Outcome of Posterior Cervical Laminectomy without Fusion for Treatment of Cervical Spondylosis: A retrospective Cohort Study | ||||
| Zagazig University Medical Journal | ||||
| Volume 31, Issue 8, August 2025, Page 4198-4208 PDF (1.26 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.390955.3982 | ||||
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| Authors | ||||
Mansour Abdelmeged Makia 1; Hosni Hassan Salama2; Hussien Khaled Hussieny Eldemrdash  3; Ahmed Mohamed Ezzat4
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| 1Assistant Professor of Neurosurgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| 2Professor of Neurosurgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| 3Neurosurgery Department, Faculty of Medicine- Zagazig University, Egypt | ||||
| 4Lecturer of Neurosurgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| Abstract | ||||
| Background: Degenerative cervical spondylosis is a common condition causing neck pain, radiculopathy, and myelopathy. Posterior cervical laminectomy is a standard decompressive surgery, though the need for fusion remains debatable. Concerns include postoperative instability and persistent or new brachialgia and neck pain. This study aimed to assess the long-term clinical-radiological outcome following posterior cervical laminectomy without fusion in degenerative cervical spondylosis regarding as cervical instability and developing or improvement of brachialgia and neck pain. Methods: This Retrospective Cohort study, included 60 patients with cervical spondylosis, (51 males and 9 females), mean age (40-73y). The severity of neck pain and brachialgia was assessed using the Visual Analogue Scale (VAS). Preoperative radiological tests were performed on all patients, including magnetic resonance imaging to confirm the diagnosis and assess the degree of spinal cord and canal involvement and cervical spine X-rays to estimate the C2–C7 Cobb's angle. Results: After surgery, the mean VAS for neck discomfort decreased from 6.58 to 1.26 after one year and 0.86 at two years. Similarly, brachialgia VAS improved from 6.82 preoperatively to 3.25 post operatively, follow up of 39 patients after 1 year VAS was 1.67(±2.24SD) while follow up of 21 patients after 2 years VAS was 1±(1.34SD). Radiographically, the mean C2–C7 Cobb’s angle showed a slight but statistically significant decrease from 23.57(±4.25SD) preoperative to 22.23(±4.53SD) postoperatively. The mean operative time was 132.5 minutes, with a mean blood loss of 218.33ml. Conclusion: Multilevel cervical laminectomy without fusion is a safe and effective procedure for treating cervical spondylosis. | ||||
| Keywords | ||||
| Cervical spondylosis; Cervical laminectomy; Fusion | ||||
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