Anterior Cervical X-Shape-Corpectomy and Fusion Versus Anterior Cervical Corpectomy and Fusion for Cervical Spondylotic Myelopathy: A Prospective Randomized Controlled Trial.

ABSTRACT: Study DesignRandomized controlled trial (RCT).ObjectivesTo compare the clinical performance of anterior cervical X-shape-corpectomy and fusion (ACXF) and anterior cervical corpectomy and fusion (ACCF) in treating cervical spondylotic myelopathy (CSM).MethodsIn this single-center, prospective RCT, patients with CSM were enrolled between January 2023 and June 2024 and randomly assigned to undergo either ACXF or ACCF. Blinded coordinators collected clinical and imaging data at baseline, 3 months, 6 months, and 1 year postoperatively. The primary outcome was the composite success rate at 1 year postoperatively. Secondary outcomes included perioperative outcomes, patient-reported outcome measures (PROMs), and radiological outcomes.ResultsEighty-six patients were randomized equally to the ACXF o

SUBMITTER: Wang H 

PROVIDER: S-EPMC12657206 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature