Factors Predictive of Operative Outcome

  • Jerry Ku
  • Jefferson R. WilsonEmail author


The natural history of degenerative cervical myelopathy (DCM) is usually one of a slow, stepwise decline, with a minority of patients experiencing periods of quiescence or even subtle clinical improvement with nonoperative treatment over time [1]. Surgical intervention, on average, has convincingly shown to improve neurological outcomes, functional status, and quality of life in DCM patients, regardless of the severity of preoperative functional status [2]. As a result, surgery remains the preferred treatment approach for this patient population. That said, at the individual patient level, postoperative outcomes continue to be variable. As such, surgeons should be aware of the factors which predict operative outcome; such knowledge is essential to aid preoperative communications and to manage patient expectations for recovery in the short and long term.


Predictive factors Operative outcomes Degenerative cervical myelopathy DCM Risk factors 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of NeurosurgerySt. Michael’s Hospital, University of TorontoTorontoCanada

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