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    A Meta-Analysis of Cervical Laminoplasty Techniques: Are Mini-Plates Superior?

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    Author
    Humadi, A; Chao, T; Dawood, S; Tacey, M; Barmare, A; Freeman, B
    Date
    2017-06-01
    Source Title
    Global Spine Journal
    Publisher
    SAGE PUBLICATIONS LTD
    University of Melbourne Author/s
    Tacey, Mark
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Humadi, A., Chao, T., Dawood, S., Tacey, M., Barmare, A. & Freeman, B. (2017). A Meta-Analysis of Cervical Laminoplasty Techniques: Are Mini-Plates Superior?. GLOBAL SPINE JOURNAL, 7 (4), pp.373-381. https://doi.org/10.1177/2192568217701721.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/256558
    DOI
    10.1177/2192568217701721
    Abstract
    STUDY DESIGN: Meta-analysis and systematic review of literature. OBJECTIVE: In the late 1990s, spinal surgeons experimented by using maxillofacial fixation plates as an alternative to sutures, anchors, and local spinous process autografts to provide a more rigid and lasting fixation for laminoplasty. This eventually led to the advent of laminoplasty mini-plates, which are currently used. The objective is to compare laminoplasty techniques with plate and without plate with regard to functional outcome results. METHODS: Qualitative and quantitative analyses were performed to evaluate the currently available studies in an attempt to justify the use of a plate in laminoplasty. RESULTS: The principal finding of this study was that there was no statistically significant difference in clinical outcome between the 2 different techniques of laminoplasty. CONCLUSION: There is not enough evidence in the literature to support one technique over the other, and hence, there is no evidence to support change in practice (using or not using the plate in laminoplasty). A randomized controlled trial will give a better comparison between the 2 groups.

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