Combined Laminoplasty and Posterior Fusion for Cervical Spondylotic Myelopathy Treatment: A Literature Review.

Published

Journal Article

STUDY DESIGN: A literature review. PURPOSE: To explore the utility of laminoplasty in combination with instrumented fusion, with a focus on neurological outcomes and changes in kyphotic deformity. OVERVIEW OF LITERATURE: Management of cervical spondylotic myelopathy (CSM) to reduce morbidity within the neurosurgical population. METHODS: A US National Library of Medicine PubMed search was conducted for manuscripts pertaining to cervical laminoplasty and fusion for the management of CSM. Several relevant studies were shortlisted for review, and the bibliographies of the articles were searched for additional references. The search was limited to human studies, English-language literature, and reports on more than one patient. RESULTS: Combined laminoplasty and fusion was found to provide at least comparable, if not superior, neurological outcomes in specific patient populations with CSM. The Japanese Orthopedic Association scores, local kyphosis, and C2-C7 angle have been reviewed in several manuscripts, and improvement in each of these categories was found with laminoplasty and fusion. CONCLUSIONS: The treatment of CSM necessitates an individualized approach based on the pathoanatomical variation. Laminoplasty and fusion can be appropriately used for patients with CSM in a setting of local kyphotic deformity, ossification of the posterior longitudinal ligament, associated segmental instability, and the need for strong stabilization.

Full Text

Duke Authors

Cited Authors

  • Bridges, KJ; Simpson, LN; Bullis, CL; Rekito, A; Sayama, CM; Than, KD

Published Date

  • June 2018

Published In

Volume / Issue

  • 12 / 3

Start / End Page

  • 446 - 458

PubMed ID

  • 29879772

Pubmed Central ID

  • 29879772

International Standard Serial Number (ISSN)

  • 1976-1902

Digital Object Identifier (DOI)

  • 10.4184/asj.2018.12.3.446

Language

  • eng

Conference Location

  • Korea (South)