Severe spinal cord compression in the neck region causing neurological symptoms such as clumsiness, weakness, numbness in hands or legs, balance issues, difficulty walking. Often, the patient is 65 years of age or older. Surgery in this instance is recommended as early as possible, as data proves that a more aggressive approach with early decompression results in quicker recovery and prevents further neurological damage and decline. This problem can be addressed with various procedures, from the front or back of the neck, depending on how many levels are involved and where the compression is occurring.