{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:14:09Z","timestamp":1780092849133,"version":"3.54.0"},"reference-count":53,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The National Health and Medical Research Council"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,2,23]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To develop and user-test a patient decision aid for people diagnosed with degenerative cervical myelopathy and who are considering surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed-methods study describing the development of a patient decision aid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A draft decision aid was developed by a multidisciplinary steering group (including study authors with degenerative cervical myelopathy, health professionals and researchers) informed by the best available evidence, authorship consensus and existing patient decision aids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patient-participants and health professional-participants who manage people with degenerative cervical myelopathy were recruited through social media and the steering group\u2019s research and practice network. Quantitative questionnaires were used to gather baseline data, descriptive feedback, refine the decision aid and assess its acceptability. Qualitative semi-structured interviews were conducted online to gather feedback on the decision aid and were analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We conducted 32 interviews: 19 patient-participants and 13 health professional-participants who manage people with degenerative cervical myelopathy (neurosurgeons, neurologists, physiotherapists, orthopaedic surgeons, general practitioners, rehabilitation and pain specialists and consultant occupational physicians and chiropractors). Participants were from 10 countries (Australia, Canada, Cyprus, Germany, Ireland, New Zealand, Sweden, Switzerland, United Kingdom and USA). Most participants rated the decision aid\u2019s acceptability as good-to-excellent and agreed with most aspects of the decision aid (eg, defining degenerative cervical myelopathy, management recommendations, potential benefits and harms, questions to consider asking a health professional).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our patient decision aid was rated as an acceptable tool by both health professional-participants who treat degenerative cervical myelopathy and patient-participants with lived experience of degenerative cervical myelopathy. This decision aid can be used by clinicians and people with degenerative cervical myelopathy to help with shared decision making following a diagnosis of degenerative cervical myelopathy. A study testing the potential benefits of this decision aid in a clinical setting is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-106337","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T15:20:15Z","timestamp":1775229615000},"page":"e106337","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Development and acceptability of a patient decision aid for people with degenerative cervical myelopathy: an international mixed-methods study"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-4779","authenticated-orcid":false,"given":"Andrew R","family":"Gamble","sequence":"first","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Sydney Musculoskeletal Health and Institute for Musculoskeletal Health, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B","family":"Anderson","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marnee J","family":"McKay","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Davies","sequence":"additional","affiliation":[{"name":"Discipline of Neurosurgery, Cambridge University Hospital, University of Cambridge, England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Macpherson","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Van Gelder","sequence":"additional","affiliation":[{"name":"Discipline of Neurosurgery, Concord Repatriation General Hospital, Sydney, New South Wales, Australia"},{"name":"Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2696-5006","authenticated-orcid":false,"given":"Kirsten","family":"McCaffery","sequence":"additional","affiliation":[{"name":"Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel X","family":"Stevens","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Department of Medical Oncology, Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Ammendolia","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7244-2305","authenticated-orcid":false,"given":"Rohil V","family":"Chauhan","sequence":"additional","affiliation":[{"name":"AUT Active Living and Rehabilitation Research Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl M","family":"Zipser","sequence":"additional","affiliation":[{"name":"Spinal Cord Injury Center, Balgrist University Hospital Zurich, University of Zurich, Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1587-3704","authenticated-orcid":false,"given":"Timothy F","family":"Boerger","sequence":"additional","affiliation":[{"name":"Joint Department of Biomedical Engineering, Marquette University and The Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay A","family":"Tetreault","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mass General Brigham, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G","family":"Fehlings","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery and Spine Program, University of Toronto and Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elanor","family":"Dustan","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals, NHS Trust, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Nugent","sequence":"additional","affiliation":[{"name":"Myelopathy.org, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Holmgren","sequence":"additional","affiliation":[{"name":"Myelopathy.org, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2004-9448","authenticated-orcid":false,"given":"Andreas K","family":"Demetriades","sequence":"additional","affiliation":[{"name":"Edinburgh Spinal Surgery Outcomes Study Group, Department of Neurosurgery, Royal Infirmary Edinburgh, Scotland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M","family":"Lantz","sequence":"additional","affiliation":[{"name":"Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"Dhillon","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia"},{"name":"Department of Neurosurgery, St Vincent\u2019s Hospital, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1628-7857","authenticated-orcid":false,"given":"Chris G","family":"Maher","sequence":"additional","affiliation":[{"name":"Sydney Musculoskeletal Health and Institute for Musculoskeletal Health, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8981-2125","authenticated-orcid":false,"given":"Joshua R","family":"Zadro","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Sydney Musculoskeletal Health and Institute for Musculoskeletal Health, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"2026040308201126000_16.4.e106337.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.k186","article-title":"Degenerative cervical myelopathy","volume":"360","author":"Davies","year":"2018","journal-title":"BMJ"},{"key":"2026040308201126000_16.4.e106337.2","first-page":"409","article-title":"Cervical spondylotic myelopathy: the clinical phenomenon and the current pathobiology of an increasingly prevalent and devastating disorder","volume":"19","author":"Kalsi-Ryan","year":"2013","journal-title":"NRO"},{"key":"2026040308201126000_16.4.e106337.3","doi-asserted-by":"crossref","first-page":"E675","DOI":"10.1097\/BRS.0000000000000913","article-title":"Degenerative Cervical Myelopathy: Epidemiology, Genetics, and Pathogenesis","volume":"40","author":"Nouri","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"key":"2026040308201126000_16.4.e106337.4","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1177\/2192568220961357","article-title":"Provision and Perception of Physiotherapy in the Nonoperative Management of Degenerative Cervical Myelopathy (DCM): A Cross-Sectional Questionnaire of People Living With DCM","volume":"12","author":"Butler","year":"2022","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.5","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1177\/2192568220953811","article-title":"Outcomes of Degenerative Cervical Myelopathy From The Perspective of Persons Living With the Condition: Findings of a Semistructured Interview Process With Partnered Internet Survey","volume":"12","author":"Davies","year":"2022","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.6","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1038\/sc.2017.91","article-title":"Clinical features and surgical outcomes of cervical spondylotic myelopathy in patients of different ages: a retrospective study","volume":"56","author":"Zhang","year":"2018","journal-title":"Spinal Cord"},{"key":"2026040308201126000_16.4.e106337.7","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-019-0303-0"},{"key":"2026040308201126000_16.4.e106337.8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0222134","article-title":"Duration of symptoms in the quantification of upper limb disability and impairment for individuals with mild degenerative cervical myelopathy (DCM)","volume":"14","author":"Kalsi-Ryan","year":"2019","journal-title":"PLOS ONE"},{"key":"2026040308201126000_16.4.e106337.9","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/BRS.0000000000003305","article-title":"Diagnostic Delays Lead to Greater Disability in Degenerative Cervical Myelopathy and Represent a Health Inequality","volume":"45","author":"Pope","year":"2020","journal-title":"Spine (Phila Pa 1986)"},{"key":"2026040308201126000_16.4.e106337.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.12.124"},{"key":"2026040308201126000_16.4.e106337.11","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1017\/cjn.2021.214","article-title":"Degenerative Cervical Myelopathy: Towards a Personalized Approach","volume":"49","author":"Hejrati","year":"2022","journal-title":"Can J Neurol Sci"},{"key":"2026040308201126000_16.4.e106337.12","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00586-013-2781-x","article-title":"Prevalence of cervical spondylotic myelopathy","volume":"24 Suppl 2","author":"Boogaarts","year":"2015","journal-title":"Eur Spine J"},{"key":"2026040308201126000_16.4.e106337.13","doi-asserted-by":"crossref","first-page":"28S","DOI":"10.1177\/21925682211050927","article-title":"Improving Awareness Could Transform Outcomes in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 1]","volume":"12","author":"Davies","year":"2022","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2023.06.003"},{"key":"2026040308201126000_16.4.e106337.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4660-8"},{"key":"2026040308201126000_16.4.e106337.16","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199109000-00005"},{"key":"2026040308201126000_16.4.e106337.17","doi-asserted-by":"crossref","first-page":"70S","DOI":"10.1177\/2192568217701914","article-title":"A Clinical Practice Guideline for the Management of Patients With Degenerative Cervical Myelopathy: Recommendations for Patients With Mild, Moderate, and Severe Disease and Nonmyelopathic Patients With Evidence of Cord Compression","volume":"7","author":"Fehlings","year":"2017","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.18","doi-asserted-by":"publisher","DOI":"10.1007\/s005860000132"},{"key":"2026040308201126000_16.4.e106337.19","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1811-9"},{"key":"2026040308201126000_16.4.e106337.20","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"4","author":"Stacey","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2026040308201126000_16.4.e106337.21","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"1","author":"Stacey","year":"2024","journal-title":"Cochrane Database Syst Rev"},{"key":"2026040308201126000_16.4.e106337.22","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X20978208"},{"key":"2026040308201126000_16.4.e106337.23","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X211035681"},{"key":"2026040308201126000_16.4.e106337.24","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-081421","article-title":"Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study","volume":"14","author":"Gamble","year":"2024","journal-title":"BMJ Open"},{"key":"2026040308201126000_16.4.e106337.25","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-072553","article-title":"Developing a patient decision aid for Achilles tendon rupture management: a mixed-methods study","volume":"13","author":"Gan","year":"2023","journal-title":"BMJ Open"},{"key":"2026040308201126000_16.4.e106337.26","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-054032","article-title":"Development of a patient decision aid on subacromial decompression surgery and rotator cuff repair surgery: an international mixed-methods study","volume":"11","author":"Zadro","year":"2021","journal-title":"BMJ Open"},{"key":"2026040308201126000_16.4.e106337.27","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1177\/0272989X21996622","article-title":"Basing Information on Comprehensive, Critically Appraised, and Up-to-Date Syntheses of the Scientific Evidence: An Update from the International Patient Decision Aid Standards","volume":"41","author":"Hoffmann","year":"2021","journal-title":"Med Decis Making"},{"key":"2026040308201126000_16.4.e106337.28","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1177\/0272989X211021397","article-title":"Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards","volume":"41","author":"Martin","year":"2021","journal-title":"Med Decis Making"},{"key":"2026040308201126000_16.4.e106337.29","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X21996328"},{"key":"2026040308201126000_16.4.e106337.30","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X21996342"},{"key":"2026040308201126000_16.4.e106337.31","article-title":"Surgery for cervical radiculopathy or myelopathy","volume":"2010","author":"Nikolaidis","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"2026040308201126000_16.4.e106337.32","doi-asserted-by":"publisher","DOI":"10.1136\/ebmed-2016-110401"},{"key":"2026040308201126000_16.4.e106337.33","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318219c171"},{"key":"2026040308201126000_16.4.e106337.34","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.spinee.2023.07.020","article-title":"Natural history of degenerative cervical myelopathy: a meta-analysis and neurologic deterioration survival curve synthesis","volume":"24","author":"Sarraj","year":"2024","journal-title":"Spine J"},{"key":"2026040308201126000_16.4.e106337.35","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1177\/21925682231164346","article-title":"Predictors of Outcome After Surgical Decompression for mild degenerative Cervical Myelopathy -A Systematic Review","volume":"14","author":"Khosravi","year":"2024","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.36","doi-asserted-by":"crossref","first-page":"42S","DOI":"10.1177\/2192568217700397","article-title":"Change in Function, Pain, and Quality of Life Following Structured Nonoperative Treatment in Patients With Degenerative Cervical Myelopathy: A Systematic Review","volume":"7","author":"Tetreault","year":"2017","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.37","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1097\/BRS.0000000000004552","article-title":"Deterioration After Surgery for Degenerative Cervical Myelopathy: An Observational Study From the Canadian Spine Outcomes and Research Network","volume":"48","author":"Evaniew","year":"2023","journal-title":"Spine (Phila Pa 1986)"},{"key":"2026040308201126000_16.4.e106337.38","doi-asserted-by":"crossref","first-page":"103261","DOI":"10.1016\/j.msksp.2025.103261","article-title":"Development of a patient decision aid for people with chronic low back pain and degenerative disc disease considering lumbar fusion: A mixed-methods study","volume":"76","author":"Cho","year":"2025","journal-title":"Musculoskelet Sci Pract"},{"key":"2026040308201126000_16.4.e106337.39","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X211014163"},{"key":"2026040308201126000_16.4.e106337.40","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1177\/0272989X211011120","article-title":"Are We Improving? Update and Critical Appraisal of the Reporting of Decision Process and Quality Measures in Trials Evaluating Patient Decision Aids","volume":"41","author":"Trenaman","year":"2021","journal-title":"Med Decis Making"},{"key":"2026040308201126000_16.4.e106337.41","unstructured":"O\u2019Connor AM , Craney A . Acceptability. Available: https:\/\/decisionaid.ohri.ca\/eval_accept.html [Accessed 10 May 2023]."},{"key":"2026040308201126000_16.4.e106337.42","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"2026040308201126000_16.4.e106337.43","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2016.1262613"},{"key":"2026040308201126000_16.4.e106337.44","doi-asserted-by":"publisher","DOI":"10.1136\/ebnurs-2019-103145"},{"key":"2026040308201126000_16.4.e106337.45","first-page":"699","article-title":"Toward Minimum Standards for Certifying Patient Decision Aids: A Modified Delphi Consensus Process","volume":"34","author":"Joseph-Williams","year":"2014","journal-title":"MDM"},{"key":"2026040308201126000_16.4.e106337.46","doi-asserted-by":"crossref","DOI":"10.2196\/15032","article-title":"An 11-Item Measure of User- and Human-Centered Design for Personal Health Tools (UCD-11): Development and Validation","volume":"23","author":"Witteman","year":"2021","journal-title":"J Med Internet Res"},{"key":"2026040308201126000_16.4.e106337.47","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/S1474-4422(19)30168-1","article-title":"A focus on patient outcomes in cervical myelopathy","volume":"18","year":"2019","journal-title":"Lancet Neurol"},{"key":"2026040308201126000_16.4.e106337.48","first-page":"848","article-title":"Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards","volume":"41","author":"Muscat","year":"2021","journal-title":"MDM"},{"key":"2026040308201126000_16.4.e106337.49","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1016\/j.spinee.2020.02.003","article-title":"Machine learning algorithms for prediction of health-related quality-of-life after surgery for mild degenerative cervical myelopathy","volume":"21","author":"Khan","year":"2021","journal-title":"Spine J"},{"key":"2026040308201126000_16.4.e106337.50","doi-asserted-by":"crossref","first-page":"6S","DOI":"10.1177\/2192568217701714","article-title":"Guidelines for the Management of Degenerative Cervical Myelopathy and Spinal Cord Injury: An Introduction to a Focus Issue","volume":"7","author":"Fehlings","year":"2017","journal-title":"Global Spine J"},{"key":"2026040308201126000_16.4.e106337.51","doi-asserted-by":"crossref","unstructured":"Anderson DB , Peek AL , Gelder JM , et al . Should we screen retired contact sport athletes for early signs of degenerative cervical myelopathy. BJSM 2024. doi:10.1136\/bjsports-2024-108306","DOI":"10.1136\/bjsports-2024-108306"},{"key":"2026040308201126000_16.4.e106337.52","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1038\/s41393-024-00965-y","article-title":"The role of comprehensive rehabilitation in the care of degenerative cervical myelopathy","volume":"62","author":"Catz","year":"2024","journal-title":"Spinal Cord"},{"key":"2026040308201126000_16.4.e106337.53","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-021-01698-9"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-106337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T15:20:22Z","timestamp":1775229622000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-106337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":53,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,3]]},"published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1136\/bmjopen-2025-106337"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-106337","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}