης Γεώργιος, Ομότιμος Καθηγητής, Ιατρική, ΕΚΠΑ
Δοντά Ισμήνη, Καθηγήτρια, Ιατρική, ΕΚΠΑ
Τριανταφυλλόπουλος Ιωάννης, Επίκουρος Καθηγητής, Ιατρική, ΕΚΠΑ
Original Title:
Αυχενική μυελοπάθεια σε υπερήλικες
Languages:
Greek
Translated title:
Cervical myelopathy in older population
Summary:
Cervical Myelopathy is a progressive degenerative condition of the cervical spine and consists the most common etiology of nerve dysfunction. Spondylosis is the commonest reason for cervical myelopathy in elder population. This review of the literature has the purpose to analyze the pathophysiology, clinical presentation and appropriate treatment of the elder patients, suffering from cervical myelopathy.
Clinical presentation and natural history of this condition varies, from slowly progressive to rapid neurological deficiencies, while the promising role of diffuse tensor imaging MRI may help to identify earlier the neurological conditions. For mild myelopathy, conservative treatment and close follow-up may be helpful. However, surgical decompression seems to be the treatment of choice in moderate to severe cases. The success rate of conservative and surgical treatment is multifactorial and there is limited evidence to support the superiority of each choice, while the most appropriate surgical approach is still controversial.
Further high quality randomized clinical trials with longer follow-up are needed in order to inspect the natural history of the disease and to support the most appropriate intervention.
Main subject category:
Health Sciences
Keywords:
Cervical myelopathy, Elderly, Natural history, Treatment
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
88
Number of pages:
71
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