Objective: cervical spondylotic myelopathy is a progressive degenerative
cervical spine disease. During later stages of segmental degeneration, kyphosis
of the cervical spine can occur and further compromise the spinal cord and
nerve roots. Optimal surgical approach remains controversial.
The choice to perform an anterior, posterior or combined approach depends on: sagittal alignment, number of involved
levels, main compression localization, and clinical status. The
anterior approach is recommended when compression involves primarily anterior
horn of spinal cord. Methods: between January 2001 and December 2005, 121
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