Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy
Saeed El naby Syam, M., Elmaghrabi, M., Mourad, M., Deabes, A., Hammad Eltantawy, M. (2023). Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy. EKB Journal Management System, 40(Annual conference issue), 258-272. doi: 10.21608/bmfj.2023.187825.1750
Mustafa Tarek Saeed El naby Syam; Mohamed Mohsen Elmaghrabi; Mohamed Ahmed Mahmoud Mourad; ahmed Mohammed Elsayed Deabes; Mohamed Hammad Eltantawy. "Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy". EKB Journal Management System, 40, Annual conference issue, 2023, 258-272. doi: 10.21608/bmfj.2023.187825.1750
Saeed El naby Syam, M., Elmaghrabi, M., Mourad, M., Deabes, A., Hammad Eltantawy, M. (2023). 'Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy', EKB Journal Management System, 40(Annual conference issue), pp. 258-272. doi: 10.21608/bmfj.2023.187825.1750
Saeed El naby Syam, M., Elmaghrabi, M., Mourad, M., Deabes, A., Hammad Eltantawy, M. Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy. EKB Journal Management System, 2023; 40(Annual conference issue): 258-272. doi: 10.21608/bmfj.2023.187825.1750

Multiple Anterior Cervical Discectomy and Fusion versus Posterior Cervical Decompression for Degenerative Cervical Myelopathy

Benha Medical Journal
Article 388, Volume 40, Annual conference issue, March and April 2023, Page 258-272  XML PDF (763.23 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.187825.1750
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Authors
Mustafa Tarek Saeed El naby Syam email 1; Mohamed Mohsen Elmaghrabiorcid 2; Mohamed Ahmed Mahmoud Mourad3; ahmed Mohammed Elsayed Deabes4; Mohamed Hammad Eltantawy5
1Department of Neurosurgery, Faculty of Medicine, Benha University
2Assistant Professor of Neurosurgery, Faculty of Medicine, Benha University
3Lecturer of Neurosurgery, Faculty of Medicine, Benha University
4Lecturer of Neurosurgery Faculty of Medicine, Benha University
5Department of Neurosurgery- Faculty of Medicine-Benha University
Abstract
Background: Cervical spondylotic myelopathy (CSM) is a malfunction of the spinal cord caused by spinal canal constriction. Spondylosis, congenital stenosis and disc herniation are frequent causes, often occurring in conjunction. The study aimed to compare radiological and clinical results following multiple level ACDF versus posterior cervical decompression for degenerative cervical myelopathy treatment. Methods: This study was conducted on 40 participants suffering degenerative CSM because of multi-level cervical spondyolosis and subjected to surgical treatment. 20 patients with multiple ACDF as A group and 20 participants suffering posterior cervical decompression as B Group. Clinical and radiological outcomes of both groups were compared together. Results: The difference between Group A and Group B was not statistically critical concerning improvement of both post-operative mJOA scale and myelopathy scale as the median of preop (mJOA) was 12 (9-13) while post-operative (mJOA) scale was 16 (14-17) among Group A and was 8 (6-9) preoperatively then became 13.5 (12.25-14.75) postoperatively among Group B. The difference between anterior and posterior approach groups was statistically critical regarding post-operative cervical lordosis angle (P
Keywords
Anterior Cervical Discectomy& Fusion; Posterior Cervical Decompression; Degenerative Cervical Myelopathy
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