Fig. 3

A 60-year-old male developed numbness in his two hands and weakness in his four extremities for 3 years. Preoperative radiographs showed that the sagittal alignment of the cervical spine was kyphotic (a–d). He was performed with 3-level ACDF and presented with axial neck pain without other surgery-related complications. After operation, his JOA scores improved from 9.4 preoperation to 14.7 postoperation and axial neck pain disappeared 2 months after surgery. Postoperative lateral and flexion-extension cervical radiographs showed that the cervical lordosis was improved (e, f) and the graft got bony fusion at 1-year follow-up (g, h)