Cervical Laminoplasty Versus Laminectomy and Fusion: the Long-term Results Comparison
Overview
- Phase
- Not Applicable
- Sponsor
- Shanghai Changzheng Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change of Sagittal Lordosis Angle
Overview
Brief Summary
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.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Outcomes
Primary Outcomes
Change of Sagittal Lordosis Angle
Time Frame: 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
Time Frame: 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)
Time Frame: 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)
Time Frame: 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.
Secondary Outcomes
- 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)
Investigators
Xuhua Lu
Director of Traumatic Orthopaedic Department
Shanghai Changzheng Hospital