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Objectives. The objective of our study was to assess the neurological outcome following posterior cervical laminectomy for patients with cervical spondylosis and to determine the factors that improve the neurological outcomes after surgery for those patients. Materials and methods. A retrospective study on 25 patients with cervical spondylosis operated on via posterior cervical laminectomy between 2006 and 2009 in Al-Shaek Zaed teaching hospital for neurosurgical specialization. The patient divided into male and female groups, into above 55 years and below 55 years groups and into early and late diagnosed and operated groups. Parameters recorded include patient age, sex, neurological symptoms (severity and duration), postoperative follow-up and surgical outcomes. The diagnosis were made by the clinical signs and symptoms and by cervical MRI studies. Outcomes. The 30 patients was divided into 20 (66.7%) male and 10 (33.3) female patients, 15 patients (50%) above and 15 patients (50%) below 55 years, 25 patients (83.4%) involved C5-C7 levels and 5 patients (16.6%) involved C3-C5 levels. Preoperatively: 6 patients (20%) had mild-moderate radiculo-myelopathic features, 18 patients (60%) had moderate-severe radiculo-myelopathic features and 6 patients (20%) had very severe radiculo-myelopathic features. Postoperatively: 16 patients (53%) had good outcome, 8 patients (27%) had fair outcome and 6 patients (20%) had poor outcome. conclusions. Cervical spondylotic radiculopathy can be treated conservatively while CSM is treated surgically. Early surgery give better outcome. Lordotic cervical spine can be treated with posterior approach but kyphotic spine need anterior approach.

Pathological changes of cervical degenerative myelopathy and its conservative medical and surgical treatment and outcome