Outcome of Laminoplasty in Patients with Multilevel Cervical Myelopathy

FAIQ SHEIKH, FAHEEM AHMAD USMANI, ADNAN KHALID, TARIQ SALAHUDDIN, JAMAL NASIR
2019 Pakistan journal of neurological surgery  
Objective: To determine the outcome of surgical intervention in the form of laminoplasty in the patients with multilevel cervical myelopathy. Material and Methods: Descriptive case series, was conducted at NS-I, PINS, Lahore for 6 months. The patients were included through non probability consecutive sampling that fulfilled inclusion criteria. All of the patients were assessed using JOA score before and after 2 months of surgery. General characteristics, including age, gender, other medical
more » ... itions and other risk factors were assessed prior to surgery. The total number of 35 patients was included with expected JOA percentage recovery rate of 75% + 21% after the procedure. Results: In this study 35 total patients were enrolled. The mean age was 55.68 + 9.92 years. Total number of male patients were 23 (65.71), while the female was 12 (34.29). The mean duration of degenerative cervical myelopathy was 3.90 + 1.3 months. The mean pre op value of JOA score was 7.08 + 2.7 (4 – 10) for the patients. The mean post op score was 13.00 + 2.30 (9 – 17). The mean recovery value calculated at two month interval was 62.12 + 17.39 (38.46 – 100). Statistically, there was a significant difference of outcome of pre and post op value of JOA scores i.e., p value = 0.00. Conclusion: Our study determined that, the open door laminoplasty is an effective and reliable technique with good outcome in the treatment of multi-level degenerative cervical spine myelopathy patients.
doi:10.36552/pjns.v23i3.361 fatcat:krr4nrofpndjrbsyniauywycha