Updates in Laminoplasty Techniques for Treatment of Multilevel Cervical Stenosis = الجديد في تقنيات إصلاح الصفيحة العظمية لمعالجة ضيق القناة الشوكية العنقية المتعدد المستويات

2017 ◽  
Vol 46 (4) ◽  
pp. 879-891
Author(s):  
Mohammed Hosam Eldin Abo Shahba ◽  
Hedaya Mohamed Hendam ◽  
Ahmed Mohamed Taha
Keyword(s):  
Cervical Stenosis ◽  
Multilevel Cervical Stenosis

Multiple cervical arcocristectomies for the treatment of cervical spondylotic myelopathy: surgical technique and results

2007 ◽  
Vol 7 (5) ◽  
pp. 503-508 ◽  
Author(s):  
Sergio H. Amaral ◽  
Marcelo N. Silva ◽  
Mauricio Giraldi ◽  
Marcelo B. S. Viterbo ◽  
Clemente A. B. Pereira
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Cervical Spondylotic Myelopathy ◽  
Posterior Approach ◽  
Cervical Stenosis ◽  
Surgical Time ◽  
Multilevel Cervical Stenosis

Object In the surgical treatment of cervical spondylotic myelopathy, a posterior approach is recommended for patients with multilevel cervical stenosis. In this article the authors describe the multiple cervical arcocristectomy technique and results. Methods This surgical technique involves the removal of the upper half of the cervical laminae and was performed in 17 patients between 1997 and 2005 with a mean follow-up of 55 months. Results Sixteen patients showed immediate improvement in myelopathic symptoms, and all of them had long-term improvement with no complications and a relatively short surgical time. Conclusions Multiple cervical arcocristectomy is a surgical technique that offers physiological and biomechanical advantages in the treatment of the spondylotic myelopathy.

Trends in the Treatment of Single and Multilevel Cervical Stenosis

2017 ◽  
Vol 99A (18) ◽  
pp. e99(1)-e99(7) ◽  
Author(s):  
Alfredo Arrojas ◽  
Benjamin J. Jackson ◽  
Gregory Grabowski
Keyword(s):  
Cervical Stenosis ◽  
Multilevel Cervical Stenosis

DORSAL SURGERY FOR MYELOPATHY AND MYELORADICULOPATHY

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-71-S1-81 ◽  
Author(s):  
Gregory C. Wiggins ◽  
Christopher I. Shaffrey
Keyword(s):  
Cervical Spine ◽  
Cervical Myelopathy ◽  
Patient Population ◽  
Preoperative Evaluation ◽  
Surgical Approaches ◽  
Cervical Stenosis ◽  
Traditional Technique ◽  
Salient Features ◽  
Multilevel Cervical Stenosis

Abstract OBJECTIVE To review the dorsal approaches to the cervical spine for myelopathy and myeloradiculopathy. METHODS The literature was reviewed in reference to dorsal approaches for cervical myelopathy and myeloradiculopathy. RESULTS There are a variety of surgical approaches in the management of cervical myelopathy and myeloradiculopathy. Deciding which is the best method for any individual requires the surgeon to be aware of the advantages of each technique, as well as the complications and limitations of each approach. CONCLUSION Laminectomy is the traditional technique used for multilevel cervical stenosis. The complications related to laminectomy, such as late neurological decline, kyphosis, instability, and postoperative radiculopathy, led to laminectomy with fusion. In Japan, dissatisfaction with both laminectomy and laminectomy with fusion led to the development of laminoplasty for dorsal treatment of multilevel cervical stenosis. This article highlights the salient features of preoperative evaluation in this patient population as it pertains to dorsal surgical approaches. Additionally, the techniques of laminectomy, laminectomy with fusion, and laminoplasty are compared, and the results are reviewed.

scholarly journals Bilateral osteoplastic decompression laminoplasty with simultaneous foraminotomy to treat multilevel cervical stenosis

2021 ◽  
Vol 18 (2) ◽  
pp. 54-63
Author(s):  
A. A. Sufianov ◽  
D. N. Nabiev ◽  
I. V. Kalinin ◽  
R. A. Sufianov ◽  
A. G. Shapkin ◽  
...  
Keyword(s):  
Spinal Canal ◽  
Average Length ◽  
Intraoperative Complications ◽  
Statistical Significance ◽  
Objective Assessment ◽  
Pain Syndrome ◽  
Radicular Pain ◽  
Cervical Stenosis ◽  
Dural Sac ◽  
Multilevel Cervical Stenosis

Objective. To analyze surgical technique and possibilities of using bilateral laminoplasty technique with simultaneous foraminotomy for extended stenosis of the cervical spine.Material and Methods. The analysis included results of surgical treatment of 26 patients (18 males and 8 females, mean age 60.2 ± 1.3 years) operated on by the method of bilateral laminoplasty with simultaneous foraminotomy from January 2016 to April 2020. Pre- and postoperative clinical condition of patients was assessed, including using VAS, JOA and Nurick scales. An objective assessment of stenosis degree (linear dimensions, areas, volume of the stenotic spinal canal) was performed using standard measuring tools of the RadiAnt DICOM Viewer software. To assess the statistical significance of the obtained results, nonparametric Wilcoxon-T and Mann – Whitney-U tests were used. Differences were considered significant at p < 0.05.Results. Upon admission to the hospital, all patients had specific neurological symptoms with varying degree of pain, myelopathic and radicular symptoms. According to neurovisualisation, the average number of involved in the process levels (stenotic) was 3.2 ± 0.1, (the average length of stenosis was 5.1 ± 0.2 cm). In the postoperative period, all patients showed positive dynamics in the form of a decrease in the severity of neurological disorders and pain (from 7.2 ± 0.1 to 5.07 ± 0.1 according to VAS, p < 0.001). The manifestations of myelopathy decreased according to Nurick scale from 2.08 ± 0.71 to 1.84 ± 0.10 points (p < 0.05). According to MRI data, the average area of the dural sac objectively increased from 1.25 ± 0.30 cm2 to 2.26 ± 0.27 cm2 (p < 0.001), and the volume of spinal canal in the area of stenosis increased from 7.2 ± 0.2 cm3 to 13.4 ± 0.1 cm3 (p < 0.001). Patients were mobilized on the 2nd day after surgery. The duration of inpatient treatment ranged from 4 to 17 days (on average, 7.1 ± 0.4 days). Intraoperative complications were not observed in the presented series. Mild postoperative complications were detected only in two out of 26 operated patients.Conclusion. Bilateral laminoplasty with simultaneous foraminotomy using titanium miniplates and osteoinductive material has a number of advantages and can be the surgery of choice in the treatment of patients with extended cervical stenosis complicated by myelopathy and radicular pain syndrome.

Extensive laminectomy for multilevel cervical stenosis with ligamentum flavum hypertrophy: more than 10 years follow-up

2014 ◽  
Vol 24 (8) ◽  
pp. 1605-1612 ◽  
Author(s):  
Zhiyang Li ◽  
Yuan Xue ◽  
Dong He ◽  
Yanming Tang ◽  
Huairong Ding ◽  
...  
Keyword(s):  
Ligamentum Flavum ◽  
Cervical Stenosis ◽  
Multilevel Cervical Stenosis

scholarly journals Overshunting-Related Cervical Myelopathy Causing Progressive Gait Disturbance: A Case Report

2021 ◽  
pp. 312-317
Author(s):  
Eva Vister ◽  
Sebastiaan Hammer ◽  
Rudolf W.M. Keunen ◽  
Astrid L. Rijssenbeek ◽  
Niels A. van der Gaag
Keyword(s):  
Cerebrospinal Fluid ◽  
Cervical Myelopathy ◽  
Complete Resolution ◽  
Late Complication ◽  
Gait Disturbance ◽  
Shunt Revision ◽  
Proper Treatment ◽  
Cervical Stenosis ◽  
Vp Shunt ◽  
Associated Symptoms

A complication of ventriculoperitoneal (VP) shunting is overdrainage or overshunting of cerebrospinal fluid, which can cause formation of hygroma but in rare cases also cervical myelopathy at a later stage. In this article, we describe a very late complication of VP shunting. We present a 75-year-old man, previously given a VP shunt at the age of 46, who developed a progressive gait disturbance and ataxia of the limbs after 27 years. MRI showed a cervical stenosis and myelopathy as a result of venous engorgement due to chronic overshunting of the VP shunt. Revision of the VP shunt resulted in complete resolution of his neurological symptoms and the cervical myelopathy. Cervical myelopathy due to chronic overshunting is a rare and potentially very late complication of a VP shunt. Our case underlines the importance of awareness of this complication while proper treatment can reverse the associated symptoms fully.

Anterior cord syndrome in a 30-year-old male with congenital cervical stenosis

2021 ◽  
Vol 22 ◽  
pp. 100988
Author(s):  
Monica Mitta ◽  
Michael L. Sternberg
Keyword(s):  
Cervical Stenosis

scholarly journals The value of cervical MRI in surgical lumbar canal stenosis patients

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Omar Youssef Abdalla ◽  
Hieder Al-Shami ◽  
Heba Medhat Maghraby ◽  
Abdelrhman Enayet
Keyword(s):  
Clinical Presentation ◽  
Adult Population ◽  
Cervical Canal ◽  
Lumbar Stenosis ◽  
Cervical Stenosis ◽  
Lumbar Canal Stenosis ◽  
Cervical Canal Stenosis ◽  
Canal Stenosis ◽  
Tandem Spinal Stenosis ◽  
A Prospective Study

Abstract Background The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process. Objectives To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery. Methods It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically. Results The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%). Conclusion Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.

The patient with cervical stenosis

2021 ◽  
pp. 137-141
Author(s):  
Khaldoun Sharif
Keyword(s):  
Cervical Stenosis
Sign in / Sign up

Export Citation Format

Share Document