Table 1.
Characteristics of Studies Included in Second Surgery Analysis.
Study | Study Design | Inclusion Criteria | Exclusion Criteria | Sponsor | Definition of Second Surgery | Arm | Sample Size | Technical Details | Age (mean and standard deviation unless otherwise stated) | Sex | NDI reported |
---|---|---|---|---|---|---|---|---|---|---|---|
NCT00578812 Phillips et al 41 | RCT | Single level degenerative disc disease with radiculopathy or myelopathy only affecting either levels C3-4 or C7-T1 | Trauma, prior fusion, 2 or more levels affected, tumor, osteoporosis, daily insulin, etc. | NuVasive | Any revision, removal, reoperation, or supplemental fixation | ACDF | 265 | Single level ACDF with allograft and plate | 43.9 range 22-73 | 46.0% male | Yes |
ADR | 276 | PCM Cervical Disc | 43.3 range 25-72 | 46.4% male | Yes | ||||||
ISRCTN44347115 Macdowall et al 42 | RCT | Patient 25-60yo with cervical radiculopathy (arm pain) for at least 3 months and correlating MRI findings in 1 or 2 levels | Previous surgery, >2 levels requiring treatment, severe facet arthropathy, myelopathy, etc. | Stockholm County Council, DePuy Synthes Spine, Uppsala County Council, Swedish Society of Spinal Surgeons | Not stated | ACDF | 70 | ACDF with autogenous iliac crest graft and plate | 47.0 ± 6.9 | 47.1% male | Yes |
ADR | 81 | Discover ADR | 46.7 ± 6.7 | 50.6% male | Yes | ||||||
Lin et al. 2015 43 | Retrospective cohort | Adult patients undergoing ACDF or laminoplasty diagnosed with multiple level cervical degenerative disease. From 2001 to 2011, query of Taiwan National Health Insurance Research Database (NHIRD), using diagnostic codes. Large national database including 99% of population according to paper. |
Single level disease, tumor, any who had both procedures. | Not reported | Defined as another ACDF or laminoplasty within 1 year (short term) or more than 1 year (long term) after the index | ACDF | 6605 | Not reported | 55.17 ± 14.18 | 65.42% male | No |
Laminoplasty | 1578 | Not reported | 59.01 ± 14.05 | 66.29% male | No | ||||||
Park et al. 201644,45 | Retrospective cohort | CSM or radiculopathy diagnoses treated with ACDF, corpectomy, posterior fusion, laminoplasty. Performed using diagnostic code search on national level HIRA database. | Trauma, tumor, infectious spondylitis, inflammatory spondylitis of gout, rheumatoid arthritis, ankylosing spondylitis, ossification of posterior longitudinal ligament | Hallym University Research Fund 2014 (HURF-2014-28) | Any cervical reoperation excluding third and subsequent reoperation events | ACDF | 8143 | Not reported | 51.44 ± 10.80 (all intervenions reported together) | 61.29% male | No |
Laminoplasty | 391 | Not reported | No | ||||||||
Laminectomy and Fusion | 537 | Not reported | No | ||||||||
Puvanesarajah 2017 46 | Retrospective Cohort | ICD-9 diagnostic code database query for cervical spondylosis with myelopathy, subsequent query for surgical interventions of interest. Utilized fee-for-service patient database, PearlDiver Patient Records Database, which contains records for Medicare beneficiaries from 2005 to 2012. | Combined anterior posterior, revision, OC fusion, trauma, tumor, etc | No funding received | Revision surgery codes were searched in database including implant removal, revision fusion, incision and drainage, exploration, and hardware removal. | ACDF | 34 867 | 1 to 2 level ACDF | Not reported | 48.2% male (<65 years) 52.6% male (65-84 years) |
No |
Laminectomy and Fusion | 16 167 | Not reported | Not reported | 57.8% 1-2 level PCF <65yrs 59.7% 1-2 PCF 65-84yrs 57.7% >3 level PCF <65yrs 56% >3 level PCF 65-84yrs |
No | ||||||
Hashimoto et al. 2018 47 | Prospective cohort | Cervical myelopathy with radiographic compression between C2-C7, data source from national-level registry focusing on Miyagi prefecture in Japan since 1988. | Not stated | No funding | Analysis only included reoperation for ‘neurological complications.’ Though analyzed, Kaplan-Meier curve excluded revision for surgical site infection | Laminoplasty | 4208 | Midline splitting (French door) laminoplasty using hydroxyapatite spacer in split laminae and cross-multiplied non-absorbable threads are used to stabilize the laminae | 62 ± 11 | 68.75% male | No |
Nakashima et al. 2020 49 | Retrospective case series | Adults with clinical myelopathy with either CSM or OPLL on MRI or CT, all who underwent laminoplasty. Unspecified surgical database searched from 2003-2016. | Revision, infection, tumor, or trauma | Nagoya Spine Group research funds | Surgeries for late-onset myelopathy, paralysis, or severe radicular pain (6 months after laminoplasty) Reoperation for infection, epidural hematoma, or C5 palsy conducted immediately after surgery (<6 months after surgery) |
Laminoplasty | 623 | Open door laminoplasty with gap bridged by local or artificial bone strut | Not reported | Not reported | No |