We are often asked whether you should wear a neck collar after surgery for CSM. Some centres advise it and some do not.
This is a well conducted study, which shows very clearly that the collar offers no benefit on symptoms or recovery after surgery. It reiterates the same message discussion during the Myelopathy.org Patient Information Day.
So if there is no difference, should I wear a collar or not? This will need to be discussed with your surgeon. Whilst there is no benefit in terms of symptoms or recovery, some types of operation for CSM may require a period of stabilisation with a collar. It should be remembered that this study was done in patients undergoing cervical laminoplasty without instrumentation (metal fixation).
1. T.Hida et al. Collar Fixation is not Mandatory after Cervical Laminoplasty: A Randomized Controlled Trial Spine Nov 2016
2. Mark Kotter at the Myelopathy.org Patient Information Day
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