9 doctors weighed in:

Im a 53 yo female diagnosed with c-spine myelopathy. One surgeon is recommending ACDF and another is recommending laminaplasty. Which is best?

9 doctors weighed in
Dr. Joseph Watson
Neurosurgery
8 doctors agree

In brief: Pros and cons

Both procedures are good for treating your primary problem by giving the spinal cord more room. The pros and cons differ. First the ACDF is a fusion and you will loose the movement at the fused disc level and is the most common procedure performed.
The laminaplasty (or a simple laminectomy) will free the spinal cord without a fusion.

In brief: Pros and cons

Both procedures are good for treating your primary problem by giving the spinal cord more room. The pros and cons differ. First the ACDF is a fusion and you will loose the movement at the fused disc level and is the most common procedure performed.
The laminaplasty (or a simple laminectomy) will free the spinal cord without a fusion.
Thank
1 comment
Dr. Sean Kearney
Recommend ACDF if you have degenerative changes at the level of concern, which is often the case. Although preserving motion often sounds like the best option, fusion usually results in less pain/myelopathy symptoms and negligible loss of motion if single level.
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