Clinical outcome of anterior vs posterior approach for cervical spondylotic myelopathy.

Objective: The aim is to demonstrate whether there is clinical difference between posterior vs anterior decompression in cervical spondylotic myelopathy.

Methods: Forty-two patient database was obtained from the Centro Medico Nacional de Occidente in Mexico, those who underwent surgical treatment for cervical myelopathy with a mean 1.4 year follow-up.

Results: Patients were divided; group A (45%) anterior approach and group B (55%) posterior approach, for mJOA, group A had a lower score compare with group B. While in the Nurick score group B got a higher score compare with group A.

Conclusions: Posterior decompression resulted in better functional outcomes (p < 0.05).