Lateral Mass Screw Fixation in Sub-Axial Cervical Spine Combined with Decompression Laminectomy in Multi-Level Cervical Spondylotic Myelopathy ; Safety and Clinical Outcome

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ashraf zaghloul ◽  
Ahmed Arab ◽  
Mohammed Eltantawy, ◽  
Moataz A. Elawady,
Keyword(s):  
Cervical Spine ◽  
Clinical Outcome ◽  
Cervical Spondylotic Myelopathy ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
Multi Level

scholarly journals Clinical and Radiological Evaluation of Cervical Spondylotic Myelopathy Operated With Posterior Decompression and Lateral Mass Fixation- a Retrospective Review with Minimum Two Years Follow-Up

2021 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Clinical Outcome ◽  
Neck Pain ◽  
Cervical Spondylotic Myelopathy ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Cervical Lordosis ◽  
Lateral Mass Screw ◽  
C5 Palsy ◽  
Radiological Parameters

Objective: There is controversy in surgical management of cervical spondylotic myelopathy (CSM); a few group encourage only laminectomy or laminoplasty while the others emphasize on lateral mass fixation along with laminectomy. Cervical lordosis is an important factor for maintaining posture neck and preventing postoperative axial neck pain. Literature has reported that cervical lordosis less than -20 degrees is often responsible for neck pain. The purpose of this study was to evaluate clinical outcome and radiological parameters after posterior cervical laminectomy and fixation in CSM. Material and Methods: This retrospective study included 37 patients operated with posterior cervical decompression and lateral mass screw fixation with minimum two-year follow-up. All patients were operated for CSM. All were operated by a single surgeon and followed up at six weeks, twelve weeks, six months, one year and yearly afterwards. Clinical outcome and radiological parameters were analyzed for clinical improvement [European Myelopathy Score (EMS)] and cervical lordotic angle. Results: Average age 68±8.3 years. The cervical lordotic angle of -23.02±4.19 degrees was maintained in patients operated with lateral mass screw fixations along with laminectomy at final follow-up. The EMS and VAS score showed significant improvement postoperatively from 15.7 to 13.6 (p<0.05) and 8.1 to 1.5 (p<0.05), respectively. Three patients had postoperative C5 palsy that recovered completely within three months. Two patients expired within a few months after surgery due to acute myocardial infarction and respiratory arrest, respectively. There were three patients who had postoperative C5 palsy, which recovered completely within three months postoperatively. There was no permanent postoperative neurological deficit noticed in the series. Conclusion: Posterior cervical lateral mass screw fixation for CSM gives satisfactory clinical outcome and maintains cervical lordosis. Lateral mass fixation with

scholarly journals Effect of sub-axial cervical lateral mass screw fixation on functional outcome in patients with cervical spondylotic myelopathy

2019 ◽  
Vol 14 (1) ◽  
pp. 140
Author(s):  
AliRabee Kamel Hamdan ◽  
RadwanNouby Mahmoud ◽  
MomenMohammed Al Mamoun ◽  
EslamEl Sayed El Khateeb
Keyword(s):  
Functional Outcome ◽  
Cervical Spondylotic Myelopathy ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw

Unilateral laminoplasty with lateral mass screw fixation for less invasive decompression of the cervical spine: a biomechanical investigation

2015 ◽  
Vol 24 (12) ◽  
pp. 2781-2787 ◽  
Author(s):  
Gregor Schmeiser ◽  
C. Schilling ◽  
T. M. Grupp ◽  
L. Papavero ◽  
K. Püschel ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
Less Invasive ◽  
Biomechanical Investigation

scholarly journals Lateral Mass Screw Fixation for Stabilization of the Middle and Lower Cervical Spine : Avoidance and Management of Complications

2009 ◽  
Vol 23 (1) ◽  
pp. 6-10
Author(s):  
Nobuyuki Shimokawa ◽  
Yoshihiko Fu ◽  
Yuji Tsukazaki ◽  
Toshiyuki Sugino ◽  
Hidetoshi Ikeda ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lower Cervical Spine ◽  
Lateral Mass Screw ◽  
Management Of Complications

scholarly journals MINIMALLY INVASIVE SINGLE-DOOR PLATE LAMINOPLASTY WITH LATERAL MASS SCREW FIXATION FOR THE UNSTABLE SEGMENT. REPORT OF TWO CASES WITH LONG FOLLOW-UP

2017 ◽  
Vol 16 (3) ◽  
pp. 236-239 ◽  
Author(s):  
SERGIO SORIANO-SOLÍS ◽  
JAVIER QUILLO-OLVERA ◽  
MANUEL RODRÍGUEZ-GARCÍA ◽  
HÉCTOR ANTONIO SORIANO SOLÍS ◽  
JOSÉ-ANTONIO SORIANO-SÁNCHEZ
Keyword(s):  
Minimally Invasive ◽  
Cervical Spondylotic Myelopathy ◽  
Screw Fixation ◽  
Short Form ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
Sf 36 ◽  
Flexion Extension ◽  
Multilevel Cervical Spondylotic Myelopathy

ABSTRACT Objective: To report two cases of multilevel cervical spondylotic myelopathy with monosegmental instability, in which we performed a minimally invasive microsurgical transmuscular approach with tubular retractors to create a single-door plate laminoplasty combined with fixation of the unstable segment with lateral mass screws. Methods: The surgical procedures were performed by the senior author. In both patients, the follow-up was performed using the Oswestry Disability Index (ODI), the Visual Analogue Scale for neck and radicular pain (radVAS, neckVAS), the Neck Disability Index (NDI) and the Short Form 36 (SF-36), in the preoperative (preop) and postoperative (postop) periods, and at 1, 3, 6, 12, 18 and 24 months. A radiological evaluation also was performed, which included AP, lateral and flexion-extension films at 6, 12 and 24 months and CT-scan at 12 months. Results: Case 1 - preop ODI: 40%, 24 months postop ODI: 4%; preop radVAS: 7, 24 months radVAS: 0; preop neckVAS: 8, postop 24 months neckVAS: 0; preopNDI: 43%, 24 months PostopNDI: 8%; SF-36 - preop Physical Functioning (PF): 40, preop Vitality (VT): 40, preop Emotional role functioning (RE): 33.3, Bodily pain (BP): 51, General Health (GH): 57, Social Functioning (SF): 75; postop PF: 95, VT: 95, RE: 100, BP: 74, GH: 87, SF: 100. Case 2 - preopODI: 46%, 24 months postopODI: 10%; preop radVAS: 7, 24m radVAS: 0; preop neckVAS: 9, postop 24 months neckVAS: 0; preopNDI: 56%, 24 months PostopNDI: 15%; SF-36 - preop PF: 39, VT: 45, RE: 33.3, BP: 50, GH: 49, SF: 70; postop PF: 90, VT: 100, RE: 100, BP: 82, GH: 87, SF: 100. No complications, cervical instability or signs of failed surgery were found trough and at final follow-up at 24 months. We found significant clinical improvement in both patients. Conclusions: Minimally invasive cervical laminoplasty combined with lateral mass screw fixation for the unstable segment is a useful technique in cases with multilevel cervical spondylotic myelopathy associated with monosegmental instability. Additional comparative studies are needed to establish its efficacy.

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