Abstract:Cervical disc herniation is a common spinal surgical disease. Anterior subtotal corpectomy and fusion and anterior discectomy and fusion are often used . ACDF was first proposed by Smith and Robinson in 1958 , it is considered to be the most reliable choice for anterior cervical approach . ACCF is often suitable for compression located behind the vertebral body, which has high safety and satisfactory curative effect as ACDF . Traditional ACDF can not relieve posterior vertebral compression, while ACCF has disadvantages in operation, hospital stay, bleeding volume, stability, fusion rate, etc, elderly patients have high requirements for surgery because of their special physical functions, and these disadvantages need to be reduced as much as possible. Therefore, this paper reports a case of innovatively using ACDF combined with "L" shaped vertebral body slotting to treat elderly male cervical 4 / 5 intervertebral disc with end plate prolapse and dissociation behind cervical 5 vertebral body.