Original Article

RELATION BETWEEN CERVICAL SAGITTAL ALIGNMENT AND SURGICAL OUTCOME FOR LAMINECTOMY AND POSTERIOR FUSION OPERATIONS

  • Serkan ŞİMŞEK
  • Uygur ER
  • Kazım YİĞİTKANLI

Received Date: 09.10.2016 Accepted Date: 17.11.2016 J Turk Spinal Surg 2017;28(1):15-20

Cervical sagittal balance and alignment have received increased awareness as important factors of radiological and clinical outcomes. The goal of this study is to evaluate preoperative and postoperative alterations in cervical sagittal plane situations and correlation between these changings and surgical outcome in patients undergo laminectomy and fusion for some cervical pathologies. In this retrospectively designed study 44 men and 6 women with some degree cervical stenosis at various cervical levels were included. The mean value of the preoperative and postoperative mJOA scores of the patients were 7.76 and 12.96 respectively. Cervical lordosis angle (CLA) changing was statistically significant after operations. But, C2-7SVA changing was not statistically significant. The contribution of cervical sagittal balance and alignment should be considered in evaluating surgical outcomes for patients undergoing cervical posterior decompression and instrumented fusion.

Keywords: Laminectomy and fusion, cervical sagittal parameters, surgical outcome