Abstract:

[Abstract] Objective To assess the curative effect of microscopic anterior cervical approach in cervical spondylotic diseases. Methods A total of 75 patients were selected, who underwent microscopic subtotal anterior cervical decompres? sion and titanium mesh to fusion fixation or microscopic decompression of resection of the cervical intervertebral disc and cage implant fixation in Tianjin People's Hospital since October 2011 to October 2012. The Cervical vertebra gap involved 1 level in 41 cases, 2 levels in 30 cases and 3 levels in 4 cases. Pateints followed up regularly after operation. The nerve func? tion was assessed using Japanese orthopaedic association scoring system (JOA) function was calculated to examine the im? provement rate and to assess the curative effect of microscopic anterior cervical approach. Results All patients were fol? lowed up. The nerve function recovery was excellent in 44 cases, was well in 25 cases, was general in 6 cases, and the ex? cellent and well recovery rate was 92%. There was no significant difference between excellent recovery rate and well recov? ery rate. There were significant differences in values of each cervical levels between before and after surgery in the last fol? low-up of patients (P < 0.05). Conclusion Microscopic operative treatment for cervical spondylotic is safe and effective, with less trauma and bleeding. After surgical decompression, the recovery is rapid in patients with early ambulation.

Key words: Cervical spondylosis, Anterior cervical approach, microsurgery, surgical procedures, minimally invasive, spinal cord decompression