الفهرس 
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Abstract
Cervical spondylotic stenosis is a frequently encountered issue, particularly among older individuals. Surgical intervention is typically required when there is radiological evidence of multilevel cervical spinal canal stenosis, particularly when accompanied by clinical symptoms. Unlike single level, multisegmented stenosis poses a challenge for the surgeon. Surgical decompression can be accomplished using either an anterior or posterior technique.
This study aims to assess the results of using a stand-alone Fidji cervical cage filled with local bone graft for multilevel anterior cervical discectomy and fusion to treat symptomatic multilevel cervical spondylotic stenosis. Thirty patients underwent the procedure at the spine unit of Al-Hadra and Al-Moassa Alexandria University Hospitals between May 2021 and April 2022 with a one-year follow-up.
Age ranged between 28-74 years, involving 16 males and 14 females, were four heavy manual workers (13.33%), seven housewives (23.33%), thirteen employers (43.34%), and six (20%) retired patients. Twenty patients (66.6%) were free from chronic diseases. Still, three diabetic patients (10%) presented to the study, four hypertensives (13.3%), one was diabetic and hypertensive (3.3%), renal impairment and diabetes in one patient, and finally, one rheumatoid patient in the study (3.3%) for each.
Two levels affect 10 patients, three levels in 11, and four levels in 9. C5-6 was the most affected level (in 29 patients), representing 96.7%, then C4-5 (in 27 patients), representing 90.0%, and the least affected level was C3-4 (in 15 patients), representing 50.0%.
Seventeen patients (56.7%) had radiculopathy, ten patients (33.3%) had myelopathy, and only three patients (10%) had radiculo-myelopathy; depending on Nurick’s grade of myelopathy grouped the ten cases presented with myelopathy and the three radicular myelopathy cases: Three patients had grade 2, another three had grade 4, and the remaining seven patients had grade 3 myelopathy.