الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Surgery for degenerative diseases of the cervical spine is one of the most common procedures in daily orthopedic practice. Cervical radiculopathy (CR) is a common diagnosis. Symptoms started with pain that radiating from the neck to the arm, may associated with sensory loss and/or weakness of motor function in the affected nerve-root distribution. CR is often self limiting and can be resolved with non-surgical treatments, when conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered (De- Rooij et al., 2017) (1)Anterior cervical discectomy and fusion (ACDF) is the gold standard treatment for cervical disc herniation .It is firstly described by Smith and Cloward in 1958 (Noh and Zhang, 2018) (2), it has high successful rate in reduction of neck and arm pain, restores both vertebral disc height and foraminal height (Spanos, 2018) (3).This study was performed on 20 patients randomized from Orthopaedic outpatient clinic in Nasser Institute and Zagazig University Hospitals.They had degenerative cervical disc disease suffering from neck pain and radiculopathy that didn’t respond to conservative treatment.This study aimed to evaluate postoperative clinical and radiological outcome after ACDF using PEEK cage after one month, three months and six months.There has clinical in arm and neck pain measured by reduction of NDI and VAS post-operative follow up, Which is was highly statistically significant.More than 75% of the patients were satisfied from the operation as reported by Odam’s criteria.Radiologically Disc height space increased immediately post-operative by cage, and the rate of fusion was good in 67% of patients , excellent in 20% .