High Incidence of Undiagnosed Cervical Myelopathy in Patients With Hip Fracture Compared With Controls

@article{Radcliff2016HighIO,
  title={High Incidence of Undiagnosed Cervical Myelopathy in Patients With Hip Fracture Compared With Controls},
  author={Kristen E. Radcliff and Edward P. Curry and Roman Trimba and Jeffrey B. Walker and James J Purtill and Matthew S. Austin and Javad Parvizi and Alexander R. Vaccaro and Alan S. Hilibrand and Todd J. Albert},
  journal={Journal of Orthopaedic Trauma},
  year={2016},
  volume={30},
  pages={189–193}
}
Objectives: To identify the incidence of undiagnosed cervical myelopathy in patients who fall and develop hip fractures compared with age-matched controls. Design: Prospective, case–control study. Setting: University level 1 Trauma Center. Patients/Participants: Consecutive patients who presented with hip fractures after a fall. A total of 159 patients were screened; 66 patients (38 arthroplasty, 28 fracture) were eligible for enrollment in the study. Exclusion criteria included cognitive… 
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Fragility Fracture Risk in Elderly Patients With Cervical Myelopathy
TLDR
Fragility fractures are a significant source of morbidity and mortality in elderly patients and CSM is associated with increased rates of fragility fractures, although surgical management of CSM may be protective against risk of Fragility fracture.
Effectiveness of Surgical Treatment for Degenerative Cervical Myelopathy in Preventing Falls and Fall-Related Neurological Deterioration: A Prospective Multi-Institutional Study.
TLDR
Surgical intervention for DCM is effective not only in reducing the frequency of falls, but also in reduced the risk of fall-related deterioration of motor deficits.
Characterizing Gait Abnormalities in Patients with Cervical Spondylotic Myelopathy: A Neuromuscular Analysis.
Degenerative cervical myelopathy
TLDR
Owing to its mobility, the vertebral column of the neck is particularly prone to degenerative changes such as disc herniation, ligament hypertrophy or ossification, and osteophyte formation, which are more common with age and are often collectively termed spondylosis.
The effect of ageing on presentation, management and outcomes in degenerative cervical myelopathy: a systematic review.
TLDR
It is demonstrated that age significantly influences the presentation, management and outcomes of DCM, and although older patients have worse health at all individual timepoints, they experience the same absolute benefit from surgery as younger patients.
Grip Strength as a Screening Index for Severe Degenerative Cervical Myelopathy in Primary Care: Development of Cutoff Values Using Receiver Operating Curve Analysis
TLDR
Grip strength had moderate-to-high diagnostic accuracy for DCM between participants in the control and DCM groups and easily applicable cutoff values for primary care DCM screening with ≥90% sensitivity were developed.
Research Inefficiency in Degenerative Cervical Myelopathy: Findings of a Systematic Review on Research Activity Over the Past 20 Years
TLDR
DCM research activity is increasing internationally, with surgery remaining the focus, and research output has predominantly been from developed countries; however, the rate of growth for developed and developing countries is comparable.
A Novel Insight Into the Challenges of Diagnosing Degenerative Cervical Myelopathy Using Web-Based Symptom Checkers
TLDR
DCM symptoms are poorly identified by Web-based symptom checkers, which leads to a large differential of many other common conditions, including multiple sclerosis and peripheral neuropathy.
The Prevalence of Asymptomatic and Symptomatic Spinal Cord Compression on Magnetic Resonance Imaging: A Systematic Review and Meta-analysis
TLDR
The first estimates of the prevalence of asymptomatic SCC and DCM, an often-progressive neurological disease that can cause quadriplegia, are presented.
Improving Awareness Could Transform Outcomes in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 1]
TLDR
The evidence that awareness of Degenerative Cervical Myelopathy is low is reviewed, the potential drivers, and why this must be addressed, and case studies of success from other diseases are reviewed, drawing potential parallels and opportunities for DCM.
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