Letter to the Editor. Randomized controlled trials on anterior versus posterior surgical decompression for degenerative cervical myelopathy

Mario Ganau MD, PhD, MBA, FEBNS1, Mohammad Iqbal MBBS1, Gianfranco K. I. Ligarotti MD2, and So Kato MD, PhD3
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  • 1 Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom;
  • | 2 University Hospital Birmingham NHS Foundation Trust, Birmingham, United Kingdom; and
  • | 3 University of Tokyo, Japan
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Composite figure based on findings from the article by Salas-Vega et al. (pp 864–870), which show that elective lumbar laminectomies occurring later in the workweek are associated with longer hospital stays (in days).

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Contributor Notes

Correspondence Mario Ganau: mario.ganau@alumni.harvard.edu.

INCLUDE WHEN CITING Published online February 5, 2021; DOI: 10.3171/2020.10.SPINE201895.

Disclosures The authors report no conflict of interest.

  • 1

    El-Ghandour NMF , Soliman MAR , Ezzat AAM , et al. The safety and efficacy of anterior versus posterior decompression surgery in degenerative cervical myelopathy: a prospective randomized trial . J Neurosurg Spine . 2020 ;33 (3 ):288 296 .

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  • 2

    Fehlings MG , Barry S , Kopjar B , et al. Anterior versus posterior surgical approaches to treat cervical spondylotic myelopathy: outcomes of the prospective multicenter AOSpine North America CSM study in 264 patients . Spine (Phila Pa 1976) . 2013 ;38 (26 ):2247 2252 .

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  • 3

    Kato S , Nouri A , Wu D , et al. Comparison of anterior and posterior surgery for degenerative cervical myelopathy: an MRI-based propensity-score-matched analysis using data from the prospective multicenter AOSpine CSM North America and International Studies . J Bone Joint Surg Am . 2017 ;99 (12 ):1013 1021 .

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  • 4

    Kato S , Ganau M , Fehlings MG . Surgical decision-making in degenerative cervical myelopathy - anterior versus posterior approach . J Clin Neurosci . 2018 ;58 :7 12 .

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  • 5

    Kotter MRN , Tetreault L , Badhiwala JH , et al. Surgical outcomes following laminectomy with fusion versus laminectomy alone in patients with degenerative cervical myelopathy . Spine (Phila Pa 1976) . 2020 ;45 (24 ):1696 1703 .

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  • 6

    Ghogawala Z , Benzel EC , Heary RF , et al. Cervical spondylotic myelopathy surgical trial: randomized, controlled trial design and rationale . Neurosurgery . 2014 ;75 (4 ):334 346 .

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    Ganau M , Holly LT , Mizuno J , Fehlings MG . Future directions and new technologies for the management of degenerative cervical myelopathy . Neurosurg Clin N Am . 2018 ;29 (1 ):185 193 .

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  • 8

    Buell TJ , Buchholz AL , Quinn JC , et al. Importance of sagittal alignment of the cervical spine in the management of degenerative cervical myelopathy . Neurosurg Clin N Am . 2018 ;29 (1 ):69 82 .

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  • 9

    Tetreault L , Palubiski LM , Kryshtalskyj M , et al. Significant predictors of outcome following surgery for the treatment of degenerative cervical myelopathy: a systematic review of the literature . Neurosurg Clin N Am . 2018 ;29 (1 ):115 127 .e35 .

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  • 10

    Chibbaro S , Gubian A , Zaed I , et al. Cervical myelopathy caused by ventrally located atlanto-axial synovial cysts: an open quest for the safest and most effective surgical management. Case series and systematic review of the literature . Neurochirurgie . 2020 ;66 (6 ):447 454 .

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  • 1

    Ghogawala Z , Martin B , Benzel EC , et al. Comparative effectiveness of ventral vs dorsal surgery for cervical spondylotic myelopathy . Neurosurgery . 2011 ;68 (3 ):622 631 .

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  • 2

    Asher AL , Devin CJ , Kerezoudis P , et al. Comparison of outcomes following anterior vs posterior fusion surgery for patients with degenerative cervical myelopathy: an analysis from Quality Outcomes Database . Neurosurgery . 2019 ;84 (4 ):919 926 .

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  • 3

    Kato S , Nouri A , Wu D , et al. Comparison of anterior and posterior surgery for degenerative cervical myelopathy: an MRI-based propensity-score-matched analysis using data from the prospective multicenter AOSpine CSM North America and International studies . J Bone Joint Surg Am . 2017 ;99 (12 ):1013 1021 .

    • Search Google Scholar
    • Export Citation
  • 4

    De la Garza-Ramos R , Xu R , Ramhmdani S , et al. Long-term clinical outcomes following 3- and 4-level anterior cervical discectomy and fusion . J Neurosurg Spine . 2016 ;24 (6 ):885 891 .

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  • 5

    Houten JK , Weinstein GR , Collins M . Long-term fate of C3-7 arthrodesis: 4-level ACDF versus cervical laminectomy and fusion . J Neurosurg Sci . Published online October 2, 2018. doi:10.23736/S0390-5616.18.04563-0

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  • 6

    Bartels RH , Groenewoud H , Peul WC , Arts MP . Lamifuse: results of a randomized controlled trial comparing laminectomy with and without fusion for cervical spondylotic myelopathy . J Neurosurg Sci . 2017 ;61 (2 ):134 139 .

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  • 7

    Ghogawala Z , Benzel EC , Heary RF , et al. Cervical spondylotic myelopathy surgical (CSM-S) trial: randomized controlled trial design and rationale . Neurosurgery . 2014 ;75 (4 ):334 346 .

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    • Export Citation

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