Clinical and radiographic outcomes following hinge fracture during open-door cervical laminoplasty

2017 ◽  
Vol 43 ◽  
pp. 72-76 ◽  
Author(s):  
Dong-Ho Lee ◽  
Hyoungmin Kim ◽  
Choon Sung Lee ◽  
Chang-Ju Hwang ◽  
Jae-Hwan Cho ◽  
...  
2014 ◽  
Vol 11 (2) ◽  
pp. 45 ◽  
Author(s):  
Sung Hoon Cho ◽  
Jung Hwan Lee ◽  
Chung Kee Chough ◽  
Won Il Joo ◽  
Hae Kwan Park ◽  
...  

2021 ◽  
pp. 155335062098465
Author(s):  
Dong-Lai Wang ◽  
Guo-Qing Zhu ◽  
An-Quan Huang ◽  
Hong Zhang ◽  
Chuan Feng ◽  
...  

Objectives. In this study, we performed a novel type of posterior en bloc elevation cervical laminoplasty (PEEL) to keep the integrity of the posterior structure, aiming to reduce axial symptoms complicated by a conventional cervical laminoplasty procedure. Methods. Twelve human cervical cadaveric spines (C2-T1) were sequentially tested in the following order: intact condition, open-door laminoplasty (ODL) through bilateral intermuscular approach (mini-invasive ODL), PEEL, and laminectomy (LN). After bilateral transecting at the junction of lamina and lateral mass through the tubular retraction system, the PEEL procedure symmetrically elevated all the posterior structure which was further stabilized with bone grafts and titanium plates. Computed tomography (CT) scan and biomechanical testing were performed after each condition. Results. Both mini-invasive ODL and PEEL procedures were accomplished with 2 small incisions on each side. Two types of laminoplasties could enlarge the spinal canal significantly both in cross-sectional area and anteroposterior diameter comparing with intact condition. The PEEL procedure demonstrated a significantly higher enlargement rate on a canal area and a symmetrical expansion pattern. Compared with intact condition, mini-invasive ODL performed from C3-C7 demonstrated significantly decreased motion in all testing directions except the flexion range of motion (ROM); the PEEL procedure showed mild and insignificant decrease on ROM in all directions. Laminectomy resulted in a statistically significant increase in all directions except the lateral bending ROM. Conclusions. Posterior en bloc elevation cervical laminoplasty can enlarge the canal more effectively and preserve better ROM after operation than the ODL procedure. Although technically challenging, the PEEL procedure probably would decrease the common complications associated with ODL laminoplasty.


Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-154-S1-159 ◽  
Author(s):  
Elizabeth Vitarbo ◽  
Rishi N. Sheth ◽  
Allan D. Levi

Abstract OPEN-DOOR EXPANSILE laminoplasty is a practical surgical technique for the treatment of cervical myelopathy secondary to cervical spinal stenosis. Laminoplasty procedures were first described in the late 1970s and have undergone numerous modifications. The current article reviews the indications, techniques, and outcome data for cervical laminoplasty. Complications of laminoplasty and comparison to laminectomy outcomes are also discussed.


2005 ◽  
Vol 63 (6) ◽  
pp. 505-510 ◽  
Author(s):  
Juan Uribe ◽  
Barth A. Green ◽  
Steven Vanni ◽  
Kapil Moza ◽  
James D. Guest ◽  
...  

2014 ◽  
Vol 48 (6) ◽  
pp. 582 ◽  
Author(s):  
Hui-Lin Yang ◽  
Jun Qian ◽  
Zheng-Fei Wang ◽  
Guang-Dong Chen ◽  
Feng Xue ◽  
...  

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582821-s-0036-1582821
Author(s):  
Gabriel Liu ◽  
Ma. Ramona Reyes ◽  
K. Daniel Riew

Spine ◽  
2014 ◽  
Vol 39 (9) ◽  
pp. 721-727 ◽  
Author(s):  
Masayuki Ohashi ◽  
Akiyoshi Yamazaki ◽  
Kei Watanabe ◽  
Keiichi Katsumi ◽  
Hirokazu Shoji

2009 ◽  
Vol 9 (10) ◽  
pp. 161S
Author(s):  
Gabriel Liu ◽  
Jacob Buchowski ◽  
K. Daniel Riew

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