Investigation of the Efficacy of Bilateral Osteoligamentous Decompression via Hemilaminectomy in Cervical Spondylotic Myelopathy: A Clinical Study

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dc.authoridOzdemir, Alemiddin/0000-0002-5431-7287
dc.contributor.authorOgden, Mustafa
dc.contributor.authorKaragedik, Mustafa Ilker
dc.contributor.authorOzdemir, Alemiddin
dc.contributor.authorBulut, Ibrahim Umud
dc.contributor.authorErdogan, Ahmet Melih
dc.contributor.authorBakar, Bulent
dc.date.accessioned2025-01-21T16:42:12Z
dc.date.available2025-01-21T16:42:12Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractOBJECTIVE: Cervical stability may deteriorate and kyphotic spinal deformities may develop in cervical spondylotic myelopathy (CSM) after laminectomy or lam-inoplasty. This study aimed to investigate the therapeutic efficacy of the bilateral osteoligamentous decompression via unilateral hemilaminectomy approach (UHBOLD) technique in CSM patients.METHODS: The study included 34 adult patients who u nderwent UHBOLD surgery for CSM between 2016 and 2022. A record was made for all patients of age, gender, n umber of operated levels, preoperative and postoperative long-term follow-up VAS scores, Nurick grade values and mJOA scores, kyphosis angles measured on X-ray, and spinal canal areas measured on T2-weighted MR axial images.RESULTS: Preoperative VAS scores of the patients were 6 (4-9), Nurick grade values were 3 (2-5), mJOA scores were 10.50 +/- 3.42, kyphosis angles were-13.34 +/- 13.69(degrees) and spinal canal areas were 87.11 +/- 28.30 mm(2). In post-operative long-term follow-up of these patients, VAS scores were 2 (1-5), Nurick grade values were 1 (0-5), mJOA scores were 13.94 +/- 3.09, kyphosis angles were-15.07 +/- 12.78(degrees) and spinal canal areas were 149.65 +/- 42.57 mm(2). A statistically significant difference was determined between the preoperative and the post-operative long-term follow-up VAS scores, Nurick grade values, mJOA scores, and spinal canal areas (P < 0.001). Kyphosis angles were not different (P [ 0.198), and no instability was observed in any patient in long-term follow-u p.CONCLUSIONS: The UHBOLD technique performed in multilevel CSM patients did not cause any change in cer-vical lordosis angle in long-term follow-up, did not cause cervical kyphotic deformity or cervical instability, and significantly improved Nurick grade values, and VAS and mJOA scores.
dc.identifier.doi10.1016/j.wneu.2023.09.110
dc.identifier.endpageE578
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pmid37778625
dc.identifier.scopus2-s2.0-85175194134
dc.identifier.scopusqualityQ1
dc.identifier.startpageE560
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2023.09.110
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25012
dc.identifier.volume180
dc.identifier.wosWOS:001137988400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofWorld Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectCervical spondylotic myelopathy; Hemilaminectomy; Kyphosis
dc.titleInvestigation of the Efficacy of Bilateral Osteoligamentous Decompression via Hemilaminectomy in Cervical Spondylotic Myelopathy: A Clinical Study
dc.typeArticle

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