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certificate myelopathy what is cervical myelopathy compression of the spinal cord at the cervical level causes cervical spondylosis cervical eesti noses cervical disc and nation humor Oh PLL which occurs in Asians see for to see sex is the most frequently involved level and that can be seen in CT scans the natural history of cervical spondylitis myelopathy it tends to be progressive and gets worse in a step like deterioration fashion with periods of stable symptoms reservation of symptoms followed by long period of aesthetic or deteriorating function it is a stepwise pattern of decreasing function 75% of patients will have long periods of a stable neurologic function that may be four years agility of patience the condition deteriorates between quiescent streaks about 20% of patients showed a slow steady progression of symptoms the condition does not improve without surgery symptoms and exam the patient will complain of net and arm pain in is absent or poorly defined with vague sensory