Bin Zheng,Zhenqi Zhu,Jianfeng Ding,Gen Li,Yan Liang,Chen Guo,Shuaiqi Zhu,Haiying Liu
{"title":"Efficacy and safety of C3 laminectomy combined with open-door laminoplasty versus open-door laminoplasty alone: A systematic review and meta-analysis.","authors":"Bin Zheng,Zhenqi Zhu,Jianfeng Ding,Gen Li,Yan Liang,Chen Guo,Shuaiqi Zhu,Haiying Liu","doi":"10.1016/j.wneu.2024.09.011","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nTo evaluate efficacy and safety between C3 laminectomy + open-door laminoplasty and open-door laminoplasty alone.\r\n\r\nMETHODS\r\nElectronic databases are systematically searched up to January 2024. The authors applied Review Manager 5.4 to manage the data and perform the review. Authors conducted Cochrane Library, Pubmed, OVID and Web of Science, search for studies comparing C3 laminectomy + open-door laminoplasty and open-door laminoplasty alone. Forest plots are constructed for each analysis group.\r\n\r\nRESULTS\r\nAfter selection, 9 eligible articles included 10 comparison groups, with a combined 320patients who underwent C3 laminectomy + open-door laminoplasty, 355 who underwent open-door laminoplasty alone. There is no difference in operative time, blood volume, JOA, JOA recovery, VAS, Neck Disability Index(NDI), complications, axial symptoms, T1S, ROM and cSVA. C3 laminectomy + open-door laminoplasty is superior in C2-C7 Cobb angle.\r\n\r\nCONCLUSION\r\nAlthough C3 laminectomy + open-door laminoplasty has theoretical advantages, meta-analysis results show that the two surgical procedures are similar in terms of clinical symptoms improvement, sagittal balance, and complications. C3 laminectomy combined + open-door laminoplasty is only superior in the preservation of cervical lordosis. Limited number of studies may affect the reliability and generalizability of the results. Future high-quality, multicenter RCTs are needed to verify efficacy and safety.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.09.011","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
BACKGROUND
To evaluate efficacy and safety between C3 laminectomy + open-door laminoplasty and open-door laminoplasty alone.
METHODS
Electronic databases are systematically searched up to January 2024. The authors applied Review Manager 5.4 to manage the data and perform the review. Authors conducted Cochrane Library, Pubmed, OVID and Web of Science, search for studies comparing C3 laminectomy + open-door laminoplasty and open-door laminoplasty alone. Forest plots are constructed for each analysis group.
RESULTS
After selection, 9 eligible articles included 10 comparison groups, with a combined 320patients who underwent C3 laminectomy + open-door laminoplasty, 355 who underwent open-door laminoplasty alone. There is no difference in operative time, blood volume, JOA, JOA recovery, VAS, Neck Disability Index(NDI), complications, axial symptoms, T1S, ROM and cSVA. C3 laminectomy + open-door laminoplasty is superior in C2-C7 Cobb angle.
CONCLUSION
Although C3 laminectomy + open-door laminoplasty has theoretical advantages, meta-analysis results show that the two surgical procedures are similar in terms of clinical symptoms improvement, sagittal balance, and complications. C3 laminectomy combined + open-door laminoplasty is only superior in the preservation of cervical lordosis. Limited number of studies may affect the reliability and generalizability of the results. Future high-quality, multicenter RCTs are needed to verify efficacy and safety.
期刊介绍:
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS