Results of Laminoplasty in Treatment of Multilevel Cervical Spinal Canal Stenosis | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 113, Volume 98, Issue 1, January 2025, Page 796-799 PDF (213.12 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.411585 | ||||
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| Abstract | ||||
| Background: Cervical myelopathy is a prevalent neurological disorder resulting from compression of the cervical spinal cord, typically associated with degenerative changes in the cervical spine, particularly cervical spondylosis. Cervical spondylotic myelopathy is the result of degenerative arthritic changes (spondylosis) in the cervical spine, which cause narrowing of the spinal canal (spinal stenosis) and eventually lead to compression of the spinal cord. Spinal canal relief can be accomplished through either anterior or posterior surgical approaches. In cases involving multilevel disease, the majority of surgeons tend to favor the posterior decompression method. Objective of the stud: to evaluate the clinical and radiological outcome of the laminoplasty preocedure. Patients and Methods:This prospective research was conducted on a cohort of 20 patients diagnosed with multi level of cervical spondylotic myelopathy, confirmed both clinically and radiologically, who did not show improvement with conservative medical treatment. The patients underwent surgery at the spinal units of Mansoura University Hospitals and Manchester University Hospitals, UK, between January 2019 and December 2023. Patients were involved after providing verbal and informed consent. Results:The mean value prior to surgery of modified Japanese Orthopedic Association (mJOA) score was 11.3 ± 1.24, which significantly improved to a mean post-surgery mJOA score of 13.8 ± 1.25. Additionally, the mean value prior to surgery Nurick's score was 3.07 ± 0.68, with a significant improvement postoperatively to a mean score of 1.67 ± 0.6. Conclusion: Laminoplasty is increasingly recognized as a preferred management of multilevel cervical stenosis caused by CSM. | ||||
| Keywords | ||||
| Sagittal balance; Laminoplasty; Cervical myelopathy; Cervical spine surgery; Cervical stenosis | ||||
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