Clinical and radiographic outcome of unilateral open-door laminoplasty with alternative levels centerpiece mini-plate fixation for cervical compressive myelopathy: a five-year follow-up study

2016 ◽  
Vol 40 (6) ◽  
pp. 1267-1274 ◽  
Author(s):  
Lin-nan Wang ◽  
Lei Wang ◽  
Yue-ming Song ◽  
Xi Yang ◽  
Li-min Liu ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Open Door ◽  
Radiographic Outcome ◽  
Follow Up Study ◽  
Cervical Compressive Myelopathy ◽  
Compressive Myelopathy ◽  
Mini Plate

scholarly journals Myofacial Release for the Management of Cervical Compressive Myelopathy – Case Study

2021 ◽  
Vol 1 (2) ◽  
pp. 1-5
Author(s):  
Patitapaban Mohanty ◽  
Keyword(s):  
Soft Tissue ◽  
Disc Herniation ◽  
Cord Compression ◽  
Surgical Decompression ◽  
Cervical Cord ◽  
Myofascial Release ◽  
Cervical Compressive Myelopathy ◽  
Compressive Myelopathy

Cervical compressive myelopathy commonly occurs due to degeneration or disc herniation. The persons with cervical meylopathy are usually advised for surgical decompression. Person with signs of cervical cord compression was treated with myofacial release and found to be improved in signs as well as the symptoms. Total 34 numbers of similar cases (31 males and 3 females) age ranging from 25 to 61 years were treated by myofascial release of periscapular soft tissue structures over last 2 & ½ years (2017 to 2020) and found to return back to their activities after 6 months of follow up.

Arthroscopy Mini-plate Fixation with the Posterior Trans-septal Portal for Treating Posterior Cruciate Ligament Tibial Avulsion Fractures

2020 ◽  
Author(s):  
Chunlei Wang ◽  
Haisen Zhang ◽  
Longjie Li ◽  
Si Chen ◽  
Chang Liu
Keyword(s):  
Posterior Cruciate Ligament ◽  
Plate Fixation ◽  
Cruciate Ligament ◽  
International Knee Documentation Committee ◽  
Fracture Site ◽  
Avulsion Fractures ◽  
Conventional Open Surgery ◽  
Mini Plate ◽  
Pcl Avulsion

Abstract Background Posterior cruciate ligament (PCL) avulsion fractures are rare and difficult to treat. The present work aimed to examine the effect of an innovative arthroscopy method for the treatment of PCL tibial avulsion fractures using mini-plate reduction and fixation through two tibial tunnels and the posterior trans-septal portal.Methods Totally 19 patients (median age, 33 years; range, 23–43 years) with PCL tibial avulsion fractures who underwent treatment with an arthroscopic suture bridge method were retrospectively assessed. Knee function pre-operation and at last follow up was assessed via Lysholm and Tegner scores. A KT-2000 arthrometer was employed for determining knee stability, the range of motion (ROM), and side-to-side differences. Plain radiography and International Knee Documentation Committee (IKDC) exams were performed for patient evaluation.Results No patient was switched to conventional open surgery due to difficult intraoperative procedures. Mean post-surgical Lysholm and Tegner scores (P < 0.001) were significantly improved in comparison with presurgical values. KT-2000 examination revealed markedly reduced side-to-side differences at last follow-up than observed preoperatively (1.2 ± 0.6 VS. 9.3 ± 2.2; P < 0.001). Radiography at the final follow up revealed solid union at the fracture site in the totality of 19 cases.Conclusions This new arthroscopy mini-plate fixation and posterior trans-septal method for posterior cruciate ligament tibial avulsion fractures resulted in good clinico-radiological outcomes, with adequate stability and fracture site healing. It could be employed to repair avulsion fragments of various sizes.Level of evidence IV

Comparative Effectiveness of Open-Door Laminoplasty Versus French-Door Laminoplasty in Cervical Compressive Myelopathy

Spine ◽  
2014 ◽  
Vol 39 (8) ◽  
pp. 642-647 ◽  
Author(s):  
Hiroaki Nakashima ◽  
Fumihiko Kato ◽  
Yasutsugu Yukawa ◽  
Shiro Imagama ◽  
Keigo Ito ◽  
...  
Keyword(s):  
Comparative Effectiveness ◽  
Open Door ◽  
Cervical Compressive Myelopathy ◽  
Compressive Myelopathy

scholarly journals Follow-up Study of Fractures of the Scapula Treated by Plate Fixation.

1996 ◽  
Vol 45 (2) ◽  
pp. 553-557
Author(s):  
Takafumi Torigoshi ◽  
Nobuyuki Ito ◽  
Masao Eto ◽  
Takashi Tomonaga ◽  
Shinichi Harada ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Follow Up Study

scholarly journals Role of Decompressive Laminectomy without Instrumentation in the Management of Nurick Grade 4 and 5 Cervical Compressive Myelopathy

2019 ◽  
Vol 10 (01) ◽  
pp. 21-27 ◽  
Author(s):  
Sunil Malagi ◽  
Subhas Konar ◽  
Dhaval P. Shukla ◽  
Dhananjaya I. Bhat ◽  
Nishanth Sadashiva ◽  
...  
Keyword(s):  
Posterior Longitudinal Ligament ◽  
Female Ratio ◽  
Decompressive Laminectomy ◽  
Japanese Orthopedic Association ◽  
Poor Grade ◽  
Cervical Compressive Myelopathy ◽  
The Mean ◽  
Ossified Posterior Longitudinal Ligament ◽  
Compressive Myelopathy

ABSTRACT Introduction: Cervical laminectomy is a very well-known posterior decompressive procedure for cervical compressive myelopathy (CCM). Our objective is to evaluate the functional effect of posterior decompressive laminectomy for poor grade CCM. Methods: This study was an observational retrospective study carried out on patients with poor-grade CCM who underwent decompressive laminectomy from January 2010 to December 2015. Patients with Nurick Grades 4 and 5 (walking with support or bedbound) were included in the study. Clinical data and radiological information were collected from medical records, and objective scales were applied to compare the surgical outcome between preoperative score and postoperative score. Results: A total of 69 patients who underwent decompressive laminectomy for poor grade CCM were included. The mean age was 54.9 years, and the male-to-female ratio was 5.3:1. Ossified posterior longitudinal ligament comprised 52.6% cases. The follow-up data of at least 6 months' duration after surgery was available for 57 (82.6%) cases. On comparing with preoperative Nurick grade at follow-up, 40 of the 57 patients (70.2%) were found to have improvement following surgery by at least one grade. The remaining 17 (29.8%) had either remained the same or had deteriorated further. The mean preoperative modified Japanese Orthopedic Association score was 8.4 ± 2.8, and the mean follow-up score was 11.8±0.3 (P = 0.0001). On multivariate analysis, the number of levels of laminectomy, postoperative deterioration, and anesthesia grade were predictors of outcome. Conclusion: Decompressive laminectomy for poor grade myelopathy is effective in improving functional outcome.

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