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April 30, 2026The Egyptian Journal of Neurology Psychiatry and Neurosurgery0 citationsOpen Access

Clinical characteristics of cervical myelopathy and factors associated with severe disease among patients with cervical disc herniation in a tertiary center in Palestine

ADAhmed DaqourHSHeyam ShakarnehTSTala Sharaqa

Key Points

  • This research aims to explore the clinical features and factors associated with severe cervical myelopathy in patients with cervical disc herniation in Palestine.
  • Retrospective chart review of adults diagnosed with cervical disc herniation-related cervical myelopathy at Al-Makassed Hospital.
  • Data collected from medical reports covering patients who underwent surgical decompression between January 2017 and June 2025.
  • Focused on demographic features, clinical presentations, and postoperative outcomes.
  • Average patient age was 52.9 years; 41.1% were classified as Nurick’s grade 2.
  • Diabetes mellitus was present in 28.5% of cases; severe myelopathy was more prevalent in patients aged 60 and over (p < 0.018).
  • C5-C6 and C4-C5 were the most commonly affected disc levels; postoperative complications were rare, at approximately 0.6-0.8%.

Abstract

Abstract Background Cervical myelopathy is a serious condition that is considered the most frequent reason for spinal cord dysfunction, which may lead to a range of neurological impairment. Studies regarding clinical presentation and demographic features of cervical myelopathy are currently insufficient in Palestine. Methods A retrospective chart review study was conducted at Al-Makassed Hospital, a tertiary hospital in Palestine. The study sample consists of adult patients aged 18 years and older diagnosed with cervical disc herniation-related cervical myelopathy who underwent surgical decompression from 1/January/2017, to 30/June2025. The data collection period was approximately 6 months, from 20/January/2025 to 31/July/2025, using medical clinical reports. Results Results from a study of 361 Palestinian adults with disc herniation-related myelopathy indicate an average age of 52.9 (± 11.1) years, with a gender distribution of 50.7% male and 49.3% female. Diabetes mellitus was present in 28.5% of cases. Among the patients, 41.0% had single disc herniation while 59.0% had multiple disc herniations, which was more prevalent in those aged 60 and older ( p 3) was higher in those aged 60 and over. The mean follow-up duration was 10.1(± 15.9) months, with postoperative complications occurring in a few cases, including cervical spine compression (0.8%), paravertebral hematoma (0.8%), and surgical wound infection (0.6%). Conclusion Our study underscored the importance of cervical myelopathy and its clinical signs and symptoms. The awareness about clinical presentation and demographic features of Palestinian patients with cervical myelopathy helps in early suspicion and recognition of cervical myelopathy, leading to prompt diagnoses and appropriate management.

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Cite This Study

Daqour et al. (2026) studied this question.

synapsesocial.com/papers/69f2f1dc1e5f7920c63877dbhttps://doi.org/10.1186/s41983-026-01157-6
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