Best of the AANS Session-Discussant Early Results From The Multi-Center Prospective, Randomized CSM-S Study Overall Quality Of Life Improvement, Complications, And Heath Resource Utilization

Discussant Early Results From The Multi-Center Prospective, Randomized CSM-S Study Overall Quality Of Life Improvement, Complications, And Heath Resource Utilization

Video Transcription

Video Summary

In this video, the commentator discusses a study that uses an equipoise factor to determine the suitability of participants. The study's primary outcome was SF36 PCS score at one year, and other outcomes included NDI, EQ5, MJOA complications, return to work, and health resource utilization. The preoperative demographics were comparable between the groups, who all had moderate myelopathy. The results showed no significant difference in SF36 PCS scores between ventral and dorsal surgery groups. However, when analyzed as treated, laminoplasty had a statistically superior PCS score compared to fusion groups. The study did not provide data on neck pain or MJOA improvement. Another study found no significant difference in SF PCS scores or complication rates between laminoplasty and dorsal fusion. Comparing the current study to a previous one, laminoplasty was approximately 50% cheaper than dorsal fusion. The study had limitations, including a potential selection bias due to only five surgeons performing laminoplasty. Nonetheless, the study's unique methodology and focus on the value of laminoplasty make it important for future research.

Keywords

equipoise factor

SF36 PCS score

laminoplasty

fusion groups

selection bias