Posterior Cervical Laminectomy Leads to Higher Radiographic Decompression of Spinal Twine In contrast with Anterior Cervical Discectomy and Fusion.
World Neurosurg. 2018 Feb;110:e362-e366
Authors: Piazza M, McShane BJ, Ramayya AG, Sullivan PZ, Ali ZS, Marcotte PJ, Welch WC, Ozturk AK
BACKGROUND: Cervical spondylitic myelopathy is a degenerative situation ensuing from continual spinal twine compression and a number one reason behind nontraumatic spinal twine dysfunction. The chief surgical purpose within the administration of cervical spondylitic myelopathy is enough spinal twine decompression with or with out fusion to sluggish or forestall additional neurologic decline. We carried out a radiographic evaluation of canal parameters preoperatively and postoperatively for sufferers present process both anterior or posterior cervical decompression.
METHODS: Preoperative and postoperative radiographic evaluation was carried out utilizing midsagittal and axial magnetic resonance imaging on the degree of the disc house for 37 sufferers who underwent anterior or posterior cervical decompression. Statistical comparisons between anterior and posterior teams have been carried out utilizing impartial t take a look at and Mann-Whitney U take a look at the place acceptable.
RESULTS: Each postoperative anteroposterior canal diameter and posterior cerebrospinal fluid (CSF) house have been larger in sufferers present process posterior decompression (P = zero.011 and P < zero.001, respectively), though postoperative anterior CSF house was comparable between each teams. Each anterior and posterior approaches to decompression resulted in a statistically vital enchancment in anteroposterior diameter, anterior CSF house, and posterior CSF house (P < zero.001). Posterior decompression yielded considerably larger change in anteroposterior diameter and posterior CSF house in contrast with the anterior method (P < zero.001).
CONCLUSIONS: On this quantitative radiographic research, we discovered that though each posterior cervical laminectomy and anterior cervical discectomy yielded vital decompression, laminectomy yielded a larger diploma of decompression of the posterior CSF house.
PMID: 29138070 [PubMed – indexed for MEDLINE]