Can spinal cervical stenosis surgery be performed without plate fixation?

Spinal cervical stenosis surgery is not possible without plate fixation. Surgery for spinal stenosis includes anterior surgery, posterior surgery, and combined anterior and posterior surgery.
1. Anterior surgery: Anterior surgery is performed from the front. The surgery requires pulling the trachea and esophagus to one side, and then surgically removing the lesion. This type of surgery requires implant fusion, so a plate is needed for fixation, or else the implant can not be fixed in the cervical area.
2. Posterior surgery: Posterior surgery refers to posterior cervical discectomy, which is suitable for patients with developmental cervical stenosis and anterior and posterior compression of the spinal cord. The spinal canal can be enlarged through the surgery to relieve the posterior spinal cord from the compression, but it needs to be fixed to maintain the stability of cervical spine.
3. Combined anterior and posterior surgery: This surgical method is suitable for patients with anterior compression of the spinal canal and extensive anterior and posterior compression of the spinal cord, and requires internal fixation to maintain the stability of the cervical spine after surgery.
Spinal stenosis surgery generally requires internal fixation of the plate, and it is recommended to choose the appropriate surgical method under the guidance of the doctor according to the specific conditions of the patient.