Advantage of one-stage operation through combined anterior and posterior approach for the treatment of pinching cervical spondylotic myelopathy

[Objective]To study the feasibility and therapeutic effects of one-stage operation through combined anterior and posterior approach for the treatment of pinching cervical spondylotic myelopathy.[Methods]There were 72 patients,56 were male and 16 were female,ranging in age from 23 to 78 years(average,57 years).The disease course ranged from 6 to 15 months(average,8 months).All patients received anterior decompression and fusion,and posterior laminectomy to enlarge the spinal cannal.[Results]All the patients were followed up from 13 to 48 month.According to JOA assessment system,the score was increased at one week,one,three and six months after operation(P 0.05).The cervical curve and intervertebral height in postoperative group was significantly greater than those of preoperative group(P0.01).[Conclusion]The immediate and long-term stability of the diseased segments may be obtained by the combined anterior and posterior internal fixation in the patients with pinching cervical spondylotic myelopathy.This technique is benefit to the patients for the functional recover of the spinal cord and early rehabilitation.It is an ideal method for restoration of cervical curve and intervertebral height.It can not only reduce the hospital delay,avoid secondary operation,but also save treatment cost.