Long-term Follow-up of Clinical and Radiological Outcome After Cervical Laminectomy

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2013 Nov 14

PMID 24221920

Citations 14

Authors

Sarita van Geest

Anouk M J de Vormer

Mark P Arts

Wilco C Peul

Carmen L A Vleggeert-Lankamp

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate long-term clinical and radiological results of cervical laminectomy without adjuvant-instrumented fusion for degenerative spinal cord compression.

Methods: A retrospective follow-up study of patients in which clinical data (n = 207), questionnaires (n = 96) and fluoroscopy (n = 77) were reviewed.

Results: Postoperative perceived recovery was reported by 76 and 63 % of patients at 3 months and 9 years, respectively. Functional status remained unchanged. The incidence of kyphosis and segmental instability was 15 and 18 %, respectively, and occurred almost exclusively if preoperative lordosis was <20°. Neither kyphosis nor segmental instability correlated to perceived recovery and no predisposing variables were identified.

Conclusions: Cervical laminectomy without adjuvant-instrumented fusion should be considered as a treatment for compressive degenerative cervical myelopathy in patients with a lordotic cervical spine without congenital deformities. Additional reconstructive correction of the cervical spine is only proven appropriate in selected cases.

Citing Articles

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Effect of T1 Slope on Disappearance of Cervical Lordosis after Posterior Cervical Double-Door Laminoplasty Based on Medical Informatics.

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Gulati S, Vangen-Lonne V, Nygaard O, Gulati A, Hammer T, Johansen T Neurosurgery. 2021; 89(4):704-711.

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Du L, Gao Y, Zhao C, Zhou T, Tian H, Zhang K BMC Musculoskelet Disord. 2021; 22(1):426.

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