Article
Orthopedics
Kenichiro Sakai, Toshitaka Yoshii, Yoshiyasu Arai, Takashi Hirai, Ichiro Torigoe, Hiroyuki Inose, Masaki Tomori, Kyohei Sakaki, Masato Yuasa, Tsuyoshi Yamada, Yu Matsukura, Takuya Oyaizu, Shingo Morishita, Atsushi Okawa
Summary: This study compared the surgical outcomes of anterior cervical discectomy with fusion (ACDF) and selective laminoplasty (S-LAMP) in patients with cervical spondylotic myelopathy (CSM). The results showed equivalent surgical outcomes in patients with local lordosis, but worsened kyphosis and neurological recovery in patients with local kyphosis after S-LAMP.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2022)
Article
Clinical Neurology
Wylie Y. Lopez, Brian C. Goh, Shivam Upadhyaya, Chason Ziino, Peter J. Georgakas, Anmol Gupta, Daniel G. Tobert, Harold A. Fogel, Thomas D. Cha, Joseph H. Schwab, Christopher M. Bono, Stuart H. Hershman
Summary: A retrospective study found that 91.2% of patients with CSM were radiographically candidates for LP, indicating that LP may be an underutilized procedure for the treatment of CSM.
Article
Orthopedics
Xiang-Yu Li, Yu Wang, Wei-Guo Zhu, Cheng-Xin Liu, Chao Kong, Shi-Bao Lu
Summary: This study compared the effectiveness of anterior cervical discectomy and fusion (ACDF), laminectomy with fusion (LCF), and laminoplasty (LP) in the treatment of multisegmental cervical spondylotic myelopathy (CSM). The patients were divided into four groups based on the C2-C7 Cobb angle, and the results showed that ACDF, LCF, and LP had similar outcomes, with ACDF having better surgical correction improvement and LP showing an increase in cervical lordosis angle postoperatively. Therefore, preoperative cervical alignment should be considered when choosing the surgical treatment method.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
Blake A. Boehm, Innocent Njoku, Christopher G. Furey
Summary: This retrospective study analyzed surgical outcomes in 48 patients with degenerative cervical myelopathy (DCM) and found that cervical decompression surgery significantly improved neurological function. These results suggest that cervical decompression surgery is effective and has the potential to improve the neurological status in patients with severe forms of DCM.
Review
Medicine, General & Internal
Andrew S. Zhang, Christopher Myers, Christopher L. McDonald, Daniel Alsoof, George Anderson, Alan H. Daniels
Summary: Cervical myelopathy is a clinical syndrome caused by compression of the spinal cord between the C1 and T1 vertebrae. Diagnosis can be challenging due to its resemblance to other degenerative and neurological conditions. Confirmatory diagnosis requires careful correlation of appropriate imaging studies with patient history and physical examination. Treatment options focus on spinal canal decompression through anterior, posterior, or combined surgical approaches depending on the location of compression and patient factors. Favorable outcomes are observed when treatment is performed prior to the onset of severe symptoms.
AMERICAN JOURNAL OF MEDICINE
(2022)
Review
Medicine, General & Internal
Xiaoyu Yang, Aref-Ali Gharooni, Rana S. Dhillon, Edward Goacher, Edward W. Dyson, Oliver Mowforth, Alexandru Budu, Guy Wynne-Jones, Jibin Francis, Rikin Trivedi, Marcel Ivanov, Sashin Ahuja, Kia Rezajooi, Andreas K. Demetriades, David Choi, Antony H. Bateman, Nasir Quraishi, Vishal Kumar, Manjul Tripathi, Sandeep Mohindra, Erlick A. Pereira, Giles Critchley, Michael G. Fehlings, Peter J. A. Hutchinson, Benjamin M. Davies, Mark R. N. Kotter
Summary: The study assessed the reporting of study design and characteristics in multi-level DCM treated by posterior surgical approaches, finding heterogeneity in clinical and radiographic outcomes between different surgical methods. Majority of the studies were conducted in Asia, with a majority being retrospective studies, indicating a need for more high-level evidence studies in the future to elucidate the clinical effectiveness of posterior surgical treatments.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Surgery
Huaguo Zhao, Rong Ren, Weihu Ma, Song Xu, Linrui Peng, Zhaoping Zhong, Yan Zheng
Summary: This study conducted a meta-analysis comparing the results of cervical spondylotic myelopathy (CSM) patients undergoing laminoplasty (LP) or laminectomy (LC) surgery. The findings suggest that LP may achieve better outcomes in terms of C5 radiculopathy and superficial infection compared to LC.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Huajian Zhong, Chen Xu, Ruizhe Wang, Xiaodong Wu, Huiqiao Wu, Baifeng Sun, Xinwei Wang, Huajiang Chen, Xiaolong Shen, Wen Yuan
Summary: This study compared the clinical outcomes, radiological parameters, and postoperative complications of ACDF, LAMP, and LF in treating four-level CSM. The results showed no remarkable difference among the three surgical procedures in improving symptoms and neurological function, but LAMP had advantages in preserving cervical mobility and reducing postoperative complications.
FRONTIERS IN SURGERY
(2023)
Article
Clinical Neurology
Harsh Wadhwa, Jigyasa Sharma, Kunal Varshneya, Parastou Fatemi, Jay Nathan, Zachary A. Medress, Martin N. Stienen, John K. Ratliff, Anand Veeravagu
Summary: This retrospective study reviewed readmission and reoperation rates for patients who had undergone ACDF or laminoplasty for multilevel CSM from a national administrative claims database. Results showed higher postoperative complication rates, longer length of stay, and higher readmission rates in the laminoplasty group, as well as higher hospital and total payments.
WORLD NEUROSURGERY
(2021)
Article
Orthopedics
Lei Guo, Jiaqi Li, Fei Zhang, Yapeng Sun, Wei Zhang
Summary: This study retrospectively analyzed the surgical treatment outcomes of 38 patients with multilevel cervical spondylotic myelopathy (MCSM) and compared the clinical efficacy between the hybrid procedure of posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF) and posterior cervical laminectomy and fusion (PCLF). The results showed that the hybrid procedure had less intraoperative blood loss and shorter length of hospitalization compared to PCLF. Additionally, the hybrid procedure resulted in better cervical lordosis and lower post-operative neck pain. This study concludes that the hybrid procedure is an effective surgical treatment for MCSM.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Review
Clinical Neurology
Shahab Aldin Sattari, Mohamad Ghanavatian, James Feghali, Jordina Rincon-Torroella, Wuyang Yang, Risheng Xu, Ali Bydon, Timothy Witham, Allan Belzberg, Nicholas Theodore, Daniel Lubelski
Summary: This systematic review and meta-analysis compared anterior cervical discectomy and fusion (ACDF) versus posterior decompression (PD) in patients with multilevel degenerative cervical myelopathy (DCM). The study found that both surgeries had similar functional outcomes, but ACDF had advantages in terms of operative bleeding, length of hospital stay, surgical site infection, and C5 palsy, while carrying a higher risk of dysphagia.
JOURNAL OF NEUROSURGERY-SPINE
(2023)
Article
Multidisciplinary Sciences
Anastasios Charalampidis, Nader Hejrati, Hari Ramakonar, Pratipal S. Kalsi, Eric M. Massicotte, Michael G. Fehlings
Summary: This study reports on the clinical outcomes and revision rates following four-level anterior cervical discectomy and fusion (ACDF). The results show that patients who undergo four-level ACDF experience significant improvement in clinical outcomes at a median 24 months follow up. Stand-alone four-level ACDF is also a valid option for managing complex cervical degenerative conditions.
SCIENTIFIC REPORTS
(2022)
Article
Clinical Neurology
Dhruv S. Shankar, Jinseong Kim, Dennis M. Bienstock, Michael Gao, Yunsoo Lee, Nicole J. Zubizarreta, Jashvant Poeran, James D. Lin, Saad B. Chaudhary, Andrew C. Hecht
Summary: A retrospective cohort study compared patterns in opioid usage between patients who undergo cervical laminectomy with instrumented fusion (LF) vs cervical laminoplasty with reconstruction (LP). The study found that LF patients had a higher rate of 6-month postoperative opioid use compared to LP patients in a single-surgeon cohort. However, findings from a national database cohort revealed no significant difference in opioid usage between LF and LP patients. Surgeons should consider distinct pain requirements associated with different procedures to prevent narcotic overuse.
GLOBAL SPINE JOURNAL
(2022)
Article
Orthopedics
Tetsutaro Abe, Masashi Miyazaki, Toshinobu Ishihara, Shozo Kanezaki, Naoki Notani, Masashi Kataoka, Hiroshi Tsumura
Summary: This study analyzed the risk factors for increasing cSVA after cervical laminoplasty in CSM patients, revealing that the imbalance between T1S and preoperative C2-7 angle influences the change in cSVA, with the O-C2 angle potentially increasing to compensate and maintain horizontal gaze.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Clinical Neurology
Tao Xu, Shanxi Wang, Huang Fang, Hongqi Zhao, Xuan Fang, Hua Wu, Feng Li
Summary: C3 & C7 dome-hybrid open-door laminoplasty has been proven to be an effective treatment for multi-levels CSM, with superior outcomes compared to traditional UOLP in reducing postoperative neck pain and maintaining cervical sagittal alignment.
EUROPEAN SPINE JOURNAL
(2023)