ArticleJoint diseases and related surgery2026
Unilateral open-door laminoplasty alone with and without foraminoplasty for the treatment of mixed cervical spondylosis.
Article in Joint diseases and related surgery, 2026. 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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Abstract
objectivesThis study aims to compare the clinical outcomes of unilateral open-door laminoplasty with adjunctive foraminoplasty in the management of mixed cervical spondylosis. PATIENTS AND
methodsBetween January 2016 and January 2024, a total of 60 patients (36 males, 24 females; mean age: 71.8 ± 9.9 years; range, 52 to 92 years) who were diagnosed with mixed cervical spondylosis and underwent unilateral open-door laminoplasty were retrospectively analyzed. The patients were divided into two groups: Group A (n = 30) received laminoplasty alone and Group B (n = 30) underwent laminoplasty combined with foraminoplasty. Demographic data, perioperative outcomes, clinical efficacy, and complication rates were compared between the two groups.
resultsGroup A showed significantly shorter operative time and reduced intraoperative blood loss compared to Group B (p < 0.001). Both groups exhibited significant improvements over time in Visual Analog Scale (VAS) scores for neck and upper limb pain (p < 0.05) and Japanese Orthopaedic Association (JOA) scores (p < 0.05). At the final follow-up, Group B demonstrated superior JOA scores and lower VAS scores for both neck and upper limb pain relative to Group A (p < 0.05). The incidence of postoperative C5 nerve root palsy and persistent upper limb radicular pain was significantly higher in Group A than in Group B (p < 0.05).
conclusionFor patients with mixed cervical spondylosis, combining unilateral open-door laminoplasty with foraminoplasty provides effective concurrent decompression of the spinal cord and nerve roots, resulting in a significant symptomatic improvement in both myelopathic and radicular manifestations with a reduced risk of certain postoperative neurological complications.
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