Cervical spondylotic myelopathy

Neurol Clin. 2013 Feb;31(1):287-305. doi: 10.1016/j.ncl.2012.09.003.


The differential of cervical spondylotic myelopathy (CSM) is broad and includes multiple conditions that can cause and mimic myelopathy. In adults older than 55 years of age, CSM is the most common cause of myelopathy. This article summarizes the pathophysiology, clinical presentation, differential diagnosis, diagnostic evaluation, and natural history of CSM. Available treatment options and their complications are reviewed.

Publication types

  • Review

MeSH terms

  • Cervical Vertebrae / pathology*
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging
  • Spinal Cord Diseases* / complications
  • Spinal Cord Diseases* / diagnosis
  • Spinal Cord Diseases* / therapy
  • Spondylosis* / complications
  • Spondylosis* / pathology
  • Spondylosis* / therapy