Postoperative laminectomy membrane associated with the use of simple laminectomy is well known as a post operative complication and o 血en causes the compression of the spinal cord or roots . The authors have performed la 皿 inoplasty using titaniurn miniplates to prevent the formation of laminectomy membrane . The purpose of this study was to review thirty cases who were operated on using laminoplasty with titanium miniplates and to evaluate this procedure . The 30 padents consisted of spinal tumor (12 cases) , far lateral disc hemiation (7 cases) , arachnoid cyst (7 cases) , AVM (2 cases) , synovia ]cyst (l case) and chronic myelitis (l case) . The follow − up period averaged 16. lmonths . Twenty patients underwent a bilateral laminoplasty with titanium miniplates (2 cases concurrently using in ・ situ poste 囗or Iateral fusion (PLF) or pedicle screw PLF) and 10 patients underwent a hemi − laminoplasty with titanium miniplates (5 cases concurrently using posterior in − situ PLF or pedicle screw PLF) . All patients had improvement in their neurological symptoms . No patient developed increased kyphosisjnstability and or laminectomy membrane 負)110wing the procedure . No case was complicated by neurological deterioration , infection , lamina displacement or implant migration . A1山ough long − term results are unknown , shon − term results are good and there are no incidences of complications . In conclusion , laminoplasty using titanium miniplates is a very useful and easy to apPly to prevent laminectomy membrane . An added advantage is the magnetic resonance imaging compatibility of the implants fbr investigating the condition of the subdural and epidural lesions . Key word :instrumentation , laminectomy membrane , laminoplasty , spine , titanium miniplate Spina且 Surgery 14 (2): 111-116, 2000
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