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Table 1 General comparison between the two approaches

From: Surgical decision-making for ossification of the posterior longitudinal ligament versus other types of degenerative cervical myelopathy: anterior versus posterior approaches

  Pros Cons
Anterior approach Better for those with pre-existing cervical kyphosis
More direct approach to pathologies such as disc herniation and OPLL
Intra-operative:
Longer operating time
Higher intra-operative haemorrhage
Post-operative complications:
Longer hospitalisation
Dysphagia and hoarseness of voice
Higher graft related complications
Posterior approach Simpler and extensile procedure
Shorter operating times
Faster recovery
Virtually no chance of damaging vital structures in the neck
Post-operative complications
More post-operative neck pain
Higher intra-op kyphosis
C5 palsy
Hinge fracture
Spring-back closure
  1. OPLL Ossification of the posterior longitudinal ligament