Comparison of Laminoplasty vs. Laminectomy for Cervical Spondylotic Myelopathy: A Systematic Review and Meta-Analysis

Frontiers in Surgery

Surgery

Song Xu¹  Huaguo Zhao²  Weihu Ma²  Yan Zheng²  Zhaoping Zhong²  Rong Ren²  Linrui Peng² 

[1] Department of Hepatobiliary Surgery, Shangyu People's Hospital of Shaoxing, Shaoxing, China;Department of Orthopedics, Ningbo No.6 Hospital, Ningbo, China;

关键词: cervical myelopathy;    laminoplasty;    laminectomy;    meta-analysis;    systematic review;   

DOI  :  10.3389/fsurg.2021.790593

 received in 2021-10-07, accepted in 2021-12-13,  发布年份 2022

来源: Frontiers

【 摘 要 】

ObjectivesLaminoplasty (LP) and laminectomy (LC) with or without fusion are recommended as treatment procedures for cervical spondylotic myelopathy (CSM). The purpose of this study is to conduct a meta-analysis to analyze the results of CSM patients undergoing LP or LC surgery.MethodsWe systematically and comprehensively searched Web of Science, Cochrane Library, PubMed, EMBASE, OVID, VIP database, Google Scholar, Chinese Bio-medicine Literature database, and China Scientific Journal Full-text database to July 2021 for randomized controlled trials (RCTs) and observational case series that compared LP and LC in patients with CSM. The main endpoints were the surgical process, radiographic outcomes, clinical outcomes, and surgical complications.ResultsA total of 19 were included the inclusion criteria in this meta-analysis (n = 4,348 patients). There was no significant difference in range of motion (ROM), sagittal vertical axis (SVA), Japanese Orthopedic Association (JOA), Cobb angle, visual analog scale (VAS), cervical curvature index (CCI), Nurick score, Neck Dysfunction Index (NDI), and complications. LP was found to be superior than LC in terms of complications of C5 radiculopathy and surperficial infection.ConclusionOur results indicate that LP can achieve better results in C5 radiculopathy and superficial infection in surgical treatment of CSM compared with LC. Further high-quality research is warranted to further verify our findings.Systematic Review RegistrationPRISMA: CRD42018107070.

【 授权许可】

Unknown   
Copyright © 2022 Zhao, Ren, Ma, Xu, Peng, Zhong and Zheng.