Long Term Clinical Outcome of Single Open Door Laminoplasty With Preservation of Unilateral Muscular Ligament Complex

Study Overview
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Brief Summary
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To collect and measure the preoperative and postoperative clinical data of the patients undergoing single open-door expansive laminoplasty with preservation of musclar ligament complex through posterior cervical approach in our hospital and summarize the long-term clinical effect and postoperative imaging changes and analyze the long-term clinical effect of this operation

Detailed Description
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Objective: To collect and measure the preoperative and postoperative clinical data of the patients undergoing single open-door expansive laminoplasty with preservation of musclar ligament complex through posterior cervical approach in our hospital. To summarize the long-term clinical effect and postoperative imaging changes and to analyze the long-term clinical effect of this operation on cervical spondylosis. To provide scientific basis for clinical work and theoretical research in the future. This study was a retrospective study, and the medical records of posterior cervical open-door expansive laminoplasty with musclar ligament complex preservation in the orthopedics department of our hospital from 2006 to 2017 were collected, and the patients with complete diagnosis and treatment data were selected for analysis and research.The preoperative and postoperative changes of the patients were studied by combining the patient's case and imaging examination (MR, CT, X plain film) and other diagnosis and treatment data.

Official Title
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Long Term Clinical Outcome of Single Open Door Laminoplasty With Preservation of Unilateral Muscular Ligament Complex

Conditions
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Cervical Myelopathy

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18-70, gender unlimited; The patient was diagnosed with cervical spondylosis and met the indications of posterior cervical laminoplasty; Basis of serious diseases of heart, brain, lung, kidney or other important organs, preoperative ASA score I-II; Agree to participate in the study and sign the informed consent； Exclusion Criteria: Preoperative ASA score ≥III; One-stage combined anterior and posterior surgery of cervical spine; Correction of cervical deformity; Patients with gastric emptied disorders (such as gastroesophageal reflux, chronic history of aspiration, delayed gastric emptied), complete obstruction of the digestive tract, and inability to use enteral preparations; Patients with high risk conditions, such as severe cardio-renal insufficiency, affecting the safety evaluation of the trial; People with mental disorders, alcohol dependence or drug abuse history; women in the period of lactation and pregnancy; People with allergic constitution or previous allergies to a variety of drugs; Other researchers consider it inappropriate to participate in this study

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ERAS group<br>patients received posterior cervical open-door laminoplasty under ERAS mode | |
| Conventional group<br>patients received posterior cervical open-door laminoplasty under routine perioperative management mode | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mJOA | Modified Japanese Orthopaedic Association score | 2 years after operation | 
| neck and shoulder VAS | neck and shoulder visual analogue score | 2 years after operation | 
| NDI | neck disability index | 2 years after operation | 
| AS | axial syndrome | 2 years after operation | 
| C5 palsy | C5 palsy after operation | 2 years after operation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Open Door Laminoplasty, Preservation of Unilateral Muscular Ligament Complex