Cchandrapunth's List: mom

• as many as 18 percent of patients with CSM will improve spontaneously, 40 percent will stabilize and approximately 40 percent will deteriorate if no treatment is given.
• Cervical immobilization is the most commonly used treatment in the United States. Some studies demonstrate the benefits of wearing a brace, while other studies show that immobilization does not improve the patient's condition.
• SURGICAL TREATMENT
• laminectomy is not appropriate for all patients.
• one can directly address and remove osteophytes and disc material for decompression of the spinal cord
• After reviewing the surgical literature, one investigator found that the rate of successful outcome after surgery was at best 50 percent with the potential for significant postsurgical morbidity
• hat the rate of successful outcome after surgery was at best 50 percent
• A variety of factors determine success after surgery. Factors that may portend a less than satisfactory surgical outcome include severe preoperative neurologic deficits, abnormal signal changes within the spinal cord and/or spinal cord atrophy seen on MRI, and severity of cord compression seen on radiographic studies

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