Prevalence of Complications Following Cervical Unilateral Open-Door Laminoplasty in Cervical Spondylosis Patients: Systematic Review and Meta Analysis - Abstract
Background: Cervical spondylosis is a degenerative diseaseresulted from multi factorial degenerative changes. It can manifest as neck pain, radiculopathy and/ or myelopathy. Cervical laminoplasty is considered as one of the safest technique to treat cervical spondylosis. However, this technique also has several complications following the surgery. It is important for neurosurgeon to know the complications of this technique.
Objectives: To determine the prevalence of complications following cervical unilateral open-door laminoplasty in cervical spondylosis patients through systematic review and meta-analysis.
Methods: This review includes all full-text articles that examine cervical unilateral open-door laminoplasty in cervical spondylosis patients. PubMed Central, BioMed Central, and Public Library of Science database were searched using keyword “cervical laminoplasty”. Included article was assessed for risk of bias.
Results: The prevalence of axial pain was 21%, C5 palsy was 6%, CSF leakage was 3%, hematoma was 2%, infection was 3%, Dural tear was 3%, and kyphosis was 10%. There was high heterogeneity between studies. Conclusions: The complication with highest prevalence was axial pain with 21% while hematoma was the lowest prevalence with 2%.