Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy

Background Data: Laminectomy for cervical spondylotic myelopathy with no signs of instability is a standard surgical option but it may be associated with postlaminectomy kyphosis. Study Design: Retrospective clinical case study. Purpose: To evaluate the clinical outcome in a series of patients who...

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Autor principal:	Mohamed Nagy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2015
Materias:	Laminectomy Cervical myelopathy instability Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/1d6b0a8dfcd2437e8ce43053c9bca6e4
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spelling	oai:doaj.org-article:1d6b0a8dfcd2437e8ce43053c9bca6e42021-12-02T00:23:39ZOutcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic MyelopathyDOI:10.21608/ESJ.2015.39472314-89502314-8969https://doaj.org/article/1d6b0a8dfcd2437e8ce43053c9bca6e42015-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3947.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Laminectomy for cervical spondylotic myelopathy with no signs of instability is a standard surgical option but it may be associated with postlaminectomy kyphosis. Study Design: Retrospective clinical case study. Purpose: To evaluate the clinical outcome in a series of patients who underwent laminectomy for cervical myelopathy with special stress on the incidence of postoperative spinal instability. Patients and Methods: This study included twenty two patients who underwent laminectomy at a single or more levels, without fusion, for cervical spondylotic myelopathy. The clinical assessment included history taking, neurological examination and postoperative clinical outcome. The radiological assessment included magnetic resonance imaging, computed tomography, and plain anteroposterior, lateral, and lateral flexion-extension X-rays of the cervical spine. The postoperative clinical outcome was assessed in comparison with the preoperative condition as: improved, stable or worsened. Results: Improvement of gait disturbance occurred in 69% of the concerned patients. Sensory deficits and radicular pain improved in the upper limbs (UL) and lower limbs (LL) in 73% and 50%, respectively. Motor deficits improved in the UL and LL in 69% and 55% of the patients, respectively. Postoperative clinical deterioration occurred in two patients (9.1%) and one patient (4.5%) developed postoperative kyphosis. Conclusion: Laminectomy usually results in improvement of the neurological deficits and radicular pain in patients with cervical spondylotic myelopathy with low incidence of postoperative clinical deterioration and instability. (2015ESJ081) Mohamed NagyEgyptian Spine AssociationarticleLaminectomyCervical myelopathyinstabilityNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 13, Iss 1, Pp 12-19 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Laminectomy Cervical myelopathy instability Neurology. Diseases of the nervous system RC346-429
spellingShingle	Laminectomy Cervical myelopathy instability Neurology. Diseases of the nervous system RC346-429 Mohamed Nagy Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
description	Background Data: Laminectomy for cervical spondylotic myelopathy with no signs of instability is a standard surgical option but it may be associated with postlaminectomy kyphosis. Study Design: Retrospective clinical case study. Purpose: To evaluate the clinical outcome in a series of patients who underwent laminectomy for cervical myelopathy with special stress on the incidence of postoperative spinal instability. Patients and Methods: This study included twenty two patients who underwent laminectomy at a single or more levels, without fusion, for cervical spondylotic myelopathy. The clinical assessment included history taking, neurological examination and postoperative clinical outcome. The radiological assessment included magnetic resonance imaging, computed tomography, and plain anteroposterior, lateral, and lateral flexion-extension X-rays of the cervical spine. The postoperative clinical outcome was assessed in comparison with the preoperative condition as: improved, stable or worsened. Results: Improvement of gait disturbance occurred in 69% of the concerned patients. Sensory deficits and radicular pain improved in the upper limbs (UL) and lower limbs (LL) in 73% and 50%, respectively. Motor deficits improved in the UL and LL in 69% and 55% of the patients, respectively. Postoperative clinical deterioration occurred in two patients (9.1%) and one patient (4.5%) developed postoperative kyphosis. Conclusion: Laminectomy usually results in improvement of the neurological deficits and radicular pain in patients with cervical spondylotic myelopathy with low incidence of postoperative clinical deterioration and instability. (2015ESJ081)
format	article
author	Mohamed Nagy
author_facet	Mohamed Nagy
author_sort	Mohamed Nagy
title	Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
title_short	Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
title_full	Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
title_fullStr	Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
title_full_unstemmed	Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy
title_sort	outcome and incidence of spinal instability following laminectomy for cervical spondylotic myelopathy
publisher	Egyptian Spine Association
publishDate	2015
url	https://doaj.org/article/1d6b0a8dfcd2437e8ce43053c9bca6e4
work_keys_str_mv	AT mohamednagy outcomeandincidenceofspinalinstabilityfollowinglaminectomyforcervicalspondyloticmyelopathy
_version_	1718403727035990016

Outcome and Incidence of Spinal Instability Following Laminectomy for Cervical Spondylotic Myelopathy

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