Outcomes of cervical laminoplasty-Population-level analysis of a national longitudinal database. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Veeravagu, A., Azad, T. D., Zhang, M., Li, A., Pendharkar, A. V., Ratliff, J. K., Shuer, L. M. 2017

Abstract

Cervical laminoplasty is an important alternative to laminectomy in decompressing of the cervical spine. Further evidence to assess the utility of laminoplasty is required. We examine outcomes of cervical laminoplasty via a population level analysis in the United States.We performed a population-level analysis using the national MarketScan longitudinal database to analyze outcomes and costs of cervical laminoplasty between 2007 and 2014. Outcomes included postoperative complications, revision rates, and functional outcomes.Using a national administrative database, we identified 2613 patients (65.6% male, mean 58.5?years) who underwent cervical laminoplasty. Mean length of stay was 3.1?±?2.8?days and mean follow-up was 795.5?±?670.6?days. The overall complication rate was 22.5% (N?=?587), 30-day readmission rate was 7.5% (N?=?195), and mortality rate was 0.08% (N?=?2, elderly patients only). The complication rate was significantly increased in elderly patients (age >65?years) compared to non-elderly patients (OR 0.751, p?

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