{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T15:33:28Z","timestamp":1793720008564,"version":"4.6.1"},"reference-count":84,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Literature Review (Narrative).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To introduce the number 10 research priority for Degenerative Cervical Myelopathy: Individualizing Surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This article summarizes the current recommendations and indications for surgery, including how known prognostic factors such as injury time, age, disease severity, and associated comorbidities impact surgical outcome. It also considers key areas of uncertainty that should be the focus of future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>While a small proportion of conservatively managed patients may remain stable, the majority will deteriorate over time. To date, surgical decompression is the mainstay of treatment, able to halt disease progression and improve neurologic function and quality of life for most patients. Whilst this recognition has led to recommendations on when to offer surgery, there remain many uncertainties including the type of surgery, or timing in milder and\/or asymptomatic cases. Their clarification has the potential to transform outcomes, by ensuring surgery offers each individual its maximum benefit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Developing the evidence to better guide surgical decision-making at the individual patient level is a research priority for Degenerative Cervical Myelopathy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682211062494","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T05:46:53Z","timestamp":1645076813000},"page":"147S-158S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10]"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6903-348X","authenticated-orcid":false,"given":"Ricardo","family":"Rodrigues-Pinto","sequence":"first","affiliation":[{"name":"Spinal Unit (UVM), Department of Orthopaedics, Centro Hospitalar Universit\u00e1rio do Porto - Hospital de Santo Ant\u00f3nio, Porto, Portugal"},{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiago S.","family":"Montenegro","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0591-5069","authenticated-orcid":false,"given":"Benjamin M.","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7710-6012","authenticated-orcid":false,"given":"Yoshiharu","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toyama, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Zileli","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Ege University, Bornova, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian K.","family":"Kwon","sequence":"additional","affiliation":[{"name":"Vancouver Spine Surgery Institute, Department of Orthopedics, The University of British Columbia, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5722-6364","authenticated-orcid":false,"given":"Michael G.","family":"Fehlings","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9250-653X","authenticated-orcid":false,"given":"Paul A.","family":"Koljonen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shekar N.","family":"Kurpad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical College of Wisconsin, Wauwatosa, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Guest","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and The Miami Project to Cure Paralysis, The Miller School of Medicine, University of Miami, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bizhan","family":"Aarabi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vafa","family":"Rahimi-Movaghar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5965-0305","authenticated-orcid":false,"given":"Jefferson R.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R. N.","family":"Kotter","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James S.","family":"Harrop","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,17]]},"reference":[{"key":"bibr1-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-019-0303-0"},{"key":"bibr2-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000951"},{"key":"bibr3-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/79.3.483"},{"key":"bibr4-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7f2c3"},{"key":"bibr5-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2013.1224"},{"key":"bibr6-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199804000-00014"},{"key":"bibr7-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/s1529-9430(01)00082-1"},{"key":"bibr8-21925682211062494","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00589"},{"key":"bibr9-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000988"},{"key":"bibr10-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1177\/2192568219832855"},{"key":"bibr11-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4660-8"},{"key":"bibr12-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217701914"},{"key":"bibr13-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1811-9"},{"key":"bibr14-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000029255.77224"},{"key":"bibr15-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7f2e7"},{"key":"bibr16-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyy133"},{"key":"bibr17-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3264-4"},{"key":"bibr18-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-011-1449-4"},{"key":"bibr19-21925682211062494","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00064"},{"key":"bibr20-21925682211062494","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00189"},{"key":"bibr21-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2016.3.FOCUS1665"},{"key":"bibr22-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000159713.20597.0f"},{"key":"bibr23-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/s1529-9430(02)00448-5"},{"key":"bibr24-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2017.09.020"},{"key":"bibr25-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2015-311074"},{"key":"bibr26-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-72595-2"},{"key":"bibr27-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9113491"},{"key":"bibr28-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0034811"},{"key":"bibr29-21925682211062494","doi-asserted-by":"publisher","DOI":"10.14245\/kjs.2015.12.4.261"},{"key":"bibr30-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200301000-00015"},{"key":"bibr31-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2013.09.023"},{"key":"bibr32-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B11.20632"},{"key":"bibr33-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001560"},{"key":"bibr34-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001597"},{"key":"bibr35-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2016.3.FOCUS1667"},{"key":"bibr36-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318074d62e"},{"key":"bibr37-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/SPI-07\/12\/615"},{"key":"bibr38-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2009.5.SPINE08940"},{"key":"bibr39-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/s0025-6196(12)62248-4"},{"key":"bibr40-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7eaaf"},{"key":"bibr41-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000047"},{"key":"bibr42-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7eb27"},{"key":"bibr43-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31826d62a6"},{"key":"bibr44-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2019.4.SPINE19157"},{"key":"bibr45-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2016.10.SPINE16264"},{"key":"bibr46-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1111\/os.12565"},{"key":"bibr47-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003077"},{"key":"bibr48-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318273a4f7"},{"key":"bibr49-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000531"},{"key":"bibr50-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000899"},{"key":"bibr51-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2000.93.2.0199"},{"key":"bibr52-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003677"},{"key":"bibr53-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199902000-00005"},{"key":"bibr54-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03435-7"},{"key":"bibr55-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.05.060"},{"key":"bibr56-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2020.07.012"},{"key":"bibr57-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-019-01174-5"},{"key":"bibr58-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31821f4a51"},{"key":"bibr59-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.03.002"},{"key":"bibr60-21925682211062494","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-07-420"},{"key":"bibr61-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000257566.91177.cb"},{"key":"bibr62-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.08.231"},{"key":"bibr63-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/FOC\/2008\/25\/8\/E3"},{"key":"bibr64-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2013.3.FOCUS135"},{"key":"bibr65-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000043933.32287"},{"key":"bibr66-21925682211062494","doi-asserted-by":"publisher","DOI":"10.3171\/2017.2.SPINE16939"},{"key":"bibr67-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2884-6"},{"key":"bibr68-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000916"},{"key":"bibr69-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000641"},{"key":"bibr70-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.09.044"},{"key":"bibr71-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001264"},{"key":"bibr72-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217700397"},{"key":"bibr73-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-268"},{"key":"bibr74-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-229033"},{"key":"bibr75-21925682211062494","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2017.02.08"},{"key":"bibr76-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.08.231"},{"key":"bibr77-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003348"},{"key":"bibr78-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2004.00863.x"},{"key":"bibr79-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2017.09.012"},{"key":"bibr80-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000289"},{"key":"bibr81-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.11.213"},{"key":"bibr82-21925682211062494","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2017.06.01"},{"key":"bibr83-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195733"},{"key":"bibr84-21925682211062494","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019809"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682211062494","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682211062494","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682211062494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:13:26Z","timestamp":1777446806000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682211062494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":84,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1177\/21925682211062494"],"URL":"https:\/\/doi.org\/10.1177\/21925682211062494","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2]]}}}