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,

DOI
https://doi.org/10.14245/ns.2244996.498
Journal volume & issue
Vol. 20, no. 2
pp. 415 – 429

Abstract

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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.

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