Laminectomy and fusion for the treatment of cervical degenerative myelopathy

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

Research output: Contribution to journalReview article

54 Citations (Scopus)

Abstract

Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminectomy and fusion for 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 laminectomy, fusion, and CSM. Abstracts were reviewed, after which studies that met the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Class I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which 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/Congress of Neurological Surgeons. Results. Cervical laminectomy with fusion (arthrodesis) improves functional outcome in patients with CSM and ossification of the posterior longitudinal ligament (OPLL). Functional improvement is similar to laminectomy or laminoplasty for patients with CSM and OPLL. In contrast to laminectomy, cervical laminectomy with fusion it is not associated with late deformity (Class III). Conclusions. Laminectomy with fusion (arthrodesis) is an effective strategy to improve functional outcome in CSM and OPLL.

Original languageEnglish (US)
Pages (from-to)150-156
Number of pages7
JournalJournal of Neurosurgery: Spine
Volume11
Issue number2
DOIs
StatePublished - Aug 1 2009

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

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

Cite this

Anderson, P. A., Matz, P. G., Groff, M. W., Heary, R. F., Holly, L. T., Kaiser, M. G., ... Resnick, D. K. (2009). Laminectomy and fusion for the treatment of cervical degenerative myelopathy. Journal of Neurosurgery: Spine, 11(2), 150-156. https://doi.org/10.3171/2009.2.SPINE08727
Anderson, Paul A. ; Matz, Paul G. ; Groff, Michael W. ; Heary, Robert F. ; Holly, Langston T. ; Kaiser, Michael G. ; Mummaneni, Praveen V. ; Ryken, Timothy C. ; Choudhri, Tanvir F. ; Vresilovic, Edward ; Resnick, Daniel K. / Laminectomy and fusion for the treatment of cervical degenerative myelopathy. In: Journal of Neurosurgery: Spine. 2009 ; Vol. 11, No. 2. pp. 150-156.
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abstract = "Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminectomy and fusion for 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 laminectomy, fusion, and CSM. Abstracts were reviewed, after which studies that met the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Class I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which 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/Congress of Neurological Surgeons. Results. Cervical laminectomy with fusion (arthrodesis) improves functional outcome in patients with CSM and ossification of the posterior longitudinal ligament (OPLL). Functional improvement is similar to laminectomy or laminoplasty for patients with CSM and OPLL. In contrast to laminectomy, cervical laminectomy with fusion it is not associated with late deformity (Class III). Conclusions. Laminectomy with fusion (arthrodesis) is an effective strategy to improve functional outcome in CSM and OPLL.",
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Anderson, PA, Matz, PG, Groff, MW, Heary, RF, Holly, LT, Kaiser, MG, Mummaneni, PV, Ryken, TC, Choudhri, TF, Vresilovic, E & Resnick, DK 2009, 'Laminectomy and fusion for the treatment of cervical degenerative myelopathy', Journal of Neurosurgery: Spine, vol. 11, no. 2, pp. 150-156. https://doi.org/10.3171/2009.2.SPINE08727

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

In: Journal of Neurosurgery: Spine, Vol. 11, No. 2, 01.08.2009, p. 150-156.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Laminectomy and fusion for the treatment of cervical degenerative myelopathy

AU - Anderson, Paul A.

AU - Matz, Paul G.

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

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 laminectomy and fusion for 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 laminectomy, fusion, and CSM. Abstracts were reviewed, after which studies that met the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Class I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which 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/Congress of Neurological Surgeons. Results. Cervical laminectomy with fusion (arthrodesis) improves functional outcome in patients with CSM and ossification of the posterior longitudinal ligament (OPLL). Functional improvement is similar to laminectomy or laminoplasty for patients with CSM and OPLL. In contrast to laminectomy, cervical laminectomy with fusion it is not associated with late deformity (Class III). Conclusions. Laminectomy with fusion (arthrodesis) is an effective strategy to improve functional outcome in CSM and OPLL.

AB - Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of cervical laminectomy and fusion for 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 laminectomy, fusion, and CSM. Abstracts were reviewed, after which studies that met the inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Class I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which 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/Congress of Neurological Surgeons. Results. Cervical laminectomy with fusion (arthrodesis) improves functional outcome in patients with CSM and ossification of the posterior longitudinal ligament (OPLL). Functional improvement is similar to laminectomy or laminoplasty for patients with CSM and OPLL. In contrast to laminectomy, cervical laminectomy with fusion it is not associated with late deformity (Class III). Conclusions. Laminectomy with fusion (arthrodesis) is an effective strategy to improve functional outcome in CSM and OPLL.

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Anderson PA, Matz PG, Groff MW, Heary RF, Holly LT, Kaiser MG et al. Laminectomy and fusion for the treatment of cervical degenerative myelopathy. Journal of Neurosurgery: Spine. 2009 Aug 1;11(2):150-156. https://doi.org/10.3171/2009.2.SPINE08727