Cervical Laminoplasty for Multilevel Cervical Myelopathy
2011

Cervical Laminoplasty for Multilevel Cervical Myelopathy

Sample size: 130 publication Evidence: moderate

Author Information

Author(s): Murali Krishna Sayana, Jamil Hassan, Poynton Ashley

Primary Institution: Cappagh National Orthopaedic Hospital

Conclusion

Cervical laminoplasty is an effective surgical technique for treating multilevel cervical myelopathy, with a recovery rate of 50% to 70%.

Supporting Evidence

  • The overall recovery rate reported varies from 50% to 70%.
  • Worsening of postoperative spinal alignment has been reported to vary from 22% to 53%.
  • The incidence of postoperative kyphosis varies from 2% to 4%.
  • Cervical range of motion has been reported to decrease 17% to 50% after laminoplasty.

Takeaway

Doctors can help people with neck problems by doing a special surgery that opens up the space around the spine, making it easier for them to move and feel better.

Methodology

The study reviews the surgical technique of expansive open-door laminoplasty and its outcomes for patients with cervical myelopathy.

Potential Biases

Potential bias in reporting outcomes due to variability in surgical techniques and patient selection.

Limitations

There is no standard method for measuring and reporting cervical alignment, making comparisons difficult.

Participant Demographics

Patients with multilevel cervical stenosis and myelopathy, preferably with stenosis at 3 or more levels.

Digital Object Identifier (DOI)

10.4061/2011/241729

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