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Corresponding Author

Mahmoud, Abou soud

Document Type

Original Article

Abstract

Background: The most prevalent cause of spinal cord impairment is cervical spondylotic myelopathy (CSM). In the older, it is also the primary cause of spinal-cord-related impairment. Spinal cord compression can result from ventral pathologies or from dorsal compression causing progressive disability and impairing the quality of life. Aim of study: This study aims to compare anterior cervical discectomy and fusion using inter body fusion cages with posterior lamin ectomy in the management of one or multiple level cervical spon dylotic myelopathy Patients and methods: 20 patients had cervical spondylotic myelo pathy were identified in our research. There were 16 men and 4 women. Aged from (25 to 70 years) 10 patients operated upon by anterior cervical discectomy and fusion using interbody fusion cages and the other 10 patients were operated upon by posterior laminectomy. Results: 20 patients with cervical spondy lotic myelopathy were identified in our research. 10 patients operated upon by anterior cervical discectomy and fusion using interbody fusion cages and the other 10 patients were operated upon by posterior laminectomy. Conclusion: in our study, there is no significant difference between both groups in terms of myelopathy improvement. Postoperative pain is much less in the anterior group than in the posterior group. The average hospital stay is greater in the posterior group. However, the anterior group patients have nearly double the operative time and increased the risk of reversible dysphagia while the posterior group has more rate of C5 palsy and infection.

Keywords

Cervical; Spondylosis; Myelopathy; ACDF; Laminectomy

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