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Multidisciplinary approach to degenerative cervical myelopathy
Ali Moghaddamjou1, Jamie R F Wilson1,2, Allan R Martin2
1Division of Neurosurgery and Spinal Program, Department of Surgery, University of Toronto , Toronto, Ontario, Canada.
Expert Review of Neurotherapeutics
|July 21, 2020
Summary
Degenerative cervical myelopathy (DCM) requires a multidisciplinary approach for optimal patient outcomes. A coordinated team ensures comprehensive care across all stages of DCM management.
Area of Science:
- Neurosurgery
- Orthopedics
- Rehabilitation Medicine
Background:
- Degenerative cervical myelopathy (DCM) is a common neurological condition leading to significant patient disability.
- Current care models may not fully address the multifaceted needs of DCM patients.
Purpose of the Study:
- To emphasize the critical role of multidisciplinary care in managing degenerative cervical myelopathy.
- To propose a framework for implementing a multidisciplinary team approach in DCM.
Main Methods:
- Review of current literature and clinical practices in DCM management.
- Discussion of the components of an ideal multidisciplinary team for DCM.
Main Results:
- A multidisciplinary team, including patients, surgeons, primary care physicians, neurologists, anesthesiologists, radiologists, physiatrists, nurses, physical therapists, occupational therapists, pain specialists, and social workers, is essential.
- This team structure facilitates comprehensive assessment, diagnosis, treatment planning, surgical and non-operative interventions, and postoperative care.
Conclusions:
- Implementing a collaborative, multidisciplinary team is vital for delivering personalized and effective care for degenerative cervical myelopathy.
- This approach optimizes patient outcomes by addressing the diverse health domains affected by DCM.