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Background <p>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.</p> Methods <p>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&#xa0;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&#xa0;months, from 20/January/2025 to 31/July/2025, using medical clinical reports.</p> Results <p>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 (<i>p</i> &lt; 0.018). C5–C6 (59.8%) and C4–C5 (56.5%) were the most affected disc levels. Common symptoms included neck pain and stiffness (91.1%), upper limb paresthesia (58.4%), and hand numbness (31.9%). Hyperreflexia and gait disturbance were also frequent clinical signs. Most patients were classified as Nurick’s grade 2 (41.1%). The prevalence of preoperative severe myelopathy (Nurick’s grade &gt; 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%).</p> Conclusion <p>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.</p>

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

  • 期刊论文

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  • 发表日期：

    2026年4月28日

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  • Ahmed Daqour,
  • Heyam Shakarneh,
  • Tala Sharaqa,
  • Ghaya Belih,
  • Batoul Feeno,
  • Iba Hmouz,
  • Shahed Nasser,
  • Abdulsalam Alkaiyat,
  • Ahmad Rjoub,
  • Mohammad Abuawad

摘要

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 < 0.018). C5–C6 (59.8%) and C4–C5 (56.5%) were the most affected disc levels. Common symptoms included neck pain and stiffness (91.1%), upper limb paresthesia (58.4%), and hand numbness (31.9%). Hyperreflexia and gait disturbance were also frequent clinical signs. Most patients were classified as Nurick’s grade 2 (41.1%). The prevalence of preoperative severe myelopathy (Nurick’s grade > 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.