Xiao-Feng Lian, Jian-Guang Xu, Bing-Fang Zeng, Wei Zhou, Wei-Qing Kong, Tie-Sheng Hou

April 2010, Volume 19, Issue 5, pp 713 - 719 Original Article Read Full Article 10.1007/s00586-010-1319-8

First Online: 21 February 2010

Anterior decompression and fusion is an established procedure in surgical treatment for multilevel cervical spondylotic myelopathy (MCSM). However, contiguous corpectomies and fusion (CCF) often induce postoperative complications such as nonunion, graft subsidence, and loss of lordotic alignment. As an alternative, noncontiguous corpectomies or one-level corpectomy plus adjacent-level discectomy with retention of an intervening body has been developed recently. In this study, we prospectively compared noncontiguous anterior decompression and fusion (NADF) and CCF for MCSM in terms of surgical invasiveness, clinical and radiographic outcomes, and complications. From January 2005 to June 2007, 105 patients with MCSM were randomized to NADF group (n = 55) and CCF group (n = 50), and followed up for average 31.5 months (range 24–48 months). Average operative time and blood loss decreased significantly in the NADF group as compared with those in the CCF group (p 

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