title: [Anterior cervical decompression and fusion by microscope for the treatment of cervical spondylotic myelopathy].
abstract: OBJECTIVE
  To explore clinical effects of anterior cervical decompression and fusion by microscope in treating cervical spondylotic myelopathy.
  
  
  METHODS
  From February 2005 to March 2010,21 patients with cervical spondylotic myelopathy, 13 males and 8 females with an average age of 51.5 years (ranged, 32 to 71), were treated with anterior cervical decompression using high-speed bur,then bone grafting and fusion with auto iliac bone and internal fixation by microscope. According to JOA score of cervical spondylosis to evaluate clinical effects before and after operation.
  
  
  RESULTS
  All patients were followed up from 18 to 24 months with an average of 20 months. JOA score improved significantly from preoperative 9.26 +/- 1.72 to postoperative 13.64 +/- 1.38 (t = 2.452, P = 0.000). According to JOA score, 12 cases were excellent, 7 good and 2 fair.
  
  
  CONCLUSIONS
  Anterior cervical decompression and fusion by microscope is a refined, safe and effective surgical procedure for cervical spondylotic myelopathy.
authors.affiliation: Department of Orthopaedics,Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China. shp1995@126.com
authors.forename: Hong-Pu
authors.initials: HP
authors.lastname: Song
authors.forename: Qiao-Feng
authors.initials: QF
authors.lastname: Guo
authors.forename: Xiao-Wen
authors.initials: XW
authors.lastname: Zhang
authors.forename: Chun
authors.initials: C
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D013123:Spinal Fusion / Q000379:methods*; D055009:Spondylosis / Q000601:surgery*