Anterior Spinal Canal Reconstruction and Fusion Surgery for Treating Degenerative Cervical Kyphosis With Stenosis

Application of Anterior Spinal Canal Reconstruction and Fusion Surgery for Treating Degenerative Cervical Kyphosis With Stenosis：a Multicenter Randomized Controlled Trial

Degenerative cervical kyphosis with stenosis (DCKS) is a common cervical spine degenerative disease, causing pain, numbness, and weakness of limbs, which seriously affect the quality of life of the patient. Surgery is an effective way to treat this condition, however, the best surgical procedure is still controversial. Anterior spinal canal reconstruction and fusion surgery (ACRF) is a new surgical procedure that previously proposed by our team, it combines the advantages of both the conventional anterior and posterior approach. The purpose of this study is to evaluate the safety and effectiveness of ACRF surgery for treating DCKS. A multicenter prospective randomized controlled trial was designed. Eligible patients will be randomly divided into three groups, including the ACRF group, the conventional anterior surgery group, and the conventional posterior surgery group. Demographic data, surgery Information, and follow-up results will be collected and compared between groups.

Inclusion Criteria:

• Patients are diagnosed with degenerative cervical kyphosis with stenosis
• Patients aged between 30 and 70 years
• Patients meet the indications for surgery
• Patients submitted written informed consent

Exclusion Criteria:

• Tumor, infection, or trauma of the cervical spine
• Severe cervical kyphosis that greater than 50°
• Severe ossification of the posterior longitudinal ligament of the cervical spine
• Patients with ankylosing spondylitis
• Previous surgery of the cervical spine