Luo Wenqi, Li Yueying, Zhao Jianhui, Gu Rui, Jiang Rui, Lin Feng
Department of Orthopedics, China-Japan Union Hospital, Jilin University, Changchun, Jilin, People's Republic of China.
Department of Hand Surgery, China-Japan Union Hospital, Jilin University, Changchun, Jilin, People's Republic of China.
World Neurosurg. 2018 Sep;117:129-136. doi: 10.1016/j.wneu.2018.06.026. Epub 2018 Jun 13.
To compare the clinical outcomes and postoperative complications between open-door laminoplasty (ODL) versus French-door laminoplasty (FDL) for the treatment of cervical multilevel compressive myelopathy.
We comprehensively searched PubMed, EMBASE, Cochrane library, and China National Knowledge Infrastructure to identify relevant articles. The search results were last updated on January 1, 2018. All values of weighted mean difference (WMD) and odds ratio are expressed as ODL relative to FDL.
Six studies containing 430 patients were included in our meta-analysis. In randomized controlled trials, there was no significant difference in Japanese Orthopaedic Association (JOA) scores between ODL and FDL groups (WMD, 0.06; 95% confidence limits [CL], -0.52 to 0.64; P = 0.84). However, in the retrospective trials, JOA scores were significantly higher in the ODL group than in the FDL group (WMD, 0.95; 95% CL, 0.55-1.34; P < 0.05). The pooled data showed that the magnitude of spinal canal expansion in the ODL group was higher than in the FDL group (WMD, 24.39%; 95% confidence interval, 12.33-36.45; P < 0.05).
The present meta-analysis showed that the magnitude of canal expansion was higher with ODL than with FDL. There is a lack of compelling evidence to prove the superiority of one procedure over the other.
比较开门式椎板成形术（ODL）与法式开门式椎板成形术（FDL）治疗颈椎多节段压迫性脊髓病的临床疗效和术后并发症。
我们全面检索了PubMed、EMBASE、Cochrane图书馆和中国知网，以确定相关文章。检索结果于2018年1月1日更新。所有加权平均差（WMD）和比值比的值均表示为ODL相对于FDL。
我们的荟萃分析纳入了6项研究，共430例患者。在随机对照试验中，ODL组和FDL组之间的日本矫形外科学会（JOA）评分无显著差异（WMD，0.06；95%置信区间[CL]，-0.52至0.64；P = 0.84）。然而，在回顾性试验中，ODL组的JOA评分显著高于FDL组（WMD，0.95；95% CL，0.55 - 1.34；P < 0.05）。汇总数据显示，ODL组的椎管扩大幅度高于FDL组（WMD，24.39%；95%置信区间，12.33 - 36.45；P < 0.05）。
目前的荟萃分析表明，ODL的椎管扩大幅度高于FDL。缺乏令人信服的证据证明一种手术优于另一种手术。
