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 postoperative cervical lordosis angle (P