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Table 2 Comparisons for DCM

From: Surgical decision-making for ossification of the posterior longitudinal ligament versus other types of degenerative cervical myelopathy: anterior versus posterior approaches

Reference

Type of study

No. of patients

Parameters measured

Key findings

Audat et al. 2018 (ref # [7])

Retrospective clinical study

287

Pre-operative and post-operative mean ± standard deviation for NDI

Anterior approach appeared to be superior based on the clinical outcomes

Zaveri et al. 2019 (ref # [8])

Non-randomised clinical study

75

Recovery rates of mild, moderate and severe CSM based on mJOA scores

Patient outcome mainly determined by clinical severity on presentation

Recovery rates were comparable regardless of the approach within the same category of severity at presentation

Fehlings et al. 2013 (ref # [37])

Prospective observational study

278

NDI pre and post-operatively at 12 months

No significant differences between anterior vs posterior approach for NDI improvement

Luo et al. 2015 (ref # [38])

Meta-analysis and systematic review

467

Pre-operative and post-operative JOA scores recovery rate

No statistical difference in recovery rate between anterior and posterior approaches

Liu et al. 2011 (ref # [4]0)

Non-randomized controlled trial

52

JOA scores, recovery rate, range of motion

No differences between ACDF vs laminoplasty for JOA score and recovery rate

Range of motion reduced in ACDF vs laminoplasty

Xu et al. (ref # [39])

Meta-analysis

379

JOA score, recovery rate

No differences between ACDF and laminoplasty

  1. ACDF Anterior cervical discectomy and fusion, CSM Cervical spondylotic myelopathy, DCM Degenerative cervical myelopathy, mJOA Modified Japanese Orthopaedic Association, NDI Neck disability index