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Surgical procedures on the cervical spine are accepted therapies for the myelopathy of cervical spondylosis.However,reported improvement rates vary widely,and many reports indicate improvement in about one-half of the cases.It has not been proven that outcome after surgery is better than the natural history or conservative therapy.Radiographic or imaging evidence of cord impingement or compression may be seen in asymptomatic people. There are no clear guides to the selection of patients who may benefit from the operation and there has been no standardization of preoperative evaluation,trials of conservative therapy,ascertainment of progressive disability,or assessment of outcome.A multicenter controlled trial might answer these questions. |
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amyotrophic lateral sclerosis
amyotrophic lateral sclerosis,differential diagnosis
amyotrophic lateral sclerosis,misdiagnosis
cervical spine
cervical spondylosis
cervical spondylosis,differential diagnosis of
cervical spondylosis,misdiagnosis
laminectomy,cervical
misdiagnosis
multiple sclerosis
multiple sclerosis,differential diagnosis of
multiple sclerosis,misdiagnosis
myelopathy
myelopathy,ischemic-due to trauma or spondylosis
neurologic complications of,surgery
neurologic disease,diagnoses of
primary lateral sclerosis
prognosis
review article
spinal cord,compression of
spondylosis
syringomyelia
treatment of neurologic disorder
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