Background: Compressive myelopathy is the term used to describe spinal cord compression from different causes. This can be caused by etiologies either from outside or within the cord. The aim of the study is to determine the various causes of compressive myelopathy and their MRI characteristics. Methods: A prospective hospital-based study was conducted. Total of 30 cases were analysed over a period of from January 2020 to January 2022 and were investigated with MRI. Results: MRI is the modality of choice to image spine and spinal cord pathologies because of its ability to delineate soft tissue anatomy in multiple planes without ionizing radiation and non –invasiveness. Most common cause for compressive myelopathy in our study was spinal trauma (46.6%)> Metastasis (20%) > Infection/TB (16.7%) = Primary neoplasm (16.7%). Most of spinal injuries (most common), infections and secondary neoplasms involve extradural compartment while most of primary neoplasm involves intradural compartment. The common site involved is the cervical (50%) followed by thoracic (37.5%) Regions in cases of spinal injury. Conclusions: MRI is a very definitive, sensitive, accurate, specific, and non-invasive modality for evaluation of spinal cord myelopathy.

Background: Compressive myelopathy is the term used to describe spinal cord compression from different causes. This can be caused by etiologies either from outside or within the cord. The aim of the study is to determine the various causes of compressive myelopathy and their MRI characteristics. Methods: A prospective hospital-based study was conducted. Total of 30 cases were analysed over a period of from January 2020 to January 2022 and were investigated with MRI. Results: MRI is the modality of choice to image spine and spinal cord pathologies because of its ability to delineate soft tissue anatomy in multiple planes without ionizing radiation and non –invasiveness. Most common cause for compressive myelopathy in our study was spinal trauma (46.6%)> Metastasis (20%) > Infection/TB (16.7%) = Primary neoplasm (16.7%). Most of spinal injuries (most common), infections and secondary neoplasms involve extradural compartment while most of primary neoplasm involves intradural compartment. The common site involved is the cervical (50%) followed by thoracic (37.5%) Regions in cases of spinal injury. Conclusions: MRI is a very definitive, sensitive, accurate, specific, and non-invasive modality for evaluation of spinal cord myelopathy.