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Surgery should be reserved for moderate to severe myelopathy patients who have failed a period of conservative treatment and patients whose symptoms are not adequately controlled by nonoperative means. A review of the literature supporting various modalities of conservative management is presented, and it is concluded that although effective, nonoperative treatment is labour intensive, requiring regular review and careful selection of medications and physical therapy on a case by case basis.<\/jats:p>","DOI":"10.1155\/2012\/294857","type":"journal-article","created":{"date-parts":[[2011,9,20]],"date-time":"2011-09-20T15:01:28Z","timestamp":1316530888000},"page":"1-5","source":"Crossref","is-referenced-by-count":20,"title":["Nonoperative Modalities to Treat Symptomatic Cervical Spondylosis"],"prefix":"10.1155","volume":"2012","author":[{"given":"Kieran Michael","family":"Hirpara","sequence":"first","affiliation":[{"name":"Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Butler","sequence":"additional","affiliation":[{"name":"Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, 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