학술논문

Laminoplasty versus laminectomy with fusion for treating multilevel degenerative cervical myelopathy.
Document Type
article
Source
Subject
Cervical myelopathy
Cost-utility
Health economics
Quality of life
Surgery
Patient Safety
Neurosciences
Pain Research
Chronic Pain
Clinical Research
Language
Abstract
BackgroundLaminectomy with fusion (LF) and laminoplasty (LP) are common posterior decompression procedures used to treat multilevel degenerative cervical myelopathy (DCM). There is debate on their relative efficacy and safety for treatment of DCM. The goal of this study is to examine outcomes and costs of LF and LP procedures for DCM.MethodsThis is a retrospective review of adult patients (.05). Patients were successfully weaned off opioids at similar rates (LF: 88%, LP: 86%). Fixed and variable costs respectively with LF cases hospital were higher, 15.7% and 25.7% compared to LP cases (p=.03 and p