<正>Objective:To investigate a novel surgical method for multilevel cervical spondylotic myeIopa- thy（CSM）.Methods:Totally 21 patients with multilevel CSM undergoing a novel surgical procedure from April 2001 to January 2004 were analyzed retrospectively.All patients experienced anterior cervical decompression surgery in subsection

autograft fusion and internal fixation.Preoperative

immediate post- operative and follow-up image data

X-rays and semi-quantitative Japanese orthopaedics association（JOA） scores were used to evaluate the restoration of lordosis（Cobb’s angle）

intervertebral heights

the stabili- ty of the cervical spine and the improvement of neurological impairment.Results:Preoperative symptoms were markedly alleviated or disappeared in most of the patients.According to the JOA scores

the ratio of improvement in neurological function was 72.2%

including excellent in 9 cases（42.9%）

good in 7 cases （33.30%）

fair in 3 cases（14.3%）and poor in 2 cases（9.5%）.Immediate postoperative X-rays showed obvious improvements in lordosis and in the intervertebral height of the cervical spine（P<0.01）.There is no evidence of instrument failure during the mean follow-up period of 14.2 months（9-24 months

P>0.01）.Conclusion:Anterior cervical decompression in subsection

autograft fusion and internal fixa- tion is a rational effective method for the surgical treatment of multilevel CSM.