Table 2 Changes that would prompt a recommendation of surgery.

From: Management of mild degenerative cervical myelopathy and asymptomatic spinal cord compression: an international survey

Findings

Responses

Deterioration following recent trauma

75.83% (n = 436)

The presence of instability/spondylolisthesis evident on dynamic imaging

64.2% (n = 369)

Minor worsening of neurological exam (e.g., loss of 1 point on mJOA/JOA)

60.2% (n = 346)

Progression of cervical kyphosis/deformity

57.9% (n = 333)

Worsening identified by relatives/carers

53.0% (n = 315)

No change in neurological exam but the patient subjectively feels worse

47.3% (n = 272)

No change in neurological status but patient indicates accidental falls since the last consultation

39.5% (n = 227)

The patient does not wish to have lifestyle restrictions (e.g., participation in contact sports)

29.7% (n = 171)

Other comorbidities that increase the risk of falls (e.g., Parkinson’s disease)

26.8% (n = 154)

The patient remains impaired but has improved since the last follow-up

4.5% (n = 26)

No change in neurological exam and the patient remains subjectively stable

1.9% (n = 11)

None of the above

1.0% (n = 6)