PURPOSE: To evaluate long-term clinical and radiological results of cervical laminectomy without adjuvant-instrumented fusion for degenerative spinal cord compression. METHODS: A retrospective follow-up study of patients in which clinical data (n = 207), questionnaires (n = 96) and fluoroscopy (n = 77) were reviewed. RESULTS: Postoperative perceived recovery was reported by 76 and 63 % of patients at 3 months and 9 years, respectively. Functional status remained unchanged. The incidence of kyphosis and segmental instability was 15 and 18 %, respectively, and occurred almost exclusively if preoperative lordosis was <20°. Neither kyphosis nor segmental instability correlated to perceived recovery and no predisposing variables were identified. CONCLUSIONS: Cervical laminectomy without adjuvant-instrumented fusion should be considered as a treatment for compressive degenerative cervical myelopathy in patients with a lordotic cervical spine without congenital deformities. Additional reconstructive correction of the cervical spine is only proven appropriate in selected cases.
PURPOSE: To evaluate long-term clinical and radiological results of cervical laminectomy without adjuvant-instrumented fusion for degenerative spinal cord compression. METHODS: A retrospective follow-up study of patients in which clinical data (n = 207), questionnaires (n = 96) and fluoroscopy (n = 77) were reviewed. RESULTS: Postoperative perceived recovery was reported by 76 and 63 % of patients at 3 months and 9 years, respectively. Functional status remained unchanged. The incidence of kyphosis and segmental instability was 15 and 18 %, respectively, and occurred almost exclusively if preoperative lordosis was <20°. Neither kyphosis nor segmental instability correlated to perceived recovery and no predisposing variables were identified. CONCLUSIONS: Cervical laminectomy without adjuvant-instrumented fusion should be considered as a treatment for compressive degenerative cervical myelopathy in patients with a lordotic cervical spine without congenital deformities. Additional reconstructive correction of the cervical spine is only proven appropriate in selected cases.
Authors: Timothy C Ryken; Robert F Heary; Paul G Matz; Paul A Anderson; Michael W Groff; Langston T Holly; Michael G Kaiser; Praveen V Mummaneni; Tanvir F Choudhri; Edward J Vresilovic; Daniel K Resnick Journal: J Neurosurg Spine Date: 2009-08
Authors: Daniel J Blizzard; Michael A Gallizzi; Charles Sheets; Mitchell R Klement; Lindsay T Kleeman; Adam M Caputo; Megan Eure; Christopher R Brown Journal: J Orthop Surg Res Date: 2015-10-06 Impact factor: 2.359