Degenerative cervical myelopathy: a comprehensive analysis of the diagnosis, clinical picture and modern strategies for postoperative rehabilitation
https://doi.org/10.56618/20712693_2024_16_2_165
EDN: JQCZWG
Abstract
Degenerative cervical myelopathy (DSM) occupies a leading place among the causes of spinal cord dysfunction in the adult population in industrialized countries, and there is a tendency to increase the prevalence of the disease due to an increase in life expectancy. The clinical picture of myelopathic syndrome is quite multifaceted and in cases of disease progression, the existing neurological deficit can lead to significant disability. Effective prevention of irreversible disability is possible due to early diagnosis and timely surgical intervention followed by a course of postoperative rehabilitation. Currently, there are numerous data in the scientific literature on the effectiveness of postoperative rehabilitation, but clinical recommendations on this topic have not yet been published. This review presents current data on the epidemiology, diagnosis and principles of postoperative rehabilitation. Special attention is paid to the discussion of rehabilitation treatment regimens, both with potential for use and already used in clinical practice.
About the Authors
P. V. Kaleda
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Pavel V. Kaleda – Junior Researcher at the Research Laboratory of Neurology and Neurorehabilitation
2 Akkuratova street, St. Petersburg, 197341
S. N. Yanishevskij
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Stanislav N. Yanishevskij – Dr. of Sci. (Med.), Full Professor, Laboratory Chief
2 Akkuratova street, St. Petersburg, 197341
A. S. Nazarov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Aleksandr S. Nazarov – Cand. of Sci. (Med.), Head at the Department
12 Mayakovskogo street, St. Petersburg, 191025
E. A. Olejnik
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Ekaterina A. Olejnik – Cand. of Sci. (Med.), Neurologist
12 Mayakovskogo street, St. Petersburg, 191025
E. N. Zharova
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Elena N. Zharova – Dr. of Sci. (Med.), Head at the Department
12 Mayakovskogo street, St. Petersburg, 191025
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Review
For citations:
Kaleda P.V., Yanishevskij S.N., Nazarov A.S., Olejnik E.A., Zharova E.N. Degenerative cervical myelopathy: a comprehensive analysis of the diagnosis, clinical picture and modern strategies for postoperative rehabilitation. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(2):165-173. (In Russ.) https://doi.org/10.56618/20712693_2024_16_2_165. EDN: JQCZWG
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