Abstract
Systematic review and meta-analysis. To evaluate anterior decompression and fusion compared with posterior laminoplasty when treating multilevel cervical compressive myelopathy. Satisfactory results have been reported with both anterior decompression and fusion and posterior laminoplasty in the treatment of multilevel cervical compressive myelopathy. However, which method is safer and more effective remains controversial. MEDLINE, EMASE, and the Cochrane library databases were searched for relevant controlled studies up to December 2014 that compared anterior decompression and fusion with posterior laminoplasty for the treatment of multilevel cervical compressive myelopathy. The following outcome measures were extracted for analysis: preoperative and postoperative Japanese Orthopedic Association scores, neurological recovery rate, preoperative and postoperative overall Cobb angle, blood loss, operative time, surgical complications, and reoperation rate. A total of 19 studies representing 1279 patients were included in this analysis. The results indicated that anterior decompression and fusion was associated with better postoperative neurological function (P=0.001), a higher recovery rate (P<0.01), and better cervical alignment ...Continue Reading
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