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BioMed Research International
Volume 2015, Article ID 513906, 7 pages
Clinical Study

Comparison of Two Reconstructive Techniques in the Surgical Management of Four-Level Cervical Spondylotic Myelopathy

1Department of Orthopedics, Third Affiliated Hospital of PLA, Second Military Medical University, Shanghai 200433, China
2Department of Orthopedics, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
3Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing 100048, China

Received 13 October 2014; Revised 3 January 2015; Accepted 6 January 2015

Academic Editor: Shiro Imagama

Copyright © 2015 FengNing Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


To compare the clinical efficacy and radiological outcome of treating 4-level cervical spondylotic myelopathy (CSM) with either anterior cervical discectomy and fusion (ACDF) or “skip” corpectomy and fusion, 48 patients with 4-level CSM who had undergone ACDF or SCF at our hospital were analyzed retrospectively between January 2008 and June 2011. Twenty-seven patients received ACDF (Group A) and 21 patients received SCF. Japanese Orthopaedic Association (JOA) score, Neck Disability Index (NDI) score, and Cobb’s angles of the fused segments and C2-7 segments were compared in the two groups. The minimum patient follow-up was 2 years. No significant differences between the groups were found in demographic and baseline disease characteristics, duration of surgery, or follow-up time. Our study demonstrates that there was no significant difference in the clinical efficacy of ACDF and SCF, but ACDF involves less intraoperative blood loss, better cervical spine alignment, and fewer postoperative complications than SCF.