Letter to the editor: Cervical spondylotic myelopathy treated with laminectomy versus open-door laminoplasty
- Department of Neurosurgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.
DOI:10.25259/SNI_208_2020Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Ansari A. Letter to the editor: Cervical spondylotic myelopathy treated with laminectomy versus open-door laminoplasty. Surg Neurol Int 23-May-2020;11:126
How to cite this URL: Ansari A. Letter to the editor: Cervical spondylotic myelopathy treated with laminectomy versus open-door laminoplasty. Surg Neurol Int 23-May-2020;11:126. Available from: https://surgicalneurologyint.com/surgicalint-articles/10045/
We read with great interest the article by Dobran et al.[
The authors entirely ignored facet distraction arthrodesis as a treatment for single- or multiple- level CSM, written by Goel, Goel, and Shah.[
Notably, opponents of this theory state that “fixation only” does not immediately reverse neural canal compromise attributed to stenosis with ligamentous hypertrophy.
We have documented that plain open-door laminoplasty without any implant fixation adequately “keeps the door open” without necessitating expensive spinal implants. Once the lamina is open from one side, broken from the other side with the contralateral side sutured in place (i.e., simple silk sutures), the door typically does not go on to fully close.
More multicentric trials are needed to compare the efficacy with CSM of performing “fixation only” versus “fixation with decompression,” utilizing open-door laminoplasty technique with/ without implants.
1. Dobran M, Mancini F, Paracino R, Lattanzi S, Somma L, Nasi D. Laminectomy versus open-door laminoplasty for cervical spondylotic myelopathy: A clinical outcome analysis. Surg Neurol Int. 2020. 11: 1-4
2. Goel A. Only fixation as rationale treatment for spinal canal stenosis. J Craniovertebr Junction Spine. 2011. 2: 55-6
3. Goel A. A review of a new clinical entity of central atlantoaxial instability: Expanding horizons of craniovertebral junction surgery. Neurospine. 2019. 16: 186-94
4. Goel A, Shah A. Facetal distraction as treatment for single-and multilevel cervical spondylotic radiculopathy and myelopathy: A preliminary report. J Neurosurg Spine. 2011. 14: 689-96