【摘要】 目的 探討頸椎手術并發癥原因及預防措施，以提高手術成功率。 方法 對2000年5月-2009年5月實施頸椎前路手術的脊髓型頸椎病患者201例中20例發生并發癥患者的臨床資料及隨訪情況進行回顧性分析。 結果 20例并發癥患者獲得隨訪時間3個月～10年，平均5.5年。近期并發癥11例，發生率5.47%；遠期并發癥9例，發生率4.48%。 結論 充分認識脊髓的損傷類型，仔細評估患者的全身情況，熟練的手術操作，良好的術后護理是手術成功的關鍵。【Abstract】 Objective To investigate the reasons of and prevention for surgical complications of anterior cervical spine. Methods The clinical data of 20 patients with surgical complications in 201 patients who underwent anterior cervical surgery from May 2000 to May 2009 were analyzed retrospectively. Results The patients with complications were followed up for 3 months to 10 years with an average of 5.5 years. The rate of 11 patients with short-term complications was 15%, and the rate of nine patients with long-term complications was 4.48%. Conclusion The key of a successful surgery for anterior cervical spine inludes full realization of type of cervical spinal cord injury, careful evaluation of the patient’s general condition, skilled operation, and good post-operative care.