Cervical Laminoplasty Versus Laminectomy and Fusion: the Long-term Results Comparison
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Change of Sagittal Lordosis Angle
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Change of Sagittal Lordosis Angle
时间窗: baseline, 12 months post-treatment and through study completion, an average of 10 year
Measured by lateral X-Ray image. The change of lordosis was calculated and compared.
Reoperation rate
时间窗: through study completion, an average of 10 year
Any reoperation involving the same segments or adjacent segments will be calculated.
Change of Neck Disability Index (NDI)
时间窗: baseline, 12 months post-treatment and through study completion, an average of 10 year
Ranging from 0%-100%. A higher score indicates more patient-rated disability.
Change of Japanese Orthopaedic Association Score (JOA)
时间窗: baseline, 12 months post-treatment and through study completion, an average of 10 year
Total score 0-17. The lower the score the more severe the deficits.
次要结局
- Change of Range of Motion(baseline, 12 months post-treatment and through study completion, an average of 10 year)
- Change of Pain Scores on the Visual Analog Scale (VAS)(baseline, 12 months post-treatment and through study completion, an average of 10 year)
- Complication rate(through study completion, an average of 10 year)
研究者
Xuhua Lu
Director of Traumatic Orthopaedic Department
Shanghai Changzheng Hospital