Results of Anterior Decompression and Interbody Stabilization with Cages in Cervical Spinal Canal Degenerative Stenosis

We retrospectively analyzed results of surgical treatment of the cervical spine stenosis with a discogenic comression of cervical nerve roots and/or the spinal cord. The study included 47 patients, mean age – 52,7 years, male – 35, female – 12. All patients underwent cervical spine radiography, CT, MRI and electroneuromyography, estimation of the anteroposterior spinal cord compression percentage, disc prolapse and ossification, the anteroposterior diameter of a spinal canal etc. The intensity and characteristics of a pain were evaluated by the visual analogue scale, and neurological disorders were evaluated by criteria proposed by the Japanese Orthopedic Association (JOA). The treatment outcomes were evaluated by VAS and JOA as well, and according to the ODOM’s criteria. According to the ODOM’s criteria, the outcome was considered excellent in 18 (38%) cases, good in 21 (44%), fair in 7 (14%) and poor in 1(4%) patient.

The surgical procedure technique consisted of anterior interbody decompression of a spinal canal with a crown cutter and stabilization with a titanium BAK cage.

The analysis of long term surgical treatment results of patients with degenerative cervical radiculo and/or myelopathy by the technique, which was mentioned above showed high effectiveness, reliability and safety of anterior decompression and stabilization with titanium cages.