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Adv Orthop. 2012; 2012: 480643.
Published online 2011 December 22. doi:  10.1155/2012/480643
PMCID: PMC3253434

The Natural History and Clinical Presentation of Cervical Spondylotic Myelopathy


Cervical spondylotic myelopathy (CSM) refers to impaired function of the spinal cord caused by degenerative changes of the cervical spine resulting in spinal cord compression. It is the most common disorder in the United States causing dysfunction of the spinal cord. A literature review of the natural history of mild cervical myelopathy is undertaken. Clinical presentation and current concepts of pathophysiology are also discussed. While many patients with mild signs of CSM will stabilize or improve over time with conservative treatment, the clinical course of a specific individual patient cannot be predicted. Asymptomatic patients with cervical stenosis and abnormalities on electrophysiologic studies may be at higher risk for developing myelopathy.

Articles from Advances in Orthopedics are provided here courtesy of Hindawi Publishing Corporation