| | Cervical Spondylotic Myelopathy Requires Prompt Surgery |
 | | Cervical spondylotic myelopathy, the result of narrowing of the cervical spinal canal by degenerative and congenital changes, is the most common type of spinal cord dysfunction in patients older than 55 years and the most common cause of acquired spastic paresis in the middle and later years of life.(1,2) |
 | | The onset of cervical spondylotic myelopathy is generally insidious, with long periods of fixed disability and episodic worsening. |
 | | In addition, patients with cervical spondylotic myelopathy are at an increased risk of spinal cord injury from relatively mild trauma.With decreased anterior-posterior diameter of the cervical spinal canal, the spinal cord has limited room to move.(3) Many traumatic cervical injuries are due to hyperextension, which results in maximal narrowing of the spinal canal. |
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