Abstract
Anterior and posterior cervical spine surgery for degenerative diseases are performed worldwide, however, the indications for these approaches are obscure and controversial in some pathologies. The authors described the indications of the widely performed surgery including anterior cervical discectomy and fusion, anterior cervical corpectomy and fusion, anterior cervical foraminotomy, cervical expansive laminoplasty and posterior cervical fixation. Additionally, previous studies and reviews comparing anterior and posterior surgery are introduced and discussed. Representative case presentations of the author's own experience are also included. In conclusion, these procedures are considered acceptable, but further evidence is needed to clarify the role of these surgical interventions.