Clinical and functional outcomes of laminoplasty and laminectomy

Hardman, Julian; Graf, Oliver; Kouloumberis, Pelagia; Gao, Wei; Chan, Michael; Roitberg, Ben

doi:10.1179/174313209x459084

Cited by 28 publications

(25 citation statements)

References 10 publications

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“…The characteristics of the included studies are summarized in Table 1. Among the studies, LAMP surgical procedures mainly refer to open-door laminoplasty with different fixation, while LAMT surgical procedures were divided into three subgroups as follows: conventional LAMT [6-8,11,13,18], skip LAMT [10,12,14], and LAMT with fusion [9,15-17,19,20]. …”

Section: Resultsmentioning

confidence: 99%

“…In four studies [10,11,16,20], C5 paresis was found in 9 of 176 (5.11%) patients treated with LAMP and 12 of 157 (7.64%) patients treated with LAMT. Across six studies [9,13-16,20], infection was found in 4 of 254 (1.57%) patients treated with LAMP and 10 of 261 (3.83%) patients treated with LAMT. There was no significant difference between the two techniques in the incidence of kyphosis, C5 paresis, or infection ( P > 0.05).…”

Section: Resultsmentioning

confidence: 99%

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Laminoplasty versus laminectomy for multi-level cervical spondylotic myelopathy: a systematic review of the literature

Lao

Zhong

et al. 2013

J Orthop Surg Res

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BackgroundThere is considerable controversy as to which posterior technique is best for the treatment of multi-level cervical spondylotic myelopathy. The aim of this study was to compare the clinical and radiographic results and complications of laminoplasty (LAMP) and laminectomy (LAMT) in the treatment of multi-level cervical spondylotic myelopathy.MethodsWe reviewed and analyzed papers published from January 1966 and June 2013 regarding the comparison of LAMP and LAMT for multi-level cervical spondylotic myelopathy. Statistical comparisons were made when appropriate.ResultsFifteen studies were included in this systematic review. There was no significant difference in the incidence of surgical complications between LAMP and LAMT. Compared to conventional LAMT and skip LAMT, postoperative ROM was more limited in LAMP, but this was still superior to postoperative ROM following LAMT with fusion. Postoperative kyphosis occurred in 8/180 (4.44%) in LAMP and 13/205 (6.34%) in LAMT, whereas no cases of kyphosis were reported for skip LAMT. Skip LAMT appears to have better clinical outcomes than LAMP, while the outcome was similar between LAMP and LAMT with fusion.ConclusionsBased on these results, a claim of superiority for laminoplasty or laminectomy was not justified. In deciding between the two procedures, the risks of surgical and neurological complications, and radiologic and clinical outcome, must be taken into consideration if both options are available in multi-level cervical spondylotic myelopathy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Laminoplasty versus laminectomy for multi-level cervical spondylotic myelopathy: a systematic review of the literature

Lao

Zhong

et al. 2013

J Orthop Surg Res

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“…Both laminectomy and laminoplasty are safe and effective treatments for cervical myelopathy [4,5,14]. As laminoplasty is less destructive to posterior tissues than laminectomy, the more opportunity for muscles to be reattached to bone and the more preservation of bony covering of the dura mater in laminoplasty may contribute to less postoperative axial pain.…”

Section: Discussionmentioning

confidence: 99%

Axial pain after posterior cervical spine surgery: a systematic review

et al. 2010

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Posterior operative approach has been the standard treatment for cervical compressive myelopathy, and axial pain after laminoplasty or laminectomy as a postoperative complication is now gradually receiving more and more attention. The objective of this study was to provide a systematic review of the current understanding of axial pain after cervical laminoplasty and laminectomy, and summarize clinical features, influence factors and preventive measures of axial pain after posterior decompressive surgery based on a review of literature published in the English language. Axial pain distributes over nuchal, periscapular and shoulder regions. Posterior surgery is not the major cause of axial pain, but axial pain can be worsened by the procedure. There are many clinical factors that influence postoperative axial pain such as age, preoperative axial pain, different surgical technique and postoperative management, but most of them are still controversial. Several surgical modifications have been innovated to reduce axial pain. Less invasive surgery, reconstruction of the extensor musculature, avoiding detachment of the semispinalis cervicis muscle and early removal of external immobilization have proved to be effective. Axial pain is under the influence of multiple factors, so comprehensive methods are required to reduce and avoid the postoperative axial pain. Because of methodological shortcomings in publications included in this systematic review, different results from different studies may be produced due to differences in study design, evaluation criteria, sample size, and incidence or severity of axial pain. More high-quality studies are necessary for drawing more reliable and convincing conclusions.

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“…Excellent longterm results have been reported using this technique [3][4][5][6][7]. Clinical follow-up studies have shown that laminoplasty generally results in greater patient satisfaction and lower complication rates than laminectomy [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Relationship between the laminoplasty opening size and the laminoplasty opening angle, increased sagittal canal diameter and the prediction of spinal canal expansion following open-door cervical laminoplasty

Gu¹,

Zhang

Shen

et al. 2015

Eur Spine J

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Objective To clarify the relationship between the laminoplasty opening size (LOS), the laminoplasty opening angle (LOA) and the increase in sagittal canal diameter (SCD) and to predict the amount of canal enlargement during open-door cervical laminoplasty (ODCL). Methods Formula describing the relationship between LOS and LOA, the increase in SCD was deduced. The parameters of pre-and postoperative computed tomography scans of 36 patients who had undergone laminoplasty surgery were measured by picture archiving and communication system (PACS) software, and the amount of canal enlargement of these patients was predicted when the opening size of laminoplasty was 8, 10, 12, 14 and 16 mm according to the formula. Results For equivalent LOS, the amount of canal enlargement with each opening size differed throughout the cervical region. When the C3-C7 LOS was 10 mm the SCD increased [4.1 mm, and the canal area increased in C3-C6 [88 mm 2 , and the canal area increased in C7 [ 80 mm 2 .When the C3-C7 LOS was 12 mm, the SCD increased [5.2 mm, and the canal area increased in C3-C6 [104 mm 2 , and the canal area increased in C7 [ 94 mm 2 . Conclusion Formula accurately showed the relationship between the LOS and the increase in SCD achieved by ODCL. The amount of canal enlargement following ODCL could be predicted by the formula. LOS of 10-12 mm at C3-C7 might be optimal during ODCL.

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Clinical and functional outcomes of laminoplasty and laminectomy

Abstract: Both cervical laminectomy and laminoplasty are safe and effective for the treatment of cervical myelopathy or radiculopathy. Cervical laminoplasty results in a shorter hospital stay and greater functional improvement at 4 months follow-up.

Cited by 28 publications

References 10 publications

Laminoplasty versus laminectomy for multi-level cervical spondylotic myelopathy: a systematic review of the literature

Laminoplasty versus laminectomy for multi-level cervical spondylotic myelopathy: a systematic review of the literature

Axial pain after posterior cervical spine surgery: a systematic review

Relationship between the laminoplasty opening size and the laminoplasty opening angle, increased sagittal canal diameter and the prediction of spinal canal expansion following open-door cervical laminoplasty

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