Evidence map›Paper›PMID 35043715›Full record

ArticleGlobal spine journal2022

Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis.

Lindsay Tetreault, Sukhvinder Kalsi-Ryan, Benjamin Davies, Laura Nanna-Lohkamp, Philip Garwood, Allan R Martin, Jefferson R Wilson, James S Harrop, James D Guest, Brian K Kwon and 4 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 33 citations in OpenAlex.

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  14. Understanding degenerative cervical myelopathy in musculoskeletal practice.The Journal of manual & manipulative therapy · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 3 countries.

Lindsay TetreaultDivision of Neurology, Graduate Medical Education, 12297New York University Langone, New York, NY, USA.
Sukhvinder Kalsi-RyanToronto Rehabilitation Institute, 7989University Health Network, Toronto, ON, Canada.
Benjamin DaviesDepartment of Academic Neurosurgery, 2152University of Cambridge, Cambridge, UK.ORCID 0000-0003-0591-5069
Laura Nanna-LohkampDivision of Neurosurgery, Department of Surgery, 7938University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8027-0569
Philip GarwoodInternal Medicine Resident, Department of Medicine, 7938University of Toronto, Toronto, ON, Canada.
Allan R MartinSpine Neurosurgery, 8789University of California Davis, Davis, CA, USA.
Jefferson R WilsonDivision of Neurosurgery, Department of Surgery, 7938University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-5965-0305
James S HarropDepartments of Neurological and Orthopedic Surgery, 6529Thomas Jefferson University, Philadelphia, PA, USA.
James D GuestThe Miami Project to Cure Paralysis, 12235University of Miami, Miami, FL, USA.
Brian K KwonDepartment, of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
James MilliganDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Alberto Martinez ArizalaThe Miami Project to Cure Paralysis, 12235University of Miami, Miami, FL, USA.
Mark R KotterDepartment of Academic Neurosurgery, 2152University of Cambridge, Cambridge, UK.
Michael G FehlingsDivision of Neurosurgery, Department of Surgery, 7938University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-5722-6364
University Health Network · CAUniversity of Cambridge · GBUniversity of Miami · USUniversity of Toronto · CAMcMaster University · CANYU Langone Health · USThomas Jefferson University · USUniversity of British Columbia · CAUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designNarrative Review.

objectivesThe objective of this review is to provide a stepwise approach to the assessment of patients with potential symptoms of degenerative cervical myelopathy (DCM).

methodsN/A.

resultsDCM is an overarching term used to describe progressive compression of the cervical spinal cord by age-related changes to the spinal axis. These alterations to normal anatomy narrow the spinal canal, reduce the space available for the spinal cord, and may ultimately compress the ascending and descending neural tracts. Patients with DCM present with a wide range of symptoms that can significantly impact quality of life, including bilateral hand numbness and paresthesia, gait impairment, motor weakness of the upper and lower extremities, and bladder and bowel dysfunction. Unfortunately, DCM is often misdiagnosed, resulting in delayed assessment and management by the appropriate specialist. The proper evaluation of a patient with suspected DCM includes obtaining a detailed patient history, conducting a comprehensive neurological examination, and ordering appropriate tests to rule in or out other diagnoses.

conclusionThis review summarizes a stepwise approach to the diagnosis of patients with DCM.

Indexed as

cervical spondylotic myelopathydegenerative cervical myelopathydiagnosisossification of the posterior longitudinal ligament

Identifiers

PMID35043715
PMCPMC9609530
OpenAlexW4206442655

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.