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Narrative review. To discuss the current understanding of the natural history of degenerative cervical myelopathy (DCM). Literature review summarizing current evidence pertaining to the natural history and risk factors of DCM. DCM is a common condition in which progressive arthritic disease of the cervical spine leads to spinal cord compression resulting in a constellation of neurological symptoms, in particular upper extremity dysfunction and gait impairment. Anatomical factors including cord-canal mismatch, congenitally fused vertebr
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