title: Clinical outcome of anterior vs posterior approach for cervical spondylotic myelopathy.
abstract: OBJECTIVE
  The aim is to demonstrate whether there is clinical difference between posterior vs anterior decompression in cervical spondylotic myelopathy.
  
  
  METHODS
  Forty-two patient database was obtained from the Centro Medico Nacional de Occidente in Mexico, those who underwent surgical treatment for cervical myelopathy with a mean 1.4 year follow-up.
  
  
  RESULTS
  Patients were divided; group A (45%) anterior approach and group B (55%) posterior approach, for mJOA, group A had a lower score compare with group B. While in the Nurick score group B got a higher score compare with group A.
  
  
  CONCLUSIONS
  Posterior decompression resulted in better functional outcomes (p < 0.05).
authors.affiliation: Instituto Mexicano del Seguro Social, UMAE Hospital de Especialidades Centro Médico Nacional de Occidente, Guadalajara, Jalisco, Mexico.
authors.forename: Mario Alberto
authors.initials: MA
authors.lastname: Cahueque Lemus
authors.affiliation: Instituto Mexicano del Seguro Social, UMAE Hospital de Especialidades Centro Médico Nacional de Occidente, Guadalajara, Jalisco, Mexico.
authors.forename: Andres Enrique
authors.initials: AE
authors.lastname: Cobar Bustamante
authors.affiliation: Instituto Mexicano del Seguro Social, UMAE Hospital de Especialidades Centro Médico Nacional de Occidente, Guadalajara, Jalisco, Mexico.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ortiz Muciño
authors.affiliation: Instituto Mexicano del Seguro Social, UMAE Hospital de Especialidades Centro Médico Nacional de Occidente, Guadalajara, Jalisco, Mexico.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Caldera Hernandez
keywords: Anterior approach; Cervical myelopathy; Clinical outcome; Decompression; Posterior approach