2000
DOI: 10.1227/00006123-200009000-00022
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Surgery for Cervical Spinal Cord Compression in Patients with Multiple Sclerosis

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Cited by 3 publications
(5 citation statements)
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“…Presenting symptoms of severe CS and spinal cord MS overlap significantly and can include gait dysfunction, ataxia, extremity weakness, sensory disturbances, and bowel and bladder dysfunction. Because of these similarities, determining the contribution of each disorder to the clinical features of cervical myelopathy can prove to be quite challenging (Young et al, 1999;Bashir et al, 2000;Bashir et al, 2001;Tan et al, 2014;Lubelski et al, 2015;Xydis et al, 2017).…”
Section: Introductionmentioning
confidence: 99%
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“…Presenting symptoms of severe CS and spinal cord MS overlap significantly and can include gait dysfunction, ataxia, extremity weakness, sensory disturbances, and bowel and bladder dysfunction. Because of these similarities, determining the contribution of each disorder to the clinical features of cervical myelopathy can prove to be quite challenging (Young et al, 1999;Bashir et al, 2000;Bashir et al, 2001;Tan et al, 2014;Lubelski et al, 2015;Xydis et al, 2017).…”
Section: Introductionmentioning
confidence: 99%
“…To date, no large cohort study or randomized trial has been performed to further characterize the relationship between MS and CS. However, many authors have addressed whether cervical decompression surgery is beneficial for patients with both co-morbidities (Young et al, 1999;Bashir et al, 2000;Bashir et al, 2001;Tan et al, 2014;Lubelski et al, 2015;Purvis et al, 2017;Vedantam and Rajshekhar, 2013). Only retrospective data exist to answer this question, and their findings are mixed.…”
Section: Introductionmentioning
confidence: 99%
“…14 The most common symptoms found during a retrospective study of 14 people with definite MS who were scheduled for cervical decompression surgery were progressive myelopathy and radiculopathy. 15 Important clinical considerations for cervical disease include the following: the age of the patient, a history of falls or trauma, repetitive activities, deconditioning, and comorbid diseases such as osteoporosis and diabetes that place the patient at risk. 16 Correctly identifying spinal abnormalities will determine effective strategies, physical therapy interventions, goals, and optimal outcome for rehabilitation.…”
mentioning
confidence: 99%
“…The authors explained that their findings were consistent with those of Lubelski et al [13] in that most patients with myelopathy achieved only stability in symptoms (62%) rather than improvement (30%). These results, together with those of Young et al [10], Arnold et al [11], Burgerman et al [12], Lubelski et al [13], and Bashir et al [14] reported above, suggest that surgical treatment may be indicated for relief of neck pain and radicular symptoms rather than the myelopathic symptoms that will progress with MS. Moreover, the collective evidence suggests that surgery does not result in exacerbations of MS.…”
Section: Resultsmentioning
confidence: 51%
“…Bashir et al [14] published a case series that found similar outcomes in patients with MS and coexisting spinal cord compression due to cervical spondylosis or cervical disc disease. Fourteen patients underwent cervical decompression surgery to address presenting symptoms of neck pain ( n = 11), cervical radiculopathy ( n = 10), and progressive myelopathy ( n = 13) (mean follow-up, 3.8 years; range, 1.0–9.8 years).…”
Section: Resultsmentioning
confidence: 99%