Cervical laminoplasty for the treatment of cervical degenerative myelopathy

Paul G. Matz, Paul A. Anderson, Michael W. Groff, Robert F. Heary, Langston T. Holly, Michael G. Kaiser, Praveen V. Mummaneni, Timothy C. Ryken, Tanvir F. Choudhri, Edward J. Vresilovic, Daniel K. Resnick

Research output: Contribution to journalReview article

44 Citations (Scopus)

Abstract

Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminoplasty in the treatment of cervical spondylotic myelopathy (CSM). Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to cervical laminoplasty and CSM. Abstracts were reviewed and studies meeting the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Results. Cervical laminoplasty has improved functional outcome in the setting of CSM or ossification of the posterior longitudinal ligament. Using the Japanese Orthopaedic Association scale score, ∼ 55-60% average recovery rate has been observed (Class III). The functional improvement observed after laminoplasty may be limited by duration of symptoms, severity of stenosis, severity of myelopathy, and poorly controlled diabetes as negative risk factors (Class II). There is conflicting evidence regarding age, with 1 study citing it as a negative risk factor, and another not demonstrating this result. Conclusions. Cervical laminoplasty is recommended for the treatment of CSM or ossification of the posterior longitudinal ligament (Class III).

Original languageEnglish (US)
Pages (from-to)157-169
Number of pages13
JournalJournal of Neurosurgery: Spine
Volume11
Issue number2
DOIs
StatePublished - Aug 1 2009

Fingerprint

Spinal Cord Diseases
Ossification of Posterior Longitudinal Ligament
Guidelines
Medical Subject Headings
National Library of Medicine (U.S.)
Peer Review
Evidence-Based Medicine
Consensus
Pathologic Constriction
Joints
Laminoplasty
Databases

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

Cite this

Matz, P. G., Anderson, P. A., Groff, M. W., Heary, R. F., Holly, L. T., Kaiser, M. G., ... Resnick, D. K. (2009). Cervical laminoplasty for the treatment of cervical degenerative myelopathy. Journal of Neurosurgery: Spine, 11(2), 157-169. https://doi.org/10.3171/2009.1.SPINE08726
Matz, Paul G. ; Anderson, Paul A. ; Groff, Michael W. ; Heary, Robert F. ; Holly, Langston T. ; Kaiser, Michael G. ; Mummaneni, Praveen V. ; Ryken, Timothy C. ; Choudhri, Tanvir F. ; Vresilovic, Edward J. ; Resnick, Daniel K. / Cervical laminoplasty for the treatment of cervical degenerative myelopathy. In: Journal of Neurosurgery: Spine. 2009 ; Vol. 11, No. 2. pp. 157-169.
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abstract = "Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminoplasty in the treatment of cervical spondylotic myelopathy (CSM). Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to cervical laminoplasty and CSM. Abstracts were reviewed and studies meeting the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Results. Cervical laminoplasty has improved functional outcome in the setting of CSM or ossification of the posterior longitudinal ligament. Using the Japanese Orthopaedic Association scale score, ∼ 55-60{\%} average recovery rate has been observed (Class III). The functional improvement observed after laminoplasty may be limited by duration of symptoms, severity of stenosis, severity of myelopathy, and poorly controlled diabetes as negative risk factors (Class II). There is conflicting evidence regarding age, with 1 study citing it as a negative risk factor, and another not demonstrating this result. Conclusions. Cervical laminoplasty is recommended for the treatment of CSM or ossification of the posterior longitudinal ligament (Class III).",
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Matz, PG, Anderson, PA, Groff, MW, Heary, RF, Holly, LT, Kaiser, MG, Mummaneni, PV, Ryken, TC, Choudhri, TF, Vresilovic, EJ & Resnick, DK 2009, 'Cervical laminoplasty for the treatment of cervical degenerative myelopathy', Journal of Neurosurgery: Spine, vol. 11, no. 2, pp. 157-169. https://doi.org/10.3171/2009.1.SPINE08726

Cervical laminoplasty for the treatment of cervical degenerative myelopathy. / Matz, Paul G.; Anderson, Paul A.; Groff, Michael W.; Heary, Robert F.; Holly, Langston T.; Kaiser, Michael G.; Mummaneni, Praveen V.; Ryken, Timothy C.; Choudhri, Tanvir F.; Vresilovic, Edward J.; Resnick, Daniel K.

In: Journal of Neurosurgery: Spine, Vol. 11, No. 2, 01.08.2009, p. 157-169.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Cervical laminoplasty for the treatment of cervical degenerative myelopathy

AU - Matz, Paul G.

AU - Anderson, Paul A.

AU - Groff, Michael W.

AU - Heary, Robert F.

AU - Holly, Langston T.

AU - Kaiser, Michael G.

AU - Mummaneni, Praveen V.

AU - Ryken, Timothy C.

AU - Choudhri, Tanvir F.

AU - Vresilovic, Edward J.

AU - Resnick, Daniel K.

PY - 2009/8/1

Y1 - 2009/8/1

N2 - Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminoplasty in the treatment of cervical spondylotic myelopathy (CSM). Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to cervical laminoplasty and CSM. Abstracts were reviewed and studies meeting the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Results. Cervical laminoplasty has improved functional outcome in the setting of CSM or ossification of the posterior longitudinal ligament. Using the Japanese Orthopaedic Association scale score, ∼ 55-60% average recovery rate has been observed (Class III). The functional improvement observed after laminoplasty may be limited by duration of symptoms, severity of stenosis, severity of myelopathy, and poorly controlled diabetes as negative risk factors (Class II). There is conflicting evidence regarding age, with 1 study citing it as a negative risk factor, and another not demonstrating this result. Conclusions. Cervical laminoplasty is recommended for the treatment of CSM or ossification of the posterior longitudinal ligament (Class III).

AB - Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminoplasty in the treatment of cervical spondylotic myelopathy (CSM). Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and keywords relevant to cervical laminoplasty and CSM. Abstracts were reviewed and studies meeting the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Results. Cervical laminoplasty has improved functional outcome in the setting of CSM or ossification of the posterior longitudinal ligament. Using the Japanese Orthopaedic Association scale score, ∼ 55-60% average recovery rate has been observed (Class III). The functional improvement observed after laminoplasty may be limited by duration of symptoms, severity of stenosis, severity of myelopathy, and poorly controlled diabetes as negative risk factors (Class II). There is conflicting evidence regarding age, with 1 study citing it as a negative risk factor, and another not demonstrating this result. Conclusions. Cervical laminoplasty is recommended for the treatment of CSM or ossification of the posterior longitudinal ligament (Class III).

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Matz PG, Anderson PA, Groff MW, Heary RF, Holly LT, Kaiser MG et al. Cervical laminoplasty for the treatment of cervical degenerative myelopathy. Journal of Neurosurgery: Spine. 2009 Aug 1;11(2):157-169. https://doi.org/10.3171/2009.1.SPINE08726