Abstract
Degenerative cervical myelopathy (DCM) is an increasingly prevalent condition. An expanding body of evidence exists defining optimal management strategies for patients with DCM. Current guidelines recommend surgical intervention for severe or moderate cases of DCM. In cases of mild DCM, or radiographic compression without myelopathy, either surgical intervention or structured nonoperative intervention can be pursued. Once decision is made to operate, the choice of surgical approach (anterior vs posterior vs combined) is influenced by patient and disease characteristics. Recent research efforts have attempted to weigh the efficacy and complication profile of different surgical approaches in situations in which clinical equipoise may exist. This chapter reviews the treatment options available in the management of DCM, and the available evidence behind each strategy.
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