Cervical Laminoplasty Versus Laminectomy and Fusion: the Long-term Results Comparison

Naval Military Medical University (Second Military Medical University)

Status: Unknown

Conditions: Myelopathy Cervical

Treatments: Procedure: Cervical laminoplasty surgery; Procedure: Cervical laminectomy and fusion surgery

Study type: Observational

Funder types: Other

Identifiers

NCT04559672

CZ2020091101

Details and patient eligibility

About

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.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

• 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

Trial design

60 participants in 2 patient groups

Laminoplasty Group

Description:

Patients who underwent cervical laminoplasty surgery due to myelopathy.

Treatment:

Procedure: Cervical laminoplasty surgery

Laminectomy and Fusion Group

Description:

Patients who underwent cervical laminectomy and fusion surgery due to myelopathy.

Treatment:

Procedure: Cervical laminectomy and fusion surgery