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

Figure 1

A 62-year-old male patient presented with a 6-month history of numbness in both hands which had become aggravated in the last month ago. This was accompanied by a month history of unsteadiness. Preoperative X-ray and MRI images ((a) and (b)) show loss of the cervical curvature with proliferation of osteophytes, and protrusions of C3/4 and C6/7 intervertebral discs. The compression of the spine was mainly restricted to the intervertebral space. No obvious compression was found on the posterior surface of the vertebral bodies. (c) and (d) show the anteroposterior and lateral images on neutral position of the cervical spine after ACDF surgery.

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