Background: vertigo is a common symptom in cervical spondolytic myelopathy patients as symptoms like neck pain, weakness and sensory affection. Cervical Vertigo (CV) is a symptom with lots of uncertainty around it. Objectives: To assess the impact of surgical intervention, specifically anterior cervical discectomy as well as fusion, on cases having cervical myelopathy and concurrent vertigo, with a particular focus on its curative effect on the vertigo and other symptoms. Methods: Among cases having cervical myelopathy that underwent anterior cervical discectomy and fusion (ACDF), we include in this study 30 patients who had associated vertigo and dizziness. Vertigo's presence and characteristics were examined through a specialized questionnaire. All etiological reasons for vertigo that were not cervical in nature had been excluded. We utilize the cervical vertigo evaluation to assess the pre- & post-operative status of vertigo. Results: A total of 30 cases having cervical myelopathy associated with vertigo underwent ACDF. There is marked improvement in the intensity and frequency of vertigo after surgery. The preoperative CVES score was significantly declined following operation. There is also marvelous improvement in mJOA score and Nurick grade after surgery. Conclusions: Although cervical myelopathy is associated with an elevated prevalence of vertigo, the etiology of all cases can be attributed to reasons outside the cervical spine. In cases having cervical myelopathy with vertigo in whom other causes of vertigo were excluded, the role of ACDF in treating the vertigo in those patients is very valuable.

cervical vertigo, ACDF, cervical myelopathy, cervical vertigo evaluation