title: Does nonoperative management play a role in the treatment of cervical spondylotic myelopathy?
abstract: BACKGROUND
  Cervical spondylotic myelopathy has traditionally been managed through surgical decompression with or without reconstruction. Currently, a multicenter, blinded clinical trial that has supported such a therapeutic recommendation does not exist. There have been case-control studies that have and have not shown long-standing benefit to surgical decompression and reconstruction.
  
  
  OBJECTIVE
  The purpose of this review is to examine the efficacy of nonoperative therapy for cervical spondylotic myelopathy.
  
  
  CONCLUSIONS
  It appears that both static and dynamic factors play a role in the pathophysiology of cervical spondylotic myelopathy. Furthermore, once clinical cervical spondylotic myelopathy is evident, progression may occur despite the best of treatments, both surgical and nonsurgical.
authors.affiliation: Division of Neurosurgery, University of Alabama, Suite 1034 FOT, 510 20th Street South, Birmingham, AL 35294, USA. pmatz@uabmc.edu
authors.forename: Paul G
authors.initials: PG
authors.lastname: Matz
mesh_terms: D002574:Cervical Vertebrae; D018450:Disease Progression; D006801:Humans; D013117:Spinal Cord Compression / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D013128:Spinal Osteophytosis / Q000150:complications* / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome