Comparative Analysis of Posterior Cervical Laminectomy and Multilevel ACDF in Multilevel Cervical Disc Disease: A Retrospective Study

Document Type : Original Article

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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.

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