Mapping MRI-Based Grading Systems for Cervical Spinal Cord Compression: A Scoping Review

Cervical spinal cord compression (c-SCC) is a significant radiological finding associated with neurological impairment, necessitating early and accurate identification to optimise clinical outcomes. While MRI is the gold standard for assessing c-SCC, there is no universally accepted grading system to standardise severity classification. Various MRI-based grading scales exist, however, they differ in criteria, reliability, and clinical application. This scoping review aims to map existing MRI-based classification methods, highlighting methodological differences, validation efforts, and gaps in standardisation to inform future consensus efforts