Degenerative cervical myelopathy (DCM) is the silent creep of spine pathology — the most common cause of nontraumatic spinal cord injury in adults, and a diagnosis that can hinge on a few millimeters of cord flattening and a well-trained eyeball.
MRI is the gold standard, sure — but interpretation still depends on who’s reading, how caffeinated they are, and whether it’s 6 a.m. or 6 p.m.
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