ArticleGlobal spine journal2026
Diagnostic and Surgical Decision-Making for Degenerative Cervical Myelopathy: A Survey With Post-Stratification Analysis.
Article in Global spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Study DesignOnline questionnaire following the CHERRIES framework.ObjectivesDegenerative cervical myelopathy (DCM) is a heterogenous condition with a broad clinical presentation profile. Understanding the adoption of clinical signs and symptoms for both diagnostic and surgical decision-making could inform the development of standardised diagnostic criteria for DCM. Therefore, we sought to survey orthopaedic spine surgeons and neurosurgeons in secondary care across Australasia (New Zealand and Australia).MethodsAn online 19-item questionnaire was distributed to orthopaedic spine surgeons and neurosurgeons across Australasia. It examined factors influencing diagnostic and surgical decision-making, including responses to clinical vignettes. Post-stratification weighting was applied and an exploratory post-hoc pattern analysis was performed.ResultsSeventy-two completed responses were analysed. For diagnosis, gait clumsiness (86.1%), hand clumsiness (76.4%) and reduced hand dexterity (75.0%) were the most frequently selected symptoms, and hyperreflexia (83.3%) and ankle clonus sign (68.1%) were the most commonly selected clinical signs.
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