{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:51:17Z","timestamp":1782899477858,"version":"3.54.5"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Al-Ahli Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate surgical outcomes in cervical spondylotic myelopathy (CSM) with intramedullary signal changes (IMSCs) and assess the impact of preoperative severity on recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 312 patients undergoing cervical decompression. Neurological status was assessed using the mJOA score preoperatively and at 6\u201312 months. A subset of 43 patients was analyzed separately for inferential statistics using chi-square testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Severe CSM was present in 54.2% and moderate in 45.8%. Overall improvement occurred in 53.2%, with a mean mJOA increase of 2.9 points. In the subset, mean mJOA improved from 10.25 (SD 1.80) to 13.16 (SD 2.43). A significant association was found between preoperative severity and outcome (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgical decompression leads to meaningful neurological improvement, with outcomes influenced by preoperative severity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-026-04832-9","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:36:31Z","timestamp":1782898591000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical outcomes in cervical spondylotic myelopathy with severe cord compression and intramedullary signal changes: a retrospective descriptive study"],"prefix":"10.1007","volume":"36","author":[{"given":"El Fatih Bashir","family":"Elmalik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"Metwaly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A. 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