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This Special Issue contains articles discussing various topics surrounding degenerative cervical myelopathy. The Issue begins with an editorial summarizing the various articles, and is followed by an introductory narrative review focusing on past perspectives, present developments, and future directions. The remaining 11 articles involve a variety of topics, ranging from genetic factors to clinical assessments, imaging, sagittal balance, surgical treatment, and outcome prediction.

EQ-5D --- PROMIS --- spine --- transformation --- quality of life --- patient outcomes --- validation --- degenerative cervical myelopathy --- elderly --- old age --- outcomes --- complications --- mJOA --- SF-36 --- cervical canal stenosis --- cervical spine surgery --- higher-aged patients --- neurological outcome --- mJOA Score --- MCID --- genetics --- single nucleotide polymorphism --- ossification posterior longitudinal ligament --- severity --- surgery --- focus issue --- update --- cervical spondylotic myelopathy --- compressive myelopathy --- cervical spondylotic myelopathy (CSM) --- prospective --- multicenter --- anterior --- posterior --- cervical alignment --- kyphosis --- spinopelvic parameter --- laminoplasty --- myelopathy --- physical impairment --- gait --- locomotion --- gait assessment --- enhanced gait variability index --- degenerative cervical myelopathy (DCM) --- surgical outcome --- MRI --- DTI --- FA --- ADC --- signal changes spinal canal --- neurophysiology --- SSEP --- MEP --- cervical myelopathy --- spinal cord compression --- rheumatoid arthritis (RA) --- cranial settling (CS) --- atlantoaxial subluxation (AAS) --- atlantoaxial instability (AAI) --- diffusion tensor imaging (DTI) --- fractional anisotropy (FA) --- cervical MRI --- myelopathy hand --- snake-eye --- owl sign --- Hirayama disease --- introduction --- spinal cord injury --- spondylosis