V.A. BYVALTSEV^1,2,3,4, А.А. KALININ^1,2, М.А. ALIEV¹, B.M. AGLAKOV¹, B.R. YUSUPOV¹, V.V. SHEPELEV¹

¹ Irkutsk State Medical University, 1 Krasnogo Vosstaniya St., Irkutsk, Russian Federation, 664003

² Railway Clinical Hospital on the station of Irkutsk-Passazhirskiy, 10 Botkina St., Irkutsk, Russian Federation, 664005

³ Irkutsk Scientific Center of Surgery and Traumatology, 1 Bortsov Revolyutsii St., Irkutsk, Russian Federation, 664003

⁴ Irkutsk State Medical Academy of Postgraduate Education, 100 Yubileynyy microdistrict, Irkutsk, Russian Federation, 664049

 Byvaltsev V.A. — D. Sc. (medicine), Professor, Head of the Department of Neurosurgery and Innovative Medicine, Head of the Center for Neurosurgery, Deputy Director for International and Innovative Activities, Professor of the Department of Traumatology, Orthopedics and Neurosurgery, tel. +7-902-510-40-20, e-mail: byval75vadim@yandex.ru, ORCID ID: 0000-0003-4349-7101

Kalinin A.A. — Ph. D. (medicine), Associate Professor at the Department of Neurosurgery and Innovative Medicine, Neurosurgeon at the Center for Neurosurgery, tel. +7-983-692-04-98, e-mail: andrei_doc_v@mail.ru, ORCID ID: 0000-0002-6059-4344

Aliev M.A. — Ph. D. (medicine), Doctoral Candidate of the Department of Neurosurgery and Innovative Medicine, tel. +7-701-773-53-73, e-mail: a.marat.a0903@mail.ru, ORCID ID: 0000-0002-7676-1127

Aglakov B.M. — Postgraduate Student of the Department of Neurosurgery and Innovative Medicine, tel. +7-727-228-07-77, e-mail: aglakov_jan@mail.ru, ORCID ID: 0000-0003-2595-5674

Yusupov B.R. — Postgraduate Student of the Department of Neurosurgery and Innovative Medicine, tel. +7-777-629-00-44, e-mail: yusupov_babur@mail.ru, ORCID ID: 0000-0001-9175-6871

Shepelev V.V. — Doctoral Candidate of the Department of Neurosurgery and Innovative Medicine, tel. +7-395-263-88-30, e-mail: shepelev.dok@mail.ru, ORCID ID: 0000-0003-2595-5527

 The purpose of the study is to analyze the clinical effectiveness of laminoplasty in the treatment of patients with multi-level degenerative diseases of the cervical spine.

Material and methods. The study included 47 patients with clinical and radiological manifestations of multilevel compression lesions of the cervical spine, with indications for decompression-stabilizing intervention. The level of pain on the visual analog pain scale (VAS), the functional status of NDI, patient satisfaction with the outcome on the Macnab scale and the occurrence of complications were studied. Dynamic observation and comprehensive assessment of the results of treatment were performed at the minimum catamnesis at 24 months after surgery.

Results. The technology of facet fixation can be successfully applied in the treatment of patients with multilevel degenerative diseases of the cervical spine. The use of this technique allows to achieve positive clinical results in the postoperative period, with the effectiveness of stabilization in all cases confirmed by radiological data.

 Key words: cervical spine, multilevel degenerative diseases, dorsal decompressive-stabilizing intervention, laminoplasty.

(For citation: Byvaltsev V.A., Kalinin A.A., Aliev M.A., Aglakov B.M., Yusupov B.R., Shepelev V.V. Clinical efficacy of laminoplasty in treatment of patients with multilevel degenerative diseases of the cervical spine. Practical Medicine. 2018)

REFERENCES

1. Byvalʹtsev V.A., Sorokovikov V.A., Kalinin A.A., Belykh. E.G. Analysis of the results of anterior cervical spinal fusion using a hybrid cage of RSV Evolution over a two-year period. Voprosy neyrokhirurgii imeni N.N. Burdenko, 2013, no. 1, pp. 37–45 (in Russ.).
2. Cole T., Veeravagu A., Zhang M., Azad T.D., Desai A., Ratliff J.K. Anterior Versus Posterior Approach for Multilevel Degenerative Cervical Disease: A Retrospective Propensity Score-Matched Study of the MarketScan Database. Spine, 2015, vol. 40, no. 13, rr. 1033–1038.
3. Byvalʹtsev V.A., Kalinin A.A., Shepelev V.V., Krutʹko A.V., Pestryakov Yu.Ya. Surgical tactics of treating patients with tandem stenosis of the cervical and lumbar spine based on a differentiated clinical-instrumental algorithm. Travmatologiya i ortopediya Rossii, 2018, vol. 24, no. 1, pp. 53–64.
4. Fehlings M.G., Santaguida C., Tetreault L., Arnold P., Barbagallo G., Defino H., Kale S., Zhou Q., Yoon T.S., Kopjar B. Laminectomy and fusion versus laminoplasty for the treatment of degenerative cervical myelopathy: results from the AOSpine North America and International prospective multicenter studies. Spine J, 2017, vol. 17, no. 1, rr. 102–108.
5. Skeppholm M., Lindgren L., Henriques T., Vavruch L., Löfgren H., Olerud C. The Discover artificial disc replacement versus fusion in cervical radiculopathy—a randomized controlled outcome trial with 2-year follow-up. Spine J, 2015, vol. 15, no. 6, pp. 1284–1294.
6. Lawrence B.D., Jacobs W.B., Norvell D.C., Hermsmeyer J.T., Chapman J.R., Brodke D.S. Anterior versus posterior approach for treatment of cervical spondylotic myelopathy: a systematic review. Spine, 2013, vol. 38, 22 suppl 1, rr. S173–S182.
7. Zhu B., Xu Y., Liu X., Liu Z., Dang G. Anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy: a systemic review and meta-analysis. Eur Spine J, 2013, vol. 22, no. 7, rr. 1583–1593.
8. Byvalʹtsev V.A., Krutʹko A.V., Shepelev V.V., Kalinin A.A. Results of staged surgical treatment of patients with tandem stenosis of the cervical and lumbosacral spine. Khirurgiya pozvonochnika, 2017, 14, no. 2, pp. 50–62 (in Russ.).
9. Liu X., Wang H., Zhou Z., Jin A. Anterior decompression and fusion versus posterior laminoplasty for multilevel cervical compressive myelopathy. Orthopedics, 2014, vol. 37, no. 2, rr. 117–122.
10. Shamji M.F., Cook C., Tackett S., Brown C., Isaacs R.E. Impact of preoperative neurological status on perioperative morbidity associated with anterior and posterior cervical fusion. J Neurosurg Spine, 2008, vol. 9, no. 1, rr. 10–16.
11. Byvalʹtsev V.A., Kalinin A.A., Shepelev V.V. Comprehensive assessment of the dynamics of clinical symptoms after staged surgical interventions in patients with tandem stenosis of the cervical and lumbar spine. Nevrologicheskiy vestnik. Zhurnal im. V.M. Bekhtereva, 2018, vol. L, iss. 2, pp. 27–36.
12. Kiely P.D., Quinn J.C., Du J.Y., Lebl D.R. Posterior surgical treatment of cervical spondylotic myelopathy: review article. HSS J, 2015, vol. 11, no. 1, pp. 36–42.
13. Klineberg E. Cervical spondylotic myelopathy: a review of the evidence. Orthop Clin North Am, 2010, vol. 41, no. 2, rr. 193–202.
14. Hale J.J., Gruson K.I., Spivak J.M. Laminoplasty: a review of its role in compressive cervical myelopathy. Spine J, 2006, vol. 6, 6 Suppl, pp. 89S2–98S.
15. Matsunaga S., Sakou T., Nakanisi K. Analysis of the cervical spine alignment following laminoplasty and laminectomy. Spinal Cord, 1999, vol. 37, no. 1, rr. 20–24.
16. Hirabayashi K., Watanabe K., Wakano K., Suzuki N., Satomi K., Ishii Y. Expansive open-door laminoplasty for cervical spinal stenotic myelopathy. Spine, 1983, vol. 8, no. 7, pp. 693–699.
17. Hoshi K., Kurokawa T., Nakamura K., Hoshino Y., Saita K., Miyoshi K. Expansive cervical laminoplasties-observations on comparative changes in spinous process lengths following longitudinal laminal divisions using autogenous bone or hydroxyapatite spacers. Spinal Cord, 1996, vol. 34, no. 12, pp. 725–728.
18. Jiang Y.Q., Li X.L., Zhou X.G., Bian C., Wang H.M., Huang J.M., Dong J. A prospective randomized trial comparing anterior cervical discectomy and fusion versus plate-only open-door laminoplasty for the treatment of spinal stenosis in degenerative diseases. Eur Spine J, 2017, vol. 26, no. 4, pp. 1162–1172.
19. Yang H.L., Chen G.D., Zhang H.T., Wang L., Luo Z.P. Opendoor laminoplasty with plate fixation at alternating levels for treatment of multilevel degenerative cervical disease. J Spinal Disord Tech, 2013, vol. 26, rr. E13–E18.
20. Meyer S.A., Wu J.C., Mummaneni P.V. Laminoplasty outcomes: is there a difference between patients with degenerative stenosis and those with ossification of the posterior longitudinal ligament? Neurosurg Focus, 2011, vol. 30, no. 3, R. E9.
21. Wicaksono A.S., Manusubroto W. Short-Term Clinical Evaluation of Enhanced Unilateral Open-Door Laminoplasty Using Titanium Mesh. Asian Spine J, 2018, vol. 12, no. 5, pp. 810–816.