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Posterior Cervical Laminectomy Ends in 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
Summary
BACKGROUND: Cervical spondylitic myelopathy is a degenerative situation ensuing from power spinal wire compression and a number one reason for nontraumatic spinal wire dysfunction. The chief surgical purpose within the administration of cervical spondylitic myelopathy is sufficient spinal wire decompression with or with out fusion to sluggish or stop 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 stage of the disc house for 37 sufferers who underwent anterior or posterior cervical decompression. Statistical comparisons between anterior and posterior teams had been carried out utilizing impartial t check and Mann-Whitney U check the place applicable.
RESULTS: Each postoperative anteroposterior canal diameter and posterior cerebrospinal fluid (CSF) house had been better 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 important enchancment in anteroposterior diameter, anterior CSF house, and posterior CSF house (P < zero.001). Posterior decompression yielded considerably better change in anteroposterior diameter and posterior CSF house in contrast with the anterior strategy (P < zero.001).
CONCLUSIONS: On this quantitative radiographic examine, we discovered that though each posterior cervical laminectomy and anterior cervical discectomy yielded important decompression, laminectomy yielded a better diploma of decompression of the posterior CSF house.
PMID: 29138070 [PubMed – indexed for MEDLINE]