Comparative Analysis of Posterior Cervical Laminectomy and Multilevel ACDF in Multilevel Cervical Disc Disease: A Retrospective Study | ||||
| The Medical Journal of Cairo University | ||||
| Volume 93, Issue 06, June 2025, Page 557-562 PDF (106.48 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2025.443861 | ||||
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| Author | ||||
| MOHAMED A. ABBAS, M.D.*; HAMDY NABWI, M.D.**; SHAMEL ELGAWHARY, M.D.***; HASSAN E.H. ZOGHDAN, M.D.*; AHMED A. ZAHRA, M.D.* and AHMED ELAKHRAS, M.D.* | ||||
| The Department of Neurosurgery, Faculty of Medicine, Kafr El-Shikh* and Must** Universities and Orthopedic Surgery Department, Faculty of Medicine, Zagazig University*** | ||||
| Abstract | ||||
| Aim of Study: To compare the clinical, Radiological, and functional outcomes of posterior cervical laminectomy (with or without fusion) versus multilevel anterior cervical discectomy and fusion (ACDF) in patients with multilevel cervical disc dis-ease (MLCDD). Patients and Methods: A retrospective analysis of 200 patients (100 per group) was conducted, with a minimum fol-low-up of 24 months. Patients were evaluated for neurological recovery (Modified Japanese Orthopaedic Association [mJOA] score), pain relief (Visual Analog Scale [VAS] and Neck Dis-ability Index [NDI]), radiographic outcomes (cervical lordosis [C2-C7 Cobb angle]), and complications (adjacent segment de-generation [ASD], dysphagia, and C5 palsy). Results: Both surgical techniques resulted in significant functional improvement (p<0.05). The ACDF group showed better postoperative stability but had a more rate of ASD (21%) and dysphagia (14%), while the laminectomy group had a more incidence of postoperative kyphosis (18%). Conclusion: Multilevel ACDF is preferred for anterior pa-thology with instability, while posterior laminectomy is bene-ficial for extensive stenosis, though it carries a risk of postop-erative kyphosis. | ||||
| Keywords | ||||
| ACDF; MLCDD | ||||
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