Laminectomy versus open-door laminoplasty for cervical spondylotic myelopathy: A clinical outcome analysis-Reference-Cited by-同舟云学术

Laminectomy versus open-door laminoplasty for cervical spondylotic myelopathy: A clinical outcome analysis

Published:2020-04-18 Issue: Volume:11 Page:73
ISSN:2152-7806
Container-title:Surgical Neurology International
language:en
Short-container-title:

Author:

Dobran Mauro¹,Mancini Fabrizio¹,Paracino Riccardo¹,Lattanzi Simona²,Somma Lucia di¹,Nasi Davide¹,Bizzocchi Gianluca¹,Aiudi Denis¹,Iacoangeli Maurizio¹

Affiliation:

1. Departments of Neurosurgery, University, Via Conca, Ancona, Marche, Italy.

2. Departments of Neurology, University, Via Conca, Ancona, Marche, Italy.

Abstract

Background:Cervical spondylotic myelopathy (CSM) is one of the most common diseases in the geriatric population. Decompressive laminectomy or laminoplasty is the predominant surgical procedure of choice, but there remains debate as to which procedure is optimal for managing CSM.Methods:Here, we retrospectively analyzed 64 patients with CSM undergoing laminectomy (39 patients) versus laminoplasty (25 patients). The data were collected included respective Japanese orthopedic association (JOA) scores, Nurick grades, and Visual analog scale (VAS) values preoperatively versus 12 months postoperatively.Results:The JOA score after 1 month improved in both groups utilizing laminectomy or laminoplasty. However, at 12 postoperative months, the JOA scores and Nurick grades showed greater improvement following laminoplasty, despite no differences in postoperative pain and complication rates.Conclusion:Patients with cervical spondylotic myelopathy undergoing laminoplasty (25 patients) showed better 12-month postoperative outcomes (JOA scores and Nurick grades) versus those having laminectomies (39 patients).

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

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