Dobran Mauro, Mancini Fabrizio, Paracino Riccardo, Lattanzi Simona, Somma Lucia di, Nasi Davide, Bizzocchi Gianluca, Aiudi Denis, Iacoangeli Maurizio
Departments of Neurosurgery, University, Via Conca, Ancona, Marche, Italy.
Departments of Neurology, University, Via Conca, Ancona, Marche, Italy.
Surg Neurol Int. 2020 Apr 18;11:73. doi: 10.25259/SNI_85_2020. eCollection 2020.
Cervical spondylotic myelopathy (CSM) is one of the most common diseases in the geriatric population. Decompressive laminectomy or laminoplasty is the predominant surgical procedure of choice, but there remains debate as to which procedure is optimal for managing CSM.
Here, we retrospectively analyzed 64 patients with CSM undergoing laminectomy (39 patients) versus laminoplasty (25 patients). The data were collected included respective Japanese orthopedic association (JOA) scores, Nurick grades, and Visual analog scale (VAS) values preoperatively versus 12 months postoperatively.
The JOA score after 1 month improved in both groups utilizing laminectomy or laminoplasty. However, at 12 postoperative months, the JOA scores and Nurick grades showed greater improvement following laminoplasty, despite no differences in postoperative pain and complication rates.
Patients with cervical spondylotic myelopathy undergoing laminoplasty (25 patients) showed better 12-month postoperative outcomes (JOA scores and Nurick grades) versus those having laminectomies (39 patients).
脊髓型颈椎病（CSM）是老年人群中最常见的疾病之一。椎板切除术或椎板成形术是主要的手术选择，但对于哪种手术方式最适合治疗CSM仍存在争议。
在此，我们回顾性分析了64例接受椎板切除术（39例）与椎板成形术（25例）的CSM患者。收集的数据包括术前与术后12个月时各自的日本骨科协会（JOA）评分、Nurick分级和视觉模拟量表（VAS）值。
采用椎板切除术或椎板成形术的两组患者术后1个月时JOA评分均有所改善。然而，术后12个月时，尽管术后疼痛和并发症发生率无差异，但椎板成形术后JOA评分和Nurick分级改善更明显。
与接受椎板切除术（39例）的患者相比，接受椎板成形术（25例）的脊髓型颈椎病患者术后12个月的预后（JOA评分和Nurick分级）更好。
