Cervical Laminoplasty Versus Laminectomy and Fusion: the Long-term Results Comparison
Study Details
Study Description
Brief Summary
The objective of this study is to retrospectively analyze and compare the long-term clinical and radiographic results of multi-level laminoplasty to multi-level laminectomy and fusion for the treatment of patients with cervical myelopathy or myeloradiculopathy.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Laminoplasty Group Patients who underwent cervical laminoplasty surgery due to myelopathy. |
Procedure: Cervical laminoplasty surgery
The posterior standard cervical laminoplasty procedure with ARCH mini-plate fixation
|
| Laminectomy and Fusion Group Patients who underwent cervical laminectomy and fusion surgery due to myelopathy. |
Procedure: Cervical laminectomy and fusion surgery
The posterior standard cervical laminectomy and fusion surgery procedure with lateral mass screws fixation
|
Outcome Measures
Primary Outcome Measures
- Change of Japanese Orthopaedic Association Score (JOA) [baseline, 12 months post-treatment and through study completion, an average of 10 year]
Total score 0-17. The lower the score the more severe the deficits.
- Change of Neck Disability Index (NDI) [baseline, 12 months post-treatment and through study completion, an average of 10 year]
Ranging from 0%-100%. A higher score indicates more patient-rated disability.
- Change of Sagittal Lordosis Angle [baseline, 12 months post-treatment and through study completion, an average of 10 year]
Measured by lateral X-Ray image. The change of lordosis was calculated and compared.
- Reoperation rate [through study completion, an average of 10 year]
Any reoperation involving the same segments or adjacent segments will be calculated.
Secondary Outcome Measures
- Change of Pain Scores on the Visual Analog Scale (VAS) [baseline, 12 months post-treatment and through study completion, an average of 10 year]
Ranging from 0-10. A higher score indicates more severe pain.
- Change of Range of Motion [baseline, 12 months post-treatment and through study completion, an average of 10 year]
Measured by dynamic X-Ray image.
- Complication rate [through study completion, an average of 10 year]
Any complications related to surgery will be recorded.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients aged at least 18 years
-
The patient has the diagnosis of degenerative cervical myelopathy
-
The myelopathy or myeloradiculopathy requires a posterior cervical decompression of the spinal canal involving two or more contiguous intervertebral levels including and between C3 and C7
-
More than five years of follow-up time
Exclusion Criteria:
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Presence of primary focal anterior compression of the cervical spinal cord
-
Previous surgery of the cervical spine
-
Tumor, infection, or trauma of the cervical spine or cord
-
Patients with ankylosing spondylitis
-
Patients with neurodegenerative diseases, or any neuropathies
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Shanghai Changzheng Hospital | Shanghai | China | 200003 |
Sponsors and Collaborators
- Shanghai Changzheng Hospital
Investigators
- Principal Investigator: Xuhua Lu, M.D., Shanghai Changzheng Hospotal
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CZ2020091101