Cervical myelopathy happens when there is damage to the spinal cord in the neck. Your spinal cord runs through the middle of the back bones in your neck. Spinal nerves branch out off of your spinal cord through these bones. With cervical myelopathy, you may have a narrowing of the openings or pinching of the spinal nerves. This is a spinal stenosis. You may not have pain or any signs or your signs may happen fast after an injury. You may also have a slow worsening of a long-term problem. Myelopathy is most often seen in people 50 years of age or older.