Introduction- Anterior cervical discectomy with or without fusion and anterior microforaminotomy serves as a relatively recent minimally invasive approach that can prevent cervical degeneration and thus improving functional motion segment. The aim of present study was to assess the management of cervical degenerative disease by anterior cervical discectomy with or without fusion versus anterior microforaminotomy. Material and methods- The present interventional study was conducted at department of neurosurgery of a tertiary care center among 30 patients diagnosed with cervical degenerative disc disease during the study period of one year. The patients were divided into three groups on the basis of approach used. Pain score and radiographic parameters were analyzed pre and post operatively. Results – The mean age of patients was between 50-60 years and male patients were higher in number as compared to female patients. After surgery the pain score reduces significantly in each group (p<0.05). The comparison of radiographic parameters were non significant with p value >0.05 pre operatively and follow up period. Conclusion- ACD with or without fusion and microforaminotomy helped cervical disc disease patients recover. This study found substantial VAS differences for arm and neck pain, but no significant radiographic differences.

anterior cervical discectomy, anterior microforaminotomy, cervical degenerative disease, fusion, management, outcome.