A Case Series of Cervical Compressive Radiculomyelopathy Due to Discogenic Compression - Its Management and Outcome at a Tertiary Care Center in North East India.

Introduction Anterior cervical discectomy and fusion (ACDF) constitute the conventional treatment of cervical disc herniation causing radiculopathy and myelopathy. This study aimed to analyze prospectively collected data from a sample of patients treated with single-level or twolevel ACDF to evaluate relief of radiculopathy or myelopathy symptoms. Methods Forty-two patients (26 males and 16 females) who underwent successful either single-level or two-level ACDF for symptomatic cervical Disc Disease were selected for the study. Radiculopathy and myelopathy symptoms were evaluated preoperatively and at 1, 3, 6, and 9 months postoperatively. Results The clinical and radiological outcomes were satisfactory after a minimum 9-month follow-up. Radiculopathy in the form of neck and arm pain and myelopathy in the form of improvement of handgrip was observed in the subsequent follow-ups all showing a constant improvement over the 9-month follow-up period. Conclusions ACDF is an effective method for cervical disc herniation treatment, in terms of postoperative improvement in pain levels and improvement of myelopathy symptoms.