Neurospine (Jun 2023)
Cervical Spondylotic Myelopathy: World Federation of Neurosurgical Societies (WFNS) to the Italian Neurosurgical Society (SINch) Recommendations
- Francesco Costa,
- Carla Daniela Anania,
- Umberto Agrillo,
- Assietti Roberto,
- Bernucci Claudio,
- Bistazzoni Simona,
- Bongetta Daniele,
- Brembilla Carlo,
- Cappelletto Barbara,
- Cocciaro Ardico,
- Costella Giovanni Battista,
- De Falco Raffaele,
- De Rosa Andrea,
- Del Vecchio Carlo,
- Dobran Mauro,
- Fiorenza Vito,
- Garbossa Diego,
- Guizzardi Giancarlo,
- Iaccarino Corrado,
- Irace Claudio,
- Incerti Michele,
- Gualtiero Innocenzi,
- Landi Alessandro,
- Lastrucci Giancarlo,
- Maida Giuseppe,
- Mastrantuoni Ciro,
- Maugeri Rosario,
- Meglio Vincenzo,
- Montemurro Nicola,
- Nina Pierpaolo,
- Parlangeli Andrea,
- Pinna Giovanni,
- Pretti Pier Federico,
- Rapanà Armando,
- Ricci Alessandro,
- Rispoli Rossella,
- Romoli Stefano,
- Per Filippo Sbaffi,
- Somma Teresa,
- Tessitore Enrico,
- Vitali Matteo,
- Alberto Zerbi,
- Zona Gianluigi,
- Andrea Barbanera,
Affiliations
- Francesco Costa
- Spine Surgery Unit, Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico C. Besta, Milan, Italy
- Carla Daniela Anania
- Neurosurgical Department, IRCCS Humanitas Research Hospital, Rozzano, Italy
- Umberto Agrillo
- Clinica Quisisana, Roma, Italy
- Assietti Roberto
- Unit of Neurosurgery, Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco, Fatebenefratelli Hospital, Milan, Italy
- Bernucci Claudio
- Department of Neurosurgery, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
- Bistazzoni Simona
- Department of Neurosurgery, Sant'Anna Hospital, Como, Italy
- Bongetta Daniele
- Unit of Neurosurgery, Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco, Fatebenefratelli Hospital, Milan, Italy
- Brembilla Carlo
- Department of Neurosurgery, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
- Cappelletto Barbara
- Section of Spine and Spinal Cord Surgery, Department of Neurological Sciences, ASUFC University Hospital of Udine, Udine, Italy
- Cocciaro Ardico
- Department of Neurosurgery, Azienda Ospedaliera Universitaria Pisana (AUOP), University of Pisa, Pisa, Italy
- Costella Giovanni Battista
- Unit of Neurosurgery, SS. Annunziata Hospital, Taranto, Italy
- De Falco Raffaele
- Department of Neurosurgery, P.O. Santa Maria delle Grazie, Pozzuoli (NA), Italy
- De Rosa Andrea
- Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
- Del Vecchio Carlo
- Neurosurgery Unit University Hospital of Bari, Bari, Italy
- Dobran Mauro
- Department of Neurosurgery, Università Politecnica delle Marche, Azienda Ospedali Riuniti, Ancona, Italy
- Fiorenza Vito
- Department of Neurosurgery, A.R.N.A.S. “Civico Di Cristina Benfratelli” Hospital, Palermo, Italy
- Garbossa Diego
- Department of Neuroscience “Rita Levi Montalcini”, Neurosurgery Unit, University of Turin, Turin, Italy
- Guizzardi Giancarlo
- Division of Neurosurgery, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena University Hospital, Modena, Italy
- Iaccarino Corrado
- Neurosurgical Unit, Careggi University Hospital Florence, Italy
- Irace Claudio
- Department of Neurosurgery, Hospital Igea, Milan, Italy
- Incerti Michele
- Neurosurgery Unit Policlinico di Monza, Monza, Italy
- Gualtiero Innocenzi
- UOS Spinal Neurosurgery, San Carlo di Nancy Hospital, Rome, Italy
- Landi Alessandro
- Neurosurgical Department, IRCCS Neuromed, Pozzilli, Italy
- Lastrucci Giancarlo
- Unit of Spine Surgery, Careggi University Hospital, Florence, Italy
- Maida Giuseppe
- Department of Spine Surgery, Multidisciplinary Spine Center, Santa Maria Maddalena Hospital, Occhiobello (RO), Italy
- Mastrantuoni Ciro
- Department of Neurosurgery, P.O. Santa Maria delle Grazie, Pozzuoli (NA), Italy
- Maugeri Rosario
- Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Unit of Neurosurgery, AOUP “Paolo Giaccone”, Palermo, Italy
- Meglio Vincenzo
- Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
- Montemurro Nicola
- Department of Neurosurgery, Azienda Ospedaliera Universitaria Pisana (AUOP), University of Pisa, Pisa, Italy
- Nina Pierpaolo
- Neurosurgical Unit of San Giovanni Bosco Hospital, Naples, Italy
- Parlangeli Andrea
- Neurosurgery Unit Policlinico di Monza, Monza, Italy
- Pinna Giovanni
- Neurosurgical Unit, ARNAS G. Brotzu, Cagliari, Italy
- Pretti Pier Federico
- Ospedale San Giovanni Bosco, Torino, Italy
- Rapanà Armando
- Neurosurgery Unit, Lorenzo Bonomo Hospital, Andria, Italy
- Ricci Alessandro
- Unit of Neurosurgery, Ospedale Civile San Salvatore, L'Aquila, Italy
- Rispoli Rossella
- Section of Spine and Spinal Cord Surgery, Department of Neurological Sciences, ASUFC University Hospital of Udine, Udine, Italy
- Romoli Stefano
- Unit of Spine Surgery, Careggi University Hospital, Florence, Italy
- Per Filippo Sbaffi
- Humanitas Gradenigo, Torino, Italy
- Somma Teresa
- Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
- Tessitore Enrico
- Neurosurgical Unit, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland
- Vitali Matteo
- Department of Neurosurgery, SS Antonio e Biagio e Cesare Arrigo Alessandria Hospital, Alessandria, Italy
- Alberto Zerbi
- Fondazione Iseni Y Nervi, Istititi Clinici Iseni, Lonate Pozzolo, Italy
- Zona Gianluigi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy
- Andrea Barbanera
- Department of Neurosurgery, SS Antonio e Biagio e Cesare Arrigo Alessandria Hospital, Alessandria, Italy
- DOI
- https://doi.org/10.14245/ns.2244996.498
- Journal volume & issue
-
Vol. 20,
no. 2
pp. 415 – 429
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.
Keywords
