Evidence map›Paper›PMID 40830862›Full record

ArticleBMC musculoskeletal disorders2025

Preservation of short-term cervical posterior muscle volume and cervical alignment: a comparison between three types of modified muscle-sparing laminoplasty and conventional open-door laminoplasty for multilevel degenerative cervical myelopathy.

Ruomu Qu, Ben Wang, Shengfa Pan, Zexiang Liu, Yiyuan Yang, Hua Zhou, Lei Dang, Yu Sun, Feifei Zhou, Liang Jiang

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Ruomu Qu *Orthopedic Department, Peking University Third Hospital, Beijing, China.
Ben Wang *Orthopedic Department, Peking University Third Hospital, Beijing, China.
Shengfa Pan *Orthopedic Department, Peking University Third Hospital, Beijing, China.
Zexiang LiuOrthopedic Department, Peking University Third Hospital, Beijing, China.
Yiyuan YangOrthopedic Department, Peking University Third Hospital, Beijing, China.
Hua ZhouOrthopedic Department, Peking University Third Hospital, Beijing, China.
Lei DangOrthopedic Department, Peking University Third Hospital, Beijing, China.
Yu SunOrthopedic Department, Peking University Third Hospital, Beijing, China.
Feifei ZhouOrthopedic Department, Peking University Third Hospital, Beijing, China. orthozhou@163.com.
Liang JiangOrthopedic Department, Peking University Third Hospital, Beijing, China. jiangliang@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsSeveral modified muscle-sparing laminoplasty (LP) techniques have been developed to prevent axial symptoms in the treatment of multilevel degenerative cervical myelopathy (MDCM). However, the postoperative changes in posterior muscle volume (PMV) and cervical alignment following these procedures remain controversial. This study aimed to compare the short-term postoperative changes in PMV and cervical alignment between conventional LP and three types of muscle-sparing LPs: unilateral muscle-preservation laminoplasty (UL), double-door laminoplasty (DL), and intermuscular "raising roof" laminoplasty (RL).

methodsConsecutive MDCM patients who underwent LP, DL, UL, or RL between February 2022 and May 2022 at a same ward were enrolled. Baseline data and surgical characteristics were collected. Preoperative and postoperative PMV were semiautomatically segmented and evaluated, and cervical alignment was measured. The PMV loss ratio was calculated as the change in PMV divided by the preoperative PMV.

resultsA total of 79 MDCM patients were included in this study (LP: 20, DL: 20, UL:23, RL:16). No significant differences were observed in the preoperative demographic data, surgical characteristics and radiological variables. The preoperative C2-7 cobb angles of four groups were 11.59 ± 8.80, 9.54 ± 11.18, 11.08 ± 11.32 and 10.75 ± 10.90, respectively(p = 0.962). The preoperative PMV were 2.726 ± 0.79, 2.607 ± 0.752, 2.808 ± 0.724, 2.686 ± 0.674*10

conclusionsThe DL group has significant lower postoperative CL-E loss than LP. After adjustment, the RL procedure demonstrated better efficacy in PMV preservation compared to conventional LP. The loss of cervical lordosis at neutral and extension positions was associated with the PMV loss ratio.

Indexed as

Cervical VertebraeLaminoplastyOrgan Sparing TreatmentsSpinal Cord DiseasesAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeCervical alignmentsCervical spineDouble-door laminoplastyIntermuscular approachMuscle-ligament complexOpen-door laminoplasty

Identifiers

PMID40830862
PMCPMC12362843

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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.