Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in older persons¹. With ageing as the degenerative changes in the cervical spine sets intervertebral discs, ligaments and connective tissue of the cervical vertebrae, can lead to compression of the spinal cord, which results in myelopathy². The natural history of CSM is mixed and unpredictable. Patients with CSM may present as a gradual decline in neurological function or in a progressive setting with a long period of quiescence³. Surgical intervention has been the mainstay for progressive CSM because conservative treatment had not been proved to be effective in altering the natural course of this disease⁴. The principal goal of surgical intervention is to achieve adequate expansion of the canal diameter, thus providing the cord with adequate space to avoid static or dynamic compression. Anterior approaches for the surgical treatment of CSM, including anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF), have been widely over the years⁵. ACCF is an established treatment for cervical degenerative diseases, which offers several advantages, including direct decompression of neural structures, proper visualization of posterior osteophytes, ossified posterior longitudinal ligament immediate stabilization of operated segments, solid fusion and maintenance or restoration of normal cervical alignment^6,7. The short term outcomes of  ACCF in CSM have shown good outcome^7.8, but relatively long term studies on ACCM for treatment of CSM is scarce in literature.