Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (48): 9059-9063.doi: 10.3969/j.issn.1673-8225.2011.48.032

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Systematic review the effects of four operative techniques in treating cervical spondylotic myelopathy

Chen Ke, Chen Zhong, Jin An-min, Zhang Hui, Min Shao-xiong, Duan Yang, Zhang Xi-bing, Ye Wen-ming   

  1. Department of Orthopaedics, Zhujiang Hospital of Southern Medical Uinversity, Guangzhou  510282, Guangdong Province, China
  • Received:2011-05-07 Revised:2011-06-02 Online:2011-11-26 Published:2011-11-26
  • Contact: Chen Zhong, Associate professor, Chief physician, Master’s supervisor, Department of Orthopaedics, Zhujiang Hospital of Southern Medical Uinversity, Guangzhou 510282, Guangdong Province, China chenzhong6669@yahoo.com.cn
  • About author:Chen Ke★, Studying for master’s degree, Physician, Department of Orthopaedics, Zhujiang Hospital of Southern Medical Uinversity, Guangzhou 510282, Guangdong Province, China 15820251025@qq.com

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Abstract:

BACKGROUND: There is still a controversy about the surgery in treating multilevel cervical spondylotic myelopathy (CSM).
OBJECTIVE: To review 4 operative techniques which were used for the CSM treatment.
METHODS: From 1980 to December 2010, a systematic review of retrospective cohort studies with multilevel anterior multilevel corpectomyand fusion (AMCF), anterior cervical discectomy and fusion(ACDF), expensive laminoplasty (EXLP) and decompressive laminectomy and fusion (DLEF) was performed to systematic evaluate the optimum treatment for CSM with over 10-year follow-up.
RESULTS AND CONCLUSION: A total of 1 718 articles were retrieved, finally 591 abstracts, 36 articles in full were included. Retrospective cohort studies were compared in all studies. Four studies compared AMCF+EXLP, one study compared DLEF+EXLP, and two studies compared ACDF+EXLP. There were 3 case studies with over 10 years follow-up. neurological recovery rates in all approaches showed no difference. EXLP had a significant incidence of neck pain as compared with multilevel AMCF. The rate of adjacent secondary spondylosis in ACDF was increased as compared with EXLP. AMCF＋DLEF had a significantly higher rate of graft, instrumentation, and approach related complications. AMCF+DLEF had a significant decrease in range of motion of neck as compared with EXLP.

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