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. 2023 Mar;165(3):789-795.
doi: 10.1007/s00701-023-05519-4. Epub 2023 Feb 13.

Combined cervical laminoplasty and foraminotomy for coexistence of cervical myelopathy and unilateral radiculopathy: case series and preliminary results

Toshinari Kawasaki  1 , Motohiro Takayama  2 , Yoshinori Maki  3 , Yoshihiko Ioroi  2 , Masaaki Saiki  2 , Tamaki Kobayashi  2
Affiliations

Combined cervical laminoplasty and foraminotomy for coexistence of cervical myelopathy and unilateral radiculopathy: case series and preliminary results

Toshinari Kawasaki et al. Acta Neurochir (Wien). 2023 Mar.

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.

Keywords: Cervical spondylotic myelopathy; Foraminotomy; Laminoplasty; Myelopathy; Radiculopathy.

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