Abstract
Objectives
This is an observational study looking at the epidemiology of cervical spondylotic myelopathy of patients presenting to our hospital.
Materials and methods
The notes and MRI scans of 41 patients presenting to the Leicester General Hospital with a clinical diagnosis of cervical myelopathy between January 2004 and December 2008 were reviewed retrospectively.
Results
Cervical myelopathy was found to be more common in male patients to the ratio of approximately 2.7:1, with an average age at diagnosis of 63.8 years. Multi-level disease was seen in the majority of patients, with C5/6 being the most commonly affected level.
Conclusions
Cervical myelopathy predominantly affects men in their 7th decade of life. It is often a multi-level disease with C5/6 being the most commonly affected. It has little in common with cervical radiculopathy and is more analogous to lumber spinal stenosis.
Similar content being viewed by others
References
Brain WR, et al. The neurological manifestations of cervical spondylosis. Brain. 1952;75:187–225.
Sampath P, Bendebba M, Davis JD, Ducker TB. Outcome of patients treated for cervical myelopathy: a prospective, multicenter study with independent clinical review. Spine. 2000;25(6):670–6.
Simeone FA, Rothman RH. Cervical disc disease. The spine. 2nd ed. Philadelphia: Saunders; 1982. p. 440–76.
Dillin WH. Clinical syndromes in cervical myelopathy. The spine. 5th ed. Philadelphia: Saunders; 2006. p. 775–88.
Boden SD, McCowin PR, Davis DO, et al. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72(8):1178–84.
Lee MJ, Cassinelli EH, Rire KD. Prevalence of cervical spine stenosis. Anatomic study in cadavers. J Bone Joint Surg Am. 2007;89(2):376–80.
Radhakrishnan K, Litchy WJ, O’Fallon M, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain. 1994;1994(117):325–35.
Kelsey JL, Githens SD, Walter SD, et al. An epidemiological study of acute prolapsed cervical intervertebral disc. J Bone Joint Surg Am. 1984;66(6):907–14.
Lees F, Turner JWA. Natural history and prognosis of cervical spondylosis. Br Med J. 1963;2:1607–10.
Martinelli TA, Wiesel SW. Epidemiology of spinal stenosis. Instr Course Lect. 1992;41:179–81.
Penning L. Normal movements of the cervical spine. Am J Roentgenol. 1978;130:317–26.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Northover, J.R., Wild, J.B., Braybrooke, J. et al. The epidemiology of cervical spondylotic myelopathy. Skeletal Radiol 41, 1543–1546 (2012). https://doi.org/10.1007/s00256-012-1388-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-012-1388-3