The Efficacy of Anterior Cervical Corpectomy and Fusion and Posterior Total Laminectomy on Cervical Spinal Cord Injury and Quality of Life

Computational and Mathematical Methods in Medicine, 2022 · DOI: https://doi.org/10.1155/2022/8216339 · Published: September 29, 2022

Spinal Cord Injury Surgery Orthopedics

Simple Explanation

This study compares two surgical methods for treating cervical spinal cord injury: anterior cervical corpectomy and fusion and posterior total laminectomy. The study aims to evaluate the effectiveness of these two approaches on cervical spine function and the patient's quality of life. The research retrospectively analyzed data from 180 patients to compare the curative effects of the two surgical techniques.

Study Duration

June 2019 to June 2021

Participants

180 patients with cervical spinal cord injury

Evidence Level

Not specified

Key Findings

1
The amount of blood loss, wound diameters, operation times, and operation costs were higher in the posterior approach group compared to the anterior approach group.
2
One month post-surgery, the anterior approach group experienced significantly lower pain (VAS scores) than the posterior approach group.
3
Both surgical methods effectively improved cervical nerve function, as indicated by JOA, NDI, and ASIA scores, with no significant differences between the two groups over time.

Research Summary

This study compared anterior cervical corpectomy and fusion with posterior total laminectomy for treating cervical spinal cord injury. The anterior approach showed benefits in perioperative indicators such as reduced blood loss, shorter operation times, smaller wound diameters, and lower surgical costs. Both surgical methods improved neurological function and quality of life, suggesting that surgical method selection should consider imaging findings, patient condition, and economic status.

Practical Implications

Surgical Method Selection

Surgeons should consider individual patient factors such as imaging results, overall health, and financial status when choosing between anterior cervical corpectomy and fusion and posterior total laminectomy.

Perioperative Management

The anterior approach may be preferred to minimize blood loss, operation time, wound size, and surgical costs.

Postoperative Pain Management

Greater attention to pain management may be needed in the initial postoperative period for patients undergoing the posterior approach.

Study Limitations

1
The study did not observe other physical function recoveries such as hand function.
2
The study used a relatively small sample size.
3
The long-term efficacy was not determined due to a short follow-up period.

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