Complications Following Cervical Laminoplasty With Reconstruction: A Systematic Review and Meta-Analysis.
Charu Jain, Jennifer Yu, Jonathan J Huang et al.
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In 30 seconds
This systematic review and meta-analysis evaluated complication rates following cervical laminoplasty with reconstruction in 6732 patients. The study found a pooled incidence of C5 palsy at 4.07%, with higher rates in patients with ossification of the posterior longitudinal ligament (OPLL) compared to those with degenerative cervical myelopathy (DCM).
Key findings
- C5 palsy occurred in 4.07% of patients, significantly higher in OPLL (5.86%) than DCM (3.34%).
- Axial neck pain was reported in 13.74% of patients, the most common complication.
- Reoperation rates were 2.72%, with dural/CSF complications at 1.48%.
Why it matters
Understanding the complication rates associated with cervical laminoplasty is crucial for clinicians to inform patients about potential risks and to guide surgical decision-making. Standardized definitions of complications could enhance future research and patient care.