{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T13:35:21Z","timestamp":1780925721854,"version":"3.54.1"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Degenerative cervical myelopathy (DCM) is a common cause of spinal cord dysfunction. The effectiveness of laminoplasty (LP) versus laminectomy with fusion (LF) for treating DCM is still debated. Here, we compared LP versus LF for treating DCM using propensity score matching (PSM) to minimize selection bias.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>We identified DCM patients undergoing LP versus LF (2004\u20132022). Our analysis included demographics, preoperative\/postoperative modified Japanese orthopedic association (mJOA) scoring, Visual Analog Scale (VAS) scores, assessment of postoperative cervical lordosis, operative time, blood loss, length of stay (LOS), and adverse events. PSM was performed to create balanced groups and minimize selection bias. Paired t-tests and Chi-square tests were used for statistical analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>After PSM, 55 patients in each group were analyzed. LP patients had significantly shorter operative times and LOS, but VAS scores were significantly better for the LF group. Notably, both groups showed similar improvements in mJOA scores, frequency of intraoperative\/postoperative adverse events, and reoperation rates. Although changes in cervical lordosis were significantly different between the groups, both groups showed comparable final lordotic curvatures.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>LP procedures resulted in significantly shorter operative times and LOS, but VAS scores were correlated with significantly better outcomes in the LF group. Notably, both LP and LF patients demonstrated similar improvement in mJOA scores, frequencies of intraoperative\/postoperative adverse events, and reoperation rates.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_299_2025","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T06:43:00Z","timestamp":1749192180000},"page":"220","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Cervical laminectomy and fusion versus laminoplasty in degenerative cervical myelopathy: A propensity score matching analysis"],"prefix":"10.25259","volume":"16","author":[{"given":"Hannon W.","family":"Levy","sequence":"first","affiliation":[{"name":"School of Medicine and Health Sciences, The George Washington University School of Medicine and Health Sciences, Washington, D.C., United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bennett R.","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, New York University School of Medicine, Langone Hospital, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.R.","family":"Soliman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"},{"name":"Department of Neurosurgery, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esteban","family":"Quiceno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob David","family":"Greisman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asham","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Bautista","family":"Amiotti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Pollina","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey P.","family":"Mullin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"10.25259\/SNI_299_2025\/ref-1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1186\/s12891-020-03435-7","article-title":"Is laminectomy and fusion the better choice than laminoplasty for multilevel cervical myelopathy with signal changes on magnetic resonance imaging? A comparison of two posterior surgeries","volume":"21","author":"He","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.25259\/SNI_299_2025\/ref-2","doi-asserted-by":"crossref","first-page":"508","DOI":"10.3171\/2017.4.SPINE16831","article-title":"Laminoplasty versus laminectomy with posterior spinal fusion for multilevel cervical spondylotic myelopathy: Influence of cervical alignment on outcomes","volume":"27","author":"Lau","year":"2017","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_299_2025\/ref-3","doi-asserted-by":"crossref","first-page":"589","DOI":"10.3171\/2014.10.SPINE1498","article-title":"Laminoplasty versus laminectomy and fusion for multilevel cervical myelopathy: A meta-analysis of clinical and radiological outcomes","volume":"22","author":"Lee","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_299_2025\/ref-4","doi-asserted-by":"crossref","first-page":"e11542","DOI":"10.1097\/MD.0000000000011542","article-title":"Comparison of laminoplasty versus laminectomy and fusion in the treatment of multilevel cervical ossification of the posterior longitudinal ligament: A systematic review and meta-analysis","volume":"97","author":"Ma","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"10.25259\/SNI_299_2025\/ref-5","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s00586-016-4671-5","article-title":"Laminectomy and fusion vs laminoplasty for multi-level cervical myelopathy: A systematic review and meta-analysis","volume":"26","author":"Phan","year":"2017","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_299_2025\/ref-6","doi-asserted-by":"crossref","first-page":"671","DOI":"10.3171\/2023.6.SPINE23345","article-title":"Cervical laminoplasty versus laminectomy and posterior cervical fusion for cervical myelopathy: Propensity-matched analysis of 24-month outcomes from the quality outcomes database","volume":"39","author":"Yang","year":"2023","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_299_2025\/ref-7","doi-asserted-by":"crossref","first-page":"e14971","DOI":"10.1097\/MD.0000000000014971","article-title":"Comparison of laminectomy and fusion vs laminoplasty in the treatment of multilevel cervical spondylotic myelopathy: A meta-analysis","volume":"98","author":"Yuan","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.25259\/SNI_299_2025\/ref-8","doi-asserted-by":"crossref","first-page":"790593","DOI":"10.3389\/fsurg.2021.790593","article-title":"Comparison of laminoplasty vs. Laminectomy for cervical spondylotic myelopathy: A systematic review and meta-analysis","volume":"8","author":"Zhao","year":"2021","journal-title":"Front Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cervical-laminectomy-and-fusion-versus-laminoplasty-in-degenerative-cervical-myelopathy-a-propensity-score-matching-analysis\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-laminectomy-and-fusion-versus-laminoplasty-in-degenerative-cervical-myelopathy-a-propensity-score-matching-analysis\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T06:43:02Z","timestamp":1749192182000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-laminectomy-and-fusion-versus-laminoplasty-in-degenerative-cervical-myelopathy-a-propensity-score-matching-analysis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,6]]},"references-count":8,"alternative-id":["10.25259\/SNI_299_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_299_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6,6]]},"article-number":"220"}}