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Abstract
Surgery of the cervical spine is one of the common surgeries in neurosurgery; this is attributed to the high number of patients with complaints related to lesions in this part of the spine. Of the common lesions encountered in the practice of neurosurgery in relation to cervical spine is cervical canal stenosis. Many approaches have been invented to deal with such lesion, such as cervical laminectomy and laminoplasty.
The aim of this study was to compare between conventional cervical laminectomy and laminoplasty in cervical canal stenosis as regard indications, contraindications, surgical techniques, clinical outcomes, and post-operative complications.
Twenty patients with cervical canal stenosis were included in this study, they presented with different complaints, such as neck pain, brachialgia, and weakness.
On examination, different signs were noted, motor, and sensory deficit, and reflex changes. European Myelopathy Score was used to assess the degree of the deficits.
Different investigations were done including laboratory investigations and different imaging studies such as plain X-ray, CT scan, and MRI.
In this study, ten patients were subjected to cervical laminectomy (Group I) and the other ten patients were subjected to cervical laminoplasty (Group II).
The details of each surgery were reviewed and so are the complications we faced whether intra-operatively or post-operatively for a period of six months.
Complications include, wound infection in both Group I (one patient) and Group II (one patient), post-operative kyphosis in Group I (one patient), closed hinge (one patient), and dural tear (one patient) in Group II.
Post-operative improvement of neck pain was more in Group I patients, while post-operative improvement of brachialgia was more in Group II patients. As regard myelopathy, post-operative improvement was more in Group II patients.
The results in the present study were gathered and compared with the other studies.