The molecular features of degenerative cervical myelopathy (DCM) / Source: Wikimedia Commons and J. Tu; J. Vargas Castillo, A. Das, and A.D. Diwan.
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If you’ve ever sat in a multidisciplinary team meeting wondering why your neurosurgical colleague swears by “gait clumsiness” while you’re convinced “hand dexterity” is the real red flag for degenerative cervical myelopathy (DCM), you’re not alone.

A new Australasian survey of spine surgeons and neurosurgeons has revealed that when it comes to diagnosing and deciding on surgery for DCM, there’s as much variability as there are shades of T2 hyperintensity.


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