The fundamental cause of cervical spondylotic myelopathy is discussed in terms of anatomic, pathologic, clinical, and experimental evidence. The authors conclude that compression and ischemia of the spinal cord are additive causes of myelopathy in man. Neurologic and microangiographic data from 38 dogs with experimental cervical myelopathy are presented to substantiate the concept of additive etiologic factors.
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Hoff et al. (1977) studied this question.
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