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40 Pathophysiology of DCM There are a number of pathophysiological factors that result in DCM: (1) static compression of the spinal cord, (2) dynamic injury resulting from mobile degenerative cervical spine elements compressing the cord, and (3) tethering of the cord or altered cord tension due to changes in the cervical spine alignment or cord compression

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He also confirmed, for the first time on the record, that USADA has been in contact with him directly about the case