Clinical comparison between simple laminectomy and laminectomy plus posterior instrumentation in surgical treatment of c
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ORIGINAL ARTICLE • SPINE - CERVICAL
Clinical comparison between simple laminectomy and laminectomy plus posterior instrumentation in surgical treatment of cervical myelopathy G. Gargiulo1 · M. Girardo1 · A. Rava2 · A. Coniglio1 · P. Cinnella1 · A. Massè2 · F. Fusini2 Received: 1 October 2018 / Accepted: 4 February 2019 © Springer-Verlag France SAS, part of Springer Nature 2019
Abstract Background Posterior stabilization in patients treated with laminectomy for spondylotic cervical myelopathy is still a debate. Despite both being reported in literature by several authors, some controversies still exist. The aim of this study is to compare clinical and radiological outcomes in patients treated with laminectomy or laminectomy with posterior stabilization. Material and methods We retrospectively evaluated 42 patients affected by cervical myelopathy (mean age 70.43 ± 5.03 years), 19 treated with laminectomy (group A) and 23 with laminectomy and posterior instrumentation (group B). Neurological status was assessed with Nurick scale, pain with VAS and radiological parameters with C2–C7 SVA, T1 slope and C2–C7 lordosis, clinical function with modified Japanese Orthopaedic Association score (JOA). Also, surgery time and blood loss were recorded. Student’s t test was used for continuous variables, while Kruskal–Wallis test was used for categorical values. Results No differences were found in postoperative Nurick scale (p = 0.587), VAS (p = 0.62), mJOA (p = 0.197) and T1 slope (p = 0.559), while laminectomy with fusion showed better postoperative cervical lordosis (p = 0.007) and C2–C7 SVA (p
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