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

Author

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  • I Gusti Ngurah Paramartha Wijaya Putra

    (Udayana University, Indonesia)

  • Febyan

    (Udayana University, Indonesia)

Abstract

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

Suggested Citation

  • I Gusti Ngurah Paramartha Wijaya Putra & Febyan, 2023. "Laminoplasty Versus Laminectomy and Fusion in the Surgery Approach for Multilevel Cervical Spondylotic Myelopathy: A Current Perspective and Meta-Analysis," European Journal of Medical and Health Sciences, European Open Science, vol. 5(1), pages 62-68, January.
    • Handle: RePEc:epw:ejmed0:v:5:y:2023:i:1:id:41610
    DOI: 10.24018/ejmed.2023.5.1.1610
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