Laminectomy vs. laminoplasty for treating multi-segment cervical canal stenosis combined with central cord syndrome in the absence of fracture or dislocation: a retrospective study - Summary - MDSpire

Laminectomy vs. laminoplasty for treating multi-segment cervical canal stenosis combined with central cord syndrome in the absence of fracture or dislocation: a retrospective study

  • By

  • Qian Zhang

  • Rudan Guo

  • Jun Wang

  • Yuefen Wu

  • Shunyi Tong

  • Sanhua Fang

  • Xiaoling Yang

  • June 8, 2026

  • 0 min

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Objective:

To compare the outcomes of laminectomy fusion fixation (LF) and single open-door laminoplasty (LP) for multi-segmental cervical canal stenosis with central cord syndrome without fracture/dislocation.

Key Findings:
  • LF group had significantly better final JOA scores, recovery rates, intrinsic hand muscle strength, and BASIC scores compared to LP group (P < 0.05).
  • LF achieved superior postoperative C2–7 Cobb angles despite reduced range of motion.
  • SVA decreased significantly in LF group but increased in LP group.
  • LF showed superior outcomes in K-line (-) patients.
  • Complication rates did not differ significantly between groups.
Interpretation:

Remove unsupported conclusions about outcomes.

Limitations:
  • Retrospective design may introduce bias.
  • Limited follow-up duration of at least 24 months may not capture long-term outcomes.
Conclusion:

Revise to reflect only the findings without unsupported claims.

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