Comparison of Range of Motion Outcomes in Patients Undergoing Open-Door Laminoplasty or Posterior Cervical Fusion Surgery for Cervical Spondylotic Myelopathy

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dc.contributor.authorOzdemir, Burak
dc.contributor.authorTuncer, Cengiz
dc.contributor.authorAydin, Levent
dc.contributor.authorAltas, Kadir
dc.contributor.authorBasaran, Recep
dc.contributor.authorMusluman, Ahmet Murat
dc.date.accessioned2026-07-01T11:39:29Z
dc.date.available2026-07-01T11:39:29Z
dc.date.issued2025
dc.departmentDüzce Üniversitesi
dc.description.abstractAim: This study aimed to compare neurological and functional outcomes, including cervical range of motion (ROM), inApatients with cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) who underwent either open-door laminoplasty (LP) or posterior cervical fusion (PCF) surgery. Material and Methods: This retrospective, single-center study included 38 patients, 11 female and 27 male, diagnosed with CSM and OPLL who underwent LP (n=20) or PCF (n=18) between 2014 and 2016. AClinical outcomes were assessed using the Japanese Orthopedic Association (JOA), visual analog scale (VAS), and Nurick scores. Cervical ROM values, including flexion, Aextension, lateral flexion, and rotation, were measured preoperatively and six months postoperatively in collaboration with physical therapy specialists. Results: Both LP and PCF groups showed significant postoperative improvement in JOA, VAS, and Nurick scores (all p<0.001), Awith no significant differences between groups (p=0.405, p=0.708, and p=0.963, respectively). Cervical ROM values significantly decreased in all directions postoperatively in both groups. Flexion (p<0.001), Aleft lateral flexion (p=0.007), and left rotation (p=0.003) Adeclined more severely in the PCF group, whereas the difference between groups did not reach statistical significance level in extension (p=0.105), right lateral flexion (p=0.065), and right rotation (p=0.067). Conclusion: LP and PCF offer similar neurological recovery inApatients with CSM. However, LP better preserves postoperative cervical ROM. Despite the observed ROM reduction, daily functional activities remained largely unaffected. Long-term, larger studies are recommended for further validate these findings.
dc.identifier.doi10.18678/dtfd.1702066
dc.identifier.endpage273
dc.identifier.issn1307-671X
dc.identifier.issue3
dc.identifier.scopus2-s2.0-105028264084
dc.identifier.scopusqualityN/A
dc.identifier.startpage266
dc.identifier.trdizinid1370037
dc.identifier.urihttps://doi.org/10.18678/dtfd.1702066
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1370037
dc.identifier.urihttps://hdl.handle.net/20.500.12684/23323
dc.identifier.volume27
dc.identifier.wosWOS:001667451200005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherDuzce Univ, Fac Medicine
dc.relation.ispartofDuzce Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260623
dc.subjectCervical Spondylotic Myelopathy
dc.subjectLateral Mass
dc.subjectLaminoplasty
dc.subjectRange Of Motion
dc.titleComparison of Range of Motion Outcomes in Patients Undergoing Open-Door Laminoplasty or Posterior Cervical Fusion Surgery for Cervical Spondylotic Myelopathy
dc.typeArticle

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