RT Journal Article SR Electronic T1 Cervical spondylotic myelopathy: Make the difficult diagnosis, then refer for surgery JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 899 OP 904 VO 70 IS 10 A1 McCormick, William E. A1 Steinmetz, Michael P. A1 Benzel, Edward C. YR 2003 UL http://www.ccjm.org/content/70/10/899.abstract AB Cervical spondylotic myelopathy is the result of narrowing of the cervical spinal canal by degenerative and congenital changes. Prompt surgical treatment is key, but the diagnosis can be difficult because the signs and symptoms can vary widely and there are no pathognomonic findings.