Submit Manuscript | http://medcraveonline.com Introduction The procedure of oblique cervical corpectomy (OCC) illustrates maintenance of a considerable part of the ventral and lateral sides of the vertebral body. 1 Ozer AF et al., 2 reported a procedure and termed it “open window corpectomy” that is planned to eliminate the least quantity of bone and attain adequate decompression; using a high- speed drill and the surgical microscope, just the posterior surface of the vertebral body is eliminated after proper microdiscectomies. That leaves the ventral and the lateral parts of the vertebral body untouched. That oblique corpectomy didn’t disturb the stability of the cervical spine and needs no stabilization. Karalar T et al., 3 assumed an in vitro biomechanical investigation of multilevel OCC in sheep and stated that the technique doesn’t cause instability of the spine. That method offers a roomy anterolateral decompression of the spinal canal and foramen at single or multiple levels, kyphotic spine isn’t a contraindication if spinal stability is maintained, no demand for instrumentation and/or bone grafting, and very good exposure via lateral approach that is required in recurrent cases after prior anterior surgery. 4 This study was done to evaluate the indications, efficiency, safety, and complications of OCC for the treatment of selected types of Spondylotic Cervical myeloradiculopathy. Materials and methods This is a prospective non-randomized clinical case series that was done between January 2009 and February 2014. It enrolled 18 cases who subjected to OCC for treatment of cervical spondylotic myeloradiculopathy. Cases were carefully chosen if they had cervical myelopathy±radiculopathy established by clinical data and CT scan and/or MRI with single or multiple level canal stenosis mostly as anterolateral compression. Cases were excluded if they had any instability or anterolisthesis >2millimeters between any two contiguous vertebrae in dynamic views. Those criteria are like inclusion criteria listed in a series done by Salvatore et al. 4 Also cases with ossified posterior longitudinal ligament were not included because of a basically another pathology, natural history, complication, and results. Every case in this series was carefully assessed clinically in the form of detailed history, complete neurological examination. A complete functional assessment was done by the Nurick score and a modified Japanese Orthopedic Association scale for cervical myelopathy (mJOA), and the postoperative recovery was estimated by the method proposed by Hirabayashi K et al. 5 Post-op score − pre-op score ÷ 17 (full score) − pre-op score×1005 Visual analogue scale (VAS) was used for assessment of patient’s pre and postoperative neck and radicular pain. An important part in the history focused on evaluation of the case by anesthesiologist to identify fitness and prerequisites of surgery. Radiological Evaluation: Plain X-rays of the cervical spine, including anteroposterior view, Flexion-Extension lateral views, and the standard lateral view. The canal dimensions and cord signal alterations are assessed by computerized tomography and MRI of the cervical spine. Just a short MOJ Orthop Rheumatol. 2018;10(4):298‒301. 298 © 2018 Elbadrawi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially. Managing spondylotic cervical myeloradiculopathy using oblique cervical corpectomy Volume 10 Issue 4 - 2018 Ahmed Mohamed Elbadrawi, Tameem Mohamed Elkhateeb Department of Orthopedics and Spine Surgery, Faculty of Medicine -Ain Shams University, Egypt Correspondence: Tameem Mohamed Elkhateeb, Department of Orthopedics and Spine Surgery, Faculty of Medicine -Ain Shams University, Egypt, Email tameem_77@hotmail.com Received: July 01, 2018 | Published: August 09, 2018 Abstract Study design: A Prospective clinical case series study. Objective: To evaluate the clinical and radiological outcomes of oblique cervical corpectomy in the management of selected cases of Spondylotic Cervical Myeloradiculopathy. Methods: 18 patients with cervical spondylotic myeloradiculopathy were enrolled in this study. Neurological function was graded by modified Japanese Orthopedic Association scale, and the recovery rate was calculated. Both local symptoms and radicular pain were evaluated using Visual Analog Scale. The minimum follow-up period was 24months. Results: 12 males and 6 females with a mean age of 52years underwent oblique cervical corpectomy with mean operative duration 172minutes. Mean Blood loss was 320ml. Oblique corpectomy was done at a single level in 10 patients, two levels in 6 patients and three levels in 2 patients. There was a statistically significant improvement in both the mJOA scale and VAS for radicular symptoms. Postoperatively spine curvature in most of the cases remained unchanged. The development of straightening or kyphosis of the spine was not correlated with neurological weakness or worsening of clinical improvement. One case had intraoperative dural tear, three cases had postoperative Horner’s syndrome that is temporary in two cases and persists in one. Conclusion: Oblique corpectomy is a sound alternative to conventional central corpectomy and fusion in selected cases. By avoiding the use of implants and fusion, the procedure is cost effective with no fusion-related complications but is technically demanding. Keywords: cervical myeloradiculopathy, cervical spine, oblique cervical corpectomy MOJ Orthopedics & Rheumatology Research Article Open Access