{"id":"https://openalex.org/W7220746261","doi":"https://doi.org/10.5281/zenodo.23197123","title":"Chronic Neck Pain with Progressive Upper Limb Weakness Due to Cervical Spinal Cord Compression","display_name":"Chronic Neck Pain with Progressive Upper Limb Weakness Due to Cervical Spinal Cord Compression","publication_year":2026,"publication_date":"2026-10-06","ids":{"openalex":"https://openalex.org/W7220746261","doi":"https://doi.org/10.5281/zenodo.23197123"},"language":"en","primary_location":{"id":"doi:10.5281/zenodo.23197123","doi":"https://doi.org/10.5281/zenodo.23197123","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23197123","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.5281/zenodo.23197123","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157664644","display_name":"John Bialecki","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bialecki, John","raw_affiliation_strings":["Bialecki Chiropractic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bialecki Chiropractic","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078549524","display_name":"Mark Studin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145017","display_name":"Cleveland University","ror":"https://ror.org/04fktme39","country_code":"US","type":"education","lineage":["https://openalex.org/I4210145017"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Studin, Mark","raw_affiliation_strings":["Cleveland University"],"raw_orcid":"https://orcid.org/0000-0002-6971-7742","affiliations":[{"raw_affiliation_string":"Cleveland University","institution_ids":["https://openalex.org/I4210145017"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5123665082","display_name":"Jordan Kovacs","orcid":"https://orcid.org/0009-0001-0861-3923","observed_orcids":["https://orcid.org/0009-0001-0861-3923"]},"institutions":[{"id":"https://openalex.org/I4210145017","display_name":"Cleveland University","ror":"https://ror.org/04fktme39","country_code":"US","type":"education","lineage":["https://openalex.org/I4210145017"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kovacs, Jordan","raw_affiliation_strings":["Cleveland University"],"raw_orcid":"https://orcid.org/0009-0001-0861-3923","affiliations":[{"raw_affiliation_string":"Cleveland University","institution_ids":["https://openalex.org/I4210145017"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-neck-pain","display_name":"chronic neck pain","score":0.800000011920929},{"id":"https://openalex.org/keywords/upper-limb-weakness","display_name":"upper limb weakness","score":0.9430000185966492},{"id":"https://openalex.org/keywords/cervical-spinal-cord-compression","display_name":"cervical spinal cord compression","score":0.9490000009536743},{"id":"https://openalex.org/keywords/central-canal-stenosis","display_name":"central canal stenosis","score":0.9779999852180481},{"id":"https://openalex.org/keywords/degenerative-cervical-myelopathy","display_name":"degenerative cervical myelopathy","score":0.9279999732971191},{"id":"https://openalex.org/keywords/anterior-cervical-discectomy-and-fusion","display_name":"anterior cervical discectomy and fusion","score":0.9549999833106995},{"id":"https://openalex.org/keywords/hyperreflexia","display_name":"hyperreflexia","score":0.7429999709129333},{"id":"https://openalex.org/keywords/tandem-gait","display_name":"tandem gait","score":0.531000018119812},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.5339999794960022},{"id":"https://openalex.org/keywords/neurosurgical-referral","display_name":"neurosurgical referral","score":0.6729999780654907}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9628999829292297},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6948999762535095},{"id":"https://openalex.org/C2781430139","wikidata":"https://www.wikidata.org/wiki/Q4771328","display_name":"Anterior cervical discectomy and fusion","level":3,"score":0.597599983215332},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.5770999789237976},{"id":"https://openalex.org/C2911149213","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal canal stenosis","level":4,"score":0.5770000219345093},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.5760999917984009},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5597000122070312},{"id":"https://openalex.org/C2777044684","wikidata":"https://www.wikidata.org/wiki/Q5467192","display_name":"Foraminotomy","level":3,"score":0.489300012588501},{"id":"https://openalex.org/C2778231337","wikidata":"https://www.wikidata.org/wiki/Q2990703","display_name":"Spinal cord compression","level":3,"score":0.45739999413490295},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.4377000033855438},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.4180000126361847},{"id":"https://openalex.org/C2776944266","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical vertebrae","level":2,"score":0.3946000039577484},{"id":"https://openalex.org/C2778019773","wikidata":"https://www.wikidata.org/wiki/Q1097028","display_name":"Cervical spondylosis","level":3,"score":0.3801000118255615},{"id":"https://openalex.org/C21046646","wikidata":"https://www.wikidata.org/wiki/Q2289481","display_name":"Sensory loss","level":2,"score":0.3765999972820282},{"id":"https://openalex.org/C2779326565","wikidata":"https://www.wikidata.org/wiki/Q781983","display_name":"Spinal canal","level":3,"score":0.3765999972820282},{"id":"https://openalex.org/C2779632786","wikidata":"https://www.wikidata.org/wiki/Q920297","display_name":"Cord","level":2,"score":0.35510000586509705},{"id":"https://openalex.org/C207886595","wikidata":"https://www.wikidata.org/wiki/Q1456138","display_name":"Pathological","level":2,"score":0.33889999985694885},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.33550000190734863},{"id":"https://openalex.org/C2780168130","wikidata":"https://www.wikidata.org/wiki/Q2916167","display_name":"Neurological examination","level":2,"score":0.32030001282691956},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.31690001487731934},{"id":"https://openalex.org/C2779281540","wikidata":"https://www.wikidata.org/wiki/Q5062122","display_name":"Central nervous system disease","level":2,"score":0.3098999857902527},{"id":"https://openalex.org/C2777479560","wikidata":"https://www.wikidata.org/wiki/Q785307","display_name":"Cervical canal","level":4,"score":0.30230000615119934},{"id":"https://openalex.org/C207721201","wikidata":"https://www.wikidata.org/wiki/Q2016936","display_name":"Referred pain","level":2,"score":0.2935999929904938},{"id":"https://openalex.org/C2777427615","wikidata":"https://www.wikidata.org/wiki/Q954257","display_name":"Degenerative disease","level":3,"score":0.290800005197525},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.2870999872684479},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.28619998693466187},{"id":"https://openalex.org/C2776429440","wikidata":"https://www.wikidata.org/wiki/Q17147916","display_name":"Intractable pain","level":2,"score":0.2818000018596649},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.2809000015258789},{"id":"https://openalex.org/C3018207238","wikidata":"https://www.wikidata.org/wiki/Q1056508","display_name":"Cervical collar","level":3,"score":0.274399995803833},{"id":"https://openalex.org/C2780017030","wikidata":"https://www.wikidata.org/wiki/Q368366","display_name":"Cuff","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C2780317758","wikidata":"https://www.wikidata.org/wiki/Q3339235","display_name":"Neurological disorder","level":3,"score":0.2639999985694885},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.2563999891281128},{"id":"https://openalex.org/C2776418732","wikidata":"https://www.wikidata.org/wiki/Q270421","display_name":"Muscle weakness","level":2,"score":0.2522999942302704},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.2513999938964844},{"id":"https://openalex.org/C2778334475","wikidata":"https://www.wikidata.org/wiki/Q1415275","display_name":"Spinal cord injury","level":3,"score":0.250900000333786}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.23197123","doi":"https://doi.org/10.5281/zenodo.23197123","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23197123","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},{"id":"doi:10.5281/zenodo.23197124","doi":"https://doi.org/10.5281/zenodo.23197124","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23197124","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.5281/zenodo.23197123","doi":"https://doi.org/10.5281/zenodo.23197123","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23197123","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2753334632","https://openalex.org/W4317644769","https://openalex.org/W7133313113","https://openalex.org/W4234898897","https://openalex.org/W2906076736","https://openalex.org/W2260129384","https://openalex.org/W4414711381","https://openalex.org/W3110974463","https://openalex.org/W2789795796","https://openalex.org/W3215448399"],"abstract_inverted_index":{"A":[0],"woman":[1],"in":[2,109],"her":[3],"60s":[4],"presented":[5],"with":[6,24,57,66,91],"chronic":[7],"neck":[8,25],"pain":[9],"and":[10,19,36,61,89,106],"progressive":[11],"bilateral":[12,30],"upper":[13],"limb":[14],"weakness,":[15],"declining":[16],"manual":[17],"dexterity":[18],"intermittent":[20],"electric":[21],"shock":[22],"sensations":[23],"flexion.":[26],"Neurological":[27],"examination":[28],"demonstrated":[29],"hyperreflexia,":[31],"pathological":[32],"reflexes,":[33],"non-dermatomal":[34],"weakness":[35],"impaired":[37],"tandem":[38],"gait,":[39],"raising":[40],"concern":[41],"for":[42],"cervical":[43,87,111],"spinal":[44,58],"cord":[45,59],"involvement.":[46],"Magnetic":[47],"resonance":[48],"imaging":[49,105],"revealed":[50],"severe":[51],"central":[52],"canal":[53],"stenosis":[54],"at":[55,70],"C5\u2013C6":[56],"compression":[60],"intramedullary":[62],"T2":[63],"signal":[64],"change,":[65],"additional":[67],"degenerative":[68,110],"changes":[69],"C6\u2013C7.":[71],"Conservative":[72],"management":[73,108],"was":[74,80],"initiated":[75],"while":[76],"urgent":[77],"neurosurgical":[78],"referral":[79],"arranged.":[81],"The":[82],"patient":[83],"subsequently":[84],"underwent":[85],"anterior":[86],"discectomy":[88],"fusion":[90],"postoperative":[92],"neurological":[93,102],"improvement.":[94],"This":[95],"case":[96],"illustrates":[97],"the":[98],"importance":[99],"of":[100],"systematic":[101],"examination,":[103],"early":[104],"multidisciplinary":[107],"myelopathy.":[112]},"counts_by_year":[],"updated_date":"2026-10-26T11:51:55.731654","created_date":"2026-10-07T00:00:00"}
