• Dynamic or static mechanical compression of the cervical spinal cord
  • Causes : bulging disc, bony osteophytes, and/or hypertrophy or calcification of ligaments
  • Presentation: Gait and balance disturbances, worsening of fine motor skills, Diffuse numbness in the hands, Difficulty holding objects, and abnormal reflex findings 
  • Diagnosed by Extensive evaluation of patient history, examination and Imaging modalities 
  • Functional scoring system–the modified Japanese Orthopaedic Association (mJOA) score–is helpful in determining appropriate treatment strategies
  • Surgical decompression is advocated in moderate to severe symptoms of myelopathy
  • Surgical decompression improves disability, neurological function, and health-related quality of life

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