Prospective study of surgical outcomes of cervical myelopathy based on its etiology, duration of affection and radiological patterns of compression

<p><strong>Background: </strong>Cervical spondylotic myelopathy (CSM) is considered the commonest cause of spinal cord dysfunction in individuals above 55 years age and if left untreated, permanent damage may occur. This could contribute to increased dependence reduced quality life older individuals. A prospective cohort study done patients with cervical who were admitted operated after considering inclusion exclusion criteria.<strong></strong></p><p><strong>Methods</strong>: criteria. Total 30 included study. according patterns compression. Anterior/posterior decompression SOS instrumentation was POC. Pre-op post-op Nurick’s grading, pre-op modified Japanese orthopaedics association (mJOA) scores used for comparison. Patients followed up period 1 year from surgical intervention. Recovery rate calculated using preop post op mJOA scores.</p><p><strong>Results</strong>: Overall satisfactory outcome found myelopathy<sub>, </sub>out patients, 9 pattern compression I (POC I) had recovery (RR) (91.6±7.8) , 8 POC II RR (78.4±14.8), 6 III (73.5±11.1), 4 IV (74.9±29.2), 3 IVv (80.4±4.1).the assessment final scoring system grading system.</p><p><strong>Conclusions: </strong>Anterior discectomy fusion (ACDF) (one- or two-level anterior compression) (one two levels posterior give good outcome. Cervical laminectomy recommended (3 compression), more development narrow canal multiple variant (similar one levels, being significant than others).earlier diagnosis, prompt radiological investigations, individualizing protocol, proper techniques follow-up evaluation are key management myelopathy.</p>