Posterior Surgery for Cervical Myelopathy: Laminectomy, Laminectomy with Fusion, and Laminoplasty

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Posterior Surgery for Cervical Myelopathy: Laminectomy, Laminectomy with Fusion, and Laminoplasty

Cervical myelopathy describes a constellation of symptoms and signs arising from compression of the cervical spinal cord (Table 1). Because the presentation of the myelopathic patient can be quite subtle in its early manifestations, the diagnosis may easily be missed or wrongly attributed as a “normal” epiphenomenon of aging. However, because the natural history is typically one of stepwise pro...

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Laminoplasty versus laminectomy and fusion for multilevel cervical compressive myelopathy

This is a meta-analysis to compare the results between laminoplasty and laminectomy followed by fusion for the patients with multilevel cervical compressive myelopathy. An extensive search of literature was performed in MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG. The following outcome measures were extracted: the Japanese Orthopaedic Association (JOA) scores, cervical curvature in...

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Laminectomy and fusion for the treatment of cervical degenerative myelopathy.

OBJECT The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminectomy and fusion for the treatment of cervical spondylotic myelopathy (CSM). METHODS The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to cervical laminectomy, fusion, and CSM. Abstracts were reviewed, after whi...

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Clinical Outcome after Laminectomy without Fusion for Cervical Spondylotic Myelopathy

Dorsal decompression in patients, presenting with cervical spondylotic myelopathy with no signs of instability, is a standard surgical option. Laminectomy or laminoplasty is applied to reduce the pressure on the myelon. The aim of this study was to evaluate the clinical outcome in a consecutive series of patients. This retrospective study included a total of 65 patients who underwent laminectom...

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Radiculopathy after laminectomy for cervical compression myelopathy.

Postoperative radiculopathy is a complication of posterior cervical decompression associated with tethering of the nerve root. We reviewed retrospectively 287 consecutive patients with cervical compression myelopathy who had been treated by multilevel cervical laminectomy and identified 37 (12.9%) with postoperative radiculopathy. There were 27 men and ten women with a mean age of 56 years at t...

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ژورنال

عنوان ژورنال: Asian Spine Journal

سال: 2008

ISSN: 1976-1902

DOI: 10.4184/asj.2008.2.2.114