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Posterior endoscopic decompression combined with anterior cervical discectomy and fusion versus posterior laminectomy and fusion for multilevel cervical spondylotic myelopathy: a retrospective case-control study – Lumbar Spinal Stenosis

The article compares the clinical efficacy of surgical treatments for multilevel cervical spondylotic myelopathy (MCSM) between two procedures: the hybrid procedure, posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF), and posterior cervical laminectomy and fusion (PCLF). A retrospective analysis was performed on 38 patients who underwent surgical treatment for MCSM. The study found that the hybrid procedure had less intraoperative blood loss and a shorter hospital stay compared to PCLF. Additionally, post-operative neck pain was lower in the hybrid group. The study concludes that the hybrid procedure is an effective surgical treatment for MCSM

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest sugical centre in London

Published article

CONCLUSION: The hybrid procedure of PED combined with ACDF showed satisfied clinical outcome, with less intraoperative blood loss, shorter length of hospitalization and lower post-operative neck pain than PCLF. It is an effective surgical treatment for MCSM.

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BMC Musculoskelet Disord. 2023 Jul 15;24(1):578. doi: 10.1186/s12891-023-06713-2.ABSTRACTOBJECTIVE: To compare the clinical efficacy of surgical treatment for multilevel cervical spondylotic myelopathy (MCSM) between the hybrid procedure, posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF), and posterior cervical laminectomy and fusion (PCLF).METHODS: A retrospective analysis was performed on 38 patients who received surgical,

BMC Musculoskelet Disord. 2023 Jul 15;24(1):578. doi: 10.1186/s12891-023-06713-2.

ABSTRACT

OBJECTIVE: To compare the clinical efficacy of surgical treatment for multilevel cervical spondylotic myelopathy (MCSM) between the hybrid procedure, posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF), and posterior cervical laminectomy and fusion (PCLF).

METHODS: A retrospective analysis was performed on 38 patients who received surgical treatment for MCSM from January 2018 to December 2021, including 19 cases in hybrid procedure group (13 males and 6 females), followed up for 10 to 22 (12.8 ± 10.3) months, and 19 cases in PCLF group (15 males and 4 females), followed up for 10 to 21 (11.7 ± 8.9) months. Perioperative information, including operation time, intraoperative blood loss, length of hospitalization, and complications, were compared between two groups. Visual analogue scale (VAS) of pain, neck disability index (NDI) and Japanese Orthopaedic Association (JOA) score were recorded to evaluate clinical efficacy. Cervical lordosis was calculated by radiographic examination.

RESULTS: Intraoperative blood loss, length of hospital stay were less in hybrid group than PCLF group, while operation time is longer in hybrid group, with a statistically significant difference (p < 0.05). Increased lordosis was better in hybrid group. There was no significant difference in preoperative VAS, JOA and NDI at pre-operation and final follow-up between two groups. But at post-operation and final follow-up, VAS was less in hybrid group than PCLF group (p < 0.05). There were 2 cases of neurostimulation symptoms in hybrid group, 2 cases of C5 nerve root palsy, 2 cases of subcutaneous fat necrosis and 1 case of dural tear in PCLF group, and all patients relieved with symptomatic treatment.

CONCLUSION: The hybrid procedure of PED combined with ACDF showed satisfied clinical outcome, with less intraoperative blood loss, shorter length of hospitalization and lower post-operative neck pain than PCLF. It is an effective surgical treatment for MCSM.

PMID:37454072 | PMC:PMC10350267 | DOI:10.1186/s12891-023-06713-2

The London Spine Unit : finest sugical centre in London

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Posterior endoscopic decompression combined with anterior cervical discectomy and fusion versus posterior laminectomy and fusion for multilevel cervical spondylotic myelopathy: a retrospective case-control study

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BMC Musculoskelet Disord. 2023 Jul 15;24(1):578. doi: 10.1186/s12891-023-06713-2.ABSTRACTOBJECTIVE: To compare the clinical efficacy of surgical treatment for multilevel cervical spondylotic myelopathy (MCSM) between the hybrid procedure, posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF), and posterior cervical laminectomy and fusion (PCLF).METHODS: A retrospective analysis was performed on 38 patients who received surgical

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