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This is a retrospective study. The aim was to evaluate the influence of various decompression procedures on the incidence of C5 palsy (C5P). C5P is a well-known but unsolved complication of cervical spine surgery. Among anterior cervical decompressive procedures, both corpectomy and discectomy are important surgical methods, whose effects on the incidence of C5P are unknown. We retrospectively analyzed 818 patients (529 men; mean age 59.2±11.6 y) who underwent anterior cervical decompression and fusion. The surgical choice to use corpecto