{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T20:15:35Z","timestamp":1785528935465,"version":"3.56.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Degenerative cervical myelopathy is the leading cause of non-traumatic spinal cord dysfunction in older adults and may occasionally present with rapid neurological deterioration. A 78-year-old man presented with rapidly progressive cervical myelopathy characterized by bilateral upper-limb weakness and acute urinary retention. Neurological evaluation demonstrated advanced myelopathy with a modified Japanese Orthopaedic Association (mJOA) score of 6\/18. Magnetic resonance imaging revealed cervical canal stenosis with dominant anterior compression at C3\u2013C4 and multilevel degenerative changes. Given comorbidities and high perioperative risk, a focused short-segment anterior cervical decompression and fusion at C3\u2013C4 was performed using a lordotic interbody cage to restore sagittal alignment and facilitate indirect decompression of adjacent levels. Operative time was 85\u00a0min with an estimated blood loss of 120\u00a0ml. At 1-year follow-up, the mJOA improved to 15\/18 (75% recovery), indicating that limited anterior decompression with restoration of cervical lordosis can provide neurological recovery in high-risk elderly patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjag668","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:47:04Z","timestamp":1784202424000},"source":"Crossref","is-referenced-by-count":0,"title":["Sagittal realignment as a strategy for indirect multilevel decompression in severe cervical myelopathy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Magdi S","family":"Alzir","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Spine Surgery, International Medical Center , Hail Street, Al Ruwais District, Jeddah 23214 ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hani","family":"Alsulaimany","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Makkah\u2013Jeddah Highway , Al Adel District, Jeddah 22384 ,","place":["Saudi Arabia"]},{"name":"Department of Orthopedics and Spine Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs , Makkah\u2013Jeddah Highway, Al Olaya District, Jeddah 22384 ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"2026073114294769500_ref1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1016\/j.ijscr.2019.05.038","article-title":"Cervical canal stenosis due to cervical spondylotic myelopathy C4-C5: a case report: a case report","volume":"60","author":"Rahyussalim","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2026073114294769500_ref2","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1053\/apmr.2002.29621","article-title":"Sudden onset of cervical spondylotic myelopathy during 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progression?","volume":"31","author":"Chauhan","year":"2017","journal-title":"Ind J Pain"}],"container-title":["Journal of Surgical Case 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