How would you approach patients with clinical symptoms of cervical myelopathy without myelopathic signs and mild to moderate spinal canal compression?

If a patient has clinical symptoms of cervical myelopathy without myelopathic signs and mild to moderate spinal cord compression, I usually discuss with the patient the pros and cons of a surgical procedure to give the spinal cord more room. My decision-making also depends upon things like the patie...

Depends on the degree of symptoms and history of progression. Most frequently, I would follow clinically after educating the patient and family to watch for signs of progression. If there is progression, I would offer surgery.