SynthesisMedicine2019
Comparison of laminectomy and fusion vs laminoplasty in the treatment of multilevel cervical spondylotic myelopathy: A meta-analysis.
Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cervical laminoplasty versus laminectomy and fusion: An umbrella review of postoperative outcomes.Neurosurgical review · 2023Pooled it
- Laminoplasty Versus Laminectomy and Fusion in the Treatment of Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis of Cost and Patient-Centered Outcomes in the United States.Global spine journal · 2026Article
- Laminoplasty compared to laminectomy and fusion for degenerative cervical myelopathy: a cost-utility analysis.North American Spine Society journal · 2025Article
- Cervical spondylotic myelopathy and radiculopathy: a stepwise approach and comparative analysis of surgical outcomes: a narrative review of recent literature.Asian spine journal · 2025Article
- Cervical laminectomy and fusion versus laminoplasty in degenerative cervical myelopathy: A propensity score matching analysis.Surgical neurology international · 2025Article
- Radiographic characterization of OPLL progression in patients receiving laminoplasty with a minimum of two-years follow-up.Neurosurgical review · 2024Article
- Cervical kyphosis after posterior cervical laminectomy with and without fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Biomechanical evaluation on a new type of vertebral titanium porous mini-plate and mechanical comparison between cervical open-door laminoplasty and laminectomy: a finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Results of laminoplasty versus laminectomy and posterior fusion for multilevel cervical spondylotic myelopathy.Annals of medicine and surgery (2012) · 2023Article
- Laminoplasty versus laminectomy with fusion for treating multilevel degenerative cervical myelopathy.North American Spine Society journal · 2023Article
- Endoscopic Posterior Cervical Decompression for Ossified Posterior Longitudinal Ligament: A Technical Note.International journal of spine surgery · 2023Article
- Nationwide sample data analysis of additional surgery rate after anterior or posterior cervical spinal surgery.Scientific reports · 2023Article
- Biomechanical evaluation of reconstruction of the posterior complex in restorative laminoplasty with miniplates.BMC musculoskeletal disorders · 2023Article
- [Biomechanical analysis of miniplate fixation systems in restorative laminoplasty for spinal canal reconstruction].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Comparative Utilization of Laminoplasty in the United States and Japan.Spine surgery and related research · 2022Article
- Comparison of laminoplasty and posterior fusion surgery for cervical ossification of posterior longitudinal ligament.Scientific reports · 2022Article
- Article
- Trends in cervical laminoplasty: Medicare projections through 2060.Journal of craniovertebral junction & spineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to evaluate the clinical safety and efficacy between laminectomy and fusion (LF) versus laminoplasty (LP) for the treatment of multi-level cervical spondylotic myelopathy (CSM).
methodsThe authors searched electronic databases using PubMed, MEDLINE, Embase, Cochrane Controlled Trial Register, and Google Scholar for relevant studies that compared the clinical effectiveness of LF and LP for the treatment of patients with multilevel CSM. The following outcome measures were extracted: the Japanese Orthopaedic Association (JOA) scores, cervical curvature index (CCI), visual analog scale (VAS), Nurich grade, reoperation rate, complications, rate of nerve palsies. Newcastle Ottawa Quality Assessment Scale (NOQAS) was used to evaluate the quality of each study. Data analysis was conducted with RevMan 5.3.
resultsA total of 14 studies were included in our meta-analysis. No significant difference was observed in terms of postoperative Japanese Orthopaedic Association score (P = .29), visual analog scale neck pain (P = .64), cervical curvature index (P = .24), Nurich grade (P = .16) and reoperation rate (P = .21) between LF and LP groups. Compared with LP group, the total complication rate (OR 2.60, 95% CI 1.85, 3.64, I = 26%, P < .00001) and rate of nerve palsies (OR 3.18, 95% CI 1.66, 6.11, I = 47%, P = .0005) was higher in the LF group.
conclusionsOur meta-analysis reveals that surgical treatments of multilevel CSM are similar in terms of most clinical outcomes using LF and LP. However, LP was found to be superior than LF in terms of nerve palsy complications. This requires further validation and investigation in larger sample-size prospective and randomized studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.