Laminoplasty in Surgical Treatment of Cervical Spondylotic Myelopathy: Literature Review

Древаль, М Д; Гуща, А О

doi:10.14531/ss2015.2.44-50

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Degenerative spine diseases, particularly vertebrogenic compression syndromes, and their surgical treatment still remain ones of the most topical issues in neurosurgery, spinal surgery, traumatology, and orthopedics. [1][2][3] The multicomponent clinical symptoms and various pathophysiological manifestations of the degenerative process at the cervical and lumbar level occur as isolated or more complex combined tandem stenoses, 4,5 which is a pathological narrowing of the central spinal canal, lateral recess or intervertebral foramen. [6][7][8] Surgical treatment of degenerative spinal stenosis traditionally uses isolated decompression and decompression combined with stabilization of spinal motion segments (SMSs) using implants.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8] Surgical treatment of degenerative spinal stenosis traditionally uses isolated decompression and decompression combined with stabilization of spinal motion segments (SMSs) using implants. 2,9,10 Conservative treatment of stenosis provides some improvement only in the early stages of the disease. 11,12 The introduction of minimally invasive microsurgical techniques undoubtedly brought a more positive perspective for the treatment of these patients.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of the Clinical-Instrumental Algorithm in the Treatment of Spinal Tandem Stenosis

et al. 2019

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Objective: To conduct a multicenter analysis of the effectiveness of surgical tactics for treating patients with symptomatic tandem stenosis of the cervical and lumbar spine, based on a differentiated clinical-instrumental algorithm. Methods: The study included 97 patients with symptomatic tandem stenosis of the cervical and lumbar spine. The patients were allocated into 2 groups. The main prospective follow-up group (Group I) consisted of patients (n=46) who had undergone staged decompression/stabilization surgery according to the surgical tactics developed based on the differential clinical-instrumental algorithm. The clinical comparison group (Group II) (n=51) consisted of retrospectively recruited patients who, depending on the prevailing clinical condition, underwent primary surgery at the cervical level (29 cases) or at the lumbar level (22 cases). Results: The comparative analysis in Group I revealed significantly better parameters in the clinical and instrumental data. The total rates of postoperative surgical complications in the cervical and lumbar spine were 15% in Group I and 68% in Group II (p=0.0014). Conclusion: The multicenter analysis of the clinical-instrumental algorithm based on differential application of decompression/stabilization techniques enabled more rational and radical surgery, with less adverse outcomes, leading to earlier start of rehabilitation in the prospective group of patients (Group I), and an objective improvement in long-term clinical and functional outcomes. Level of Evidence II; Prognostic Studies - Investigating the Effect of a Patient Characteristic on Disease Outcome.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of the Clinical-Instrumental Algorithm in the Treatment of Spinal Tandem Stenosis

et al. 2019

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Laminoplasty and Corpectomy in the Treatment of Cervical Spondylotic Myelopathy

et al. 2018

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Introduction: Cervical Spondylotic myelopathy (CSM) is a disabling manifestation of extended cervical stenosis characterized by pronounced neurological dysfunction. Decompressive interventions contribute to significant regression of symptoms and, in some cases, complete recovery can be achieved. Objective: To explore the potential of laminoplasty in patients with extended cervical spondylotic stenoses complicated by myelopathy, and to develop approaches for surgical intervention in these patients. Methods: Fifty-six patients were included in the study. Laminoplasty was performed in 34 patients. Corpectomy was performed in 22 patients who made up the comparison group. The frequency and initial severity of concomitant non-neurological disorders in both groups were comparable. Results: Indications for laminoplasty were determined. They include: symptoms of spondylotic myelopathy, three or more levels of compression, preservation of lordosis, absence of signs of segmental instability, inability to perform anterior decompression, and age over 55 years. The presence of signs of segmental instability, kyphotic deformation, and history of mental disorders may be considered as contraindications for this surgery. Conclusions: Due to a number of advantages, laminoplasty is the treatment of choice for extended cervical spondylotic stenosis. Adequate selection of patients based on the evaluation of clinical symptoms, extension of stenosis, neurological signs and neuroimaging features enable excellent results to be achieved. Level of Evidence: II. Type of Study: Prospective comparative study.

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Repeated cervical laminoplasty for progressive ossification of posterior longitudinal ligament: a case report

Magomedov

2023

Vopr. neirokhir.

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Laminoplasty in Surgical Treatment of Cervical Spondylotic Myelopathy: Literature Review

Cited by 5 publications

References 29 publications

Efficacy of the Clinical-Instrumental Algorithm in the Treatment of Spinal Tandem Stenosis

Efficacy of the Clinical-Instrumental Algorithm in the Treatment of Spinal Tandem Stenosis

Laminoplasty and Corpectomy in the Treatment of Cervical Spondylotic Myelopathy

Repeated cervical laminoplasty for progressive ossification of posterior longitudinal ligament: a case report

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