Anterior Spinal Fusion versus Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Review

Purpose. To compare outcomes of anterior spinal fusion (ASF) versus laminoplasty for cervical spondylotic myelopathy (CSM). Methods. Records of 26 women and 37 men aged 34 to 83 (mean, 67) years who underwent ASF or laminoplasty for CSM were reviewed. Patient demographics, duration of symptoms, pre-...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2009-12, Vol.17 (3), p.265-268
Main Authors: Cheng, Sze-Chung, Yen, Chi-Hung, Kwok, Tik Koon, Wong, Wing-Cheung, Mak, Kan-Hing
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cervical Vertebrae - pathology
Cervical Vertebrae - surgery
Decompression, Surgical
Female
Humans
Independent sample
Laminectomy - methods
Linear Models
Male
Medical imaging
Middle Aged
Patients
Regression analysis
Retrospective Studies
Spinal cord
Spinal Fusion - methods
Spondylosis - pathology
Spondylosis - surgery
Treatment Outcome
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Summary:Purpose. To compare outcomes of anterior spinal fusion (ASF) versus laminoplasty for cervical spondylotic myelopathy (CSM). Methods. Records of 26 women and 37 men aged 34 to 83 (mean, 67) years who underwent ASF or laminoplasty for CSM were reviewed. Patient demographics, duration of symptoms, pre- and postoperative Japanese Orthopaedic Association (JOA) scores, Hirabayashi recovery rate, and radiographic features (including anteroposterior canal diameter, Pavlov ratio, and number of levels compressed) were compared. Results. The mean duration of symptoms was 9 months. The mean follow-up period was 40 months. Patients who underwent laminoplasty were older (p=0.015) and had more levels compressed (p
ISSN:1022-5536
2309-4990
DOI:10.1177/230949900901700303