AI Article Synopsis

  • The study examined the effectiveness of a single-stage surgical procedure combining cervical laminoplasty and unilateral cervical foraminotomy for patients with both cervical myelopathy and unilateral radiculopathy.
  • Seven patients (average age 58.4 years) underwent this procedure, and their clinical outcomes were evaluated using various scales before and 6 months after surgery.
  • Results indicated improvements in quality of life and some pain relief in the arms and hands, suggesting that this surgical approach is both safe and potentially effective for the targeted conditions.

Article Abstract

Background: The clinical outcomes and radiographic changes of a one-stage procedure combining cervical laminoplasty and unilateral cervical foraminotomy for patients with coexisting cervical myelopathy and unilateral radiculopathy were evaluated.

Methods: Seven patients (two females and five males) with coexisting cervical myelopathy and unilateral cervical radiculopathy were included in this study. The mean age was 58.4 years (range 45-77 years). Cervical laminoplasty and unilateral cervical foraminotomy were performed on the recruited patients in a single stage. The quantitative clinical changes between the preoperative and 6-month postoperative assessment were analyzed using the Japanese Orthopedic Association (JOA) score, the JOA Cervical Myelopathy Evaluation Questionnaire (JOA-CMEQ), visual analog scale (VAS), and Neck Disability Index (NDI). Moreover, the preoperative and 6-month postoperative radiographic changes were assessed using the C2-7 angle and range of motion (ROM) between flexion and extension angle.

Results: There were significant differences in QOL in the JOA-CMEQ between the groups. Furthermore, the postoperative VAS values in the arms and hands generally improved, although not significantly, between the groups.

Conclusions: The aforementioned surgical procedure may be safe and efficient for patients with coexisting cervical myelopathy and radiculopathy.

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Source
http://dx.doi.org/10.1007/s00701-023-05519-4DOI Listing

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