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The objective of this study is to retrospectively analyze and compare the long-term clinical and radiographic results of multi-level laminoplasty to multi-level laminectomy and fusion for the treatment of patients with cervical myelopathy or myeloradiculopathy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laminoplasty Group | Patients who underwent cervical laminoplasty surgery due to myelopathy. |
| |
| Laminectomy and Fusion Group | Patients who underwent cervical laminectomy and fusion surgery due to myelopathy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical laminoplasty surgery | Procedure | The posterior standard cervical laminoplasty procedure with ARCH mini-plate fixation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of Japanese Orthopaedic Association Score (JOA) | Total score 0-17. The lower the score the more severe the deficits. | baseline, 12 months post-treatment and through study completion, an average of 10 year |
| Change of Neck Disability Index (NDI) | Ranging from 0%-100%. A higher score indicates more patient-rated disability. | baseline, 12 months post-treatment and through study completion, an average of 10 year |
| Change of Sagittal Lordosis Angle | Measured by lateral X-Ray image. The change of lordosis was calculated and compared. | baseline, 12 months post-treatment and through study completion, an average of 10 year |
| Reoperation rate | Any reoperation involving the same segments or adjacent segments will be calculated. | through study completion, an average of 10 year |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Pain Scores on the Visual Analog Scale (VAS) | Ranging from 0-10. A higher score indicates more severe pain. | baseline, 12 months post-treatment and through study completion, an average of 10 year |
| Change of Range of Motion |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent cervical laminoplasty or laminectomy and fusion surgery due to degenerative cervical myelopathy in our hospital from January 1, 2005 to January 1, 2015 were screened and included according to the eligibility criteria.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xuhua Lu, M.D. | Contact | +862181885793 | xuhualu@hotmail.com | |
| Bangke Zhang, M.D. | Contact | +8618301783716 | zbk12345@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xuhua Lu, M.D. | Shanghai Changzheng Hospotal | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Changzheng Hospital | Recruiting | Shanghai | 200003 | China |
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| Cervical laminectomy and fusion surgery | Procedure | The posterior standard cervical laminectomy and fusion surgery procedure with lateral mass screws fixation |
|
Measured by dynamic X-Ray image.
| baseline, 12 months post-treatment and through study completion, an average of 10 year |
| Complication rate | Any complications related to surgery will be recorded. | through study completion, an average of 10 year |