Laminoplasty Versus Laminectomy and Fusion in the Surgery Approach for Multilevel Cervical Spondylotic Myelopathy: A Current Perspective and Meta-Analysis

Background: Cervical spondylotic myelopathy (CSM) is a clinical disease which characterized by degeneration of the intervertebral discs and nearby spinal structures. The goal this study to compare laminoplasty (LP) versus laminectomy fusion (LF) for multilevel cervical in terms safety effectiveness. Methods: This meta-analysis from randomized non-randomized control study. database being used were PubMed, Google Scholar, Cochrane Registry, Embase. authors extensively searched relevant papers comparing efficacy LF LP therapy multilayer CSM. outcome measures recorded visual analog scale (VAS), curvature index (CCI), Japanese Orthopaedic Association (JOA) scores, Nurich grade, reoperation rate, complications, rate nerve palsies. analysis performed using RevMan 5.3. Results: Our includes total 14 papers. pooled mean difference between was insignificant VAS neck pain (p=0.54), post-operative CCI (p=0.24), JOA score (p=0.29), grade (p=0.16) (p=0.21). complication palsies higher group compared (OR 2.60, 95% CI 1.85, 3.64, I2=26%, P < .00001) 3.18, 1.66, 6.11, I2=47%, P=.0005) respectively. Conclusion: demonstrates that majority outcomes surgical treatments CSM utilizing are comparable. However, it discovered superior palsy rate. needs additional validation research more extensive sample-size studies.