Abstract
Introduction
There are many options to decompress the cervical spine on posterior way, the open door laminoplasty is an effective procedure to get the goal in multilevel disease; however, the muscular injury is a big problem in traditional surgery, the minimally invasive procedures can achieve optimal decompression without muscle injury with less pain and improvement in short time.
Patients and Methods
We present a study with 20 patients, 10 of them underwent traditional open door laminoplasty and the other patients underwent minimally invasive uniportal multilevel minimally invasive decompression. We use VAS, neck disability index, and Nurick clinical scale with follow-up of 12 months.
Results
On laminoplasty, VAS pre-op mean was 8 and 5 on 12 months; for MIS decompression VAS pre-op mean was 9 and 2 on 12 months. Neck disability index on the first group was mean 19 pre-op and 15 post-op 12 months and MIS group was 20 pre-op and 10 post-op 12 months. The Nurick clinical scale on laminoplasty and patients with MIS show improvement of one level on both groups. The surgical time, blood loss, hospital discharge, and return to daily activities shows superiority on MIS group.
Conclusion
Our conclusions about the minimally invasive procedures can achieve the similar results than traditional procedures without muscular injury and let a better time to recovery and return to daily activities.