Clinical Outcomes of Cervical Laminoplasty: Results at Two Years

Stamates, Melissa M.; Cui, Michael X; Roitberg, Ben

doi:10.1093/neuros/nyw058

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…The Nurick scores ranged from 3.16±0.9 preoperatively and improved to 1.94±0.8 at 2-year follow-up. The NDI improved from 28.7%±9% preoperatively to 20.8%±9.6% at final follow-up 43. An investigation into long-term follow-up for open-door laminoplasty for treatment of myelopathic patients with spondylotic disease or OPLL demonstrated good or excellent results in 59.3% and 55.0% of patients at 10 years, respectively.…”

Section: Surgical Management: Laminoplastymentioning

confidence: 87%

“…The NDI improved from 28.7% ± 9% preoperatively to 20.8% ± 9.6% at final follow-up. 43 An investigation into long-term follow-up for open-door laminoplasty for treatment of myelopathic patients with spondylotic disease or OPLL demonstrated good or excellent results in 59.3% and 55.0% of patients at 10 years, respectively. The same study, however, did report up to 30% of patients experienced late deterioration in neurological function, particularly in patients over 70 years old.…”

Section: Surgical Management: Laminoplastymentioning

confidence: 99%

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Cervical Myelopathy

Lockey

Trent

Kalantar

2021

Clinical Spine Surgery: A Spine Publication

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Objective: The aim was to discuss current methods and review updated outcome studies regarding posterior decompression in the management of cervical myelopathy.Summary of Background Data: Progressive myelopathy in the cervical segments is an indication for urgent surgical management. Although nonoperative treatment is an option in mild to moderate cases, the majority of patients will experience deterioration in neurological function requiring surgical decompression.Methods: A review of the literature was performed using PubMed to provide updated information regarding posterior cervical decompression in the management of myelopathy.Results: There are numerous studies comparing outcome data between cervical laminectomy and fusion with laminoplasty. While each technique has advantages and disadvantages, both provide adequate decompression and good long-term outcomes in patients meeting appropriate criteria.Conclusions: Posterior decompression is an important approach for spine surgeons to have in their toolkits when treating cervical myelopathy.

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Section: Surgical Management: Laminoplastymentioning

confidence: 87%

Section: Surgical Management: Laminoplastymentioning

confidence: 99%

Cervical Myelopathy

Lockey

Trent

Kalantar

2021

Clinical Spine Surgery: A Spine Publication

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“…Recently, clinical studies in the literature have demonstrated that cervical laminoplasty has better clinical results than conventional laminectomy (5,20,40). Many laminoplasty procedures exist including en bloc cervical laminoplasty with acrocristectomy, the use of hydroxyapatite spacers, allograft, autograft, titanium miniplates-screws, or sutures (4,15,18,29,34). The techniques were successful in spinal cord decompression and very effective for (40).…”

Section: Discussionmentioning

confidence: 99%

Surgical outcome of laminoplasty for cervical spondylotic myelopathy: a single- institution experience

TÜRKOĞLU,

GÜLMEZ,

ELBİR

et al. 2021

Turk J Med Sci

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Background/Aim: Cervical spondylotic myelopathy (CSM) develops as a result of compression of the spinal cord in the cervical region. Early diagnosis and surgical treatment can limit the progression of symptoms. Various surgical approaches and strategies have been described in the literature. This study aims to evaluate the clinical and radiological results of open-door laminoplasty for the treatment of CSM. Materials and Methods:In this study, we retrospectively analyzed the patients who underwent expansive open-door laminoplasty secured with titanium miniplates. Thirty-four patients with CSM who were followed up postoperatively for more than 12 months were included in the study. The modified Japanese Orthopaedic Association (mJOA) score was used to assess the degree of myelopathy.We evaluated cervical sagittal alignment with C2-C7 Cobb angle, the ambulatory status with the Nurick grade, and measured postoperative neck pain with the Visual Analogue Scale (VAS). Results:The mean mJOA score was 11 (range 6-15) preoperatively, and 13.5 (range 9-16) postoperatively with an average 55% recovery rate (range 0-75) (p <0.001). The mean Nurick grade was 2 (range 1-3) preoperatively and 1 (range 0-3) postoperatively (p <0.001). The median cervical lordotic angle increased from 7.5° preoperatively to 12.5° postoperatively (p = 0.044). K-line (+) patients' mean mJOA scores significantly increased from 10.8 ±1.7 to 13.3±1.7 postoperatively (p <0.001). The mean preoperative VAS reduced from 2.66±1.4 to 1.59±1.4 postoperatively (p <0.001). Conclusion:Open-door laminoplasty technique is an effective surgical procedure that can be used safely to treat cervical spondylotic myelopathy. Our findings suggest that it can limit the progression of symptoms and alter the poor prognosis in CSM.

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“…In the beginning, a thread was used to hold the lamina of the spinous processes. But lately, various forms of spacers were available, although some surgeons still not confident to use them and some still use autograft [4], [5], [6], [8]. The tendency to use mini-plates or hydroxyapatite spacer to maintain the opened side have emerged, with 53.1% of the studies reported the use of mini-plates or hydroxyapatite spacer.…”

Section: Discussionmentioning

confidence: 99%

“…Surgeons are still faced with some options regarding this procedure: using mini-plate without material for bone fusion, using materials such as hydroxyapatite bone-fusion, or using autograft with or without miniplate [6], [8]. Because of these choices, it is necessary to choose one device that is capable of carrying all the advantages stated above, easy to install, affordable, not adding foreign substances to the patient, ensuring bone fusion, sufficient to stabilise, not causing deformities, and does not cause neurologic deficits.…”

Section: Discussionmentioning

confidence: 99%

Single - Door Cervical Laminoplasty Using Basket Laminoplasty Device: A Case Report

Mahadewa¹,

Wardhana²,

Maliawan³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: The management of the cervical canal stenosis as a result of ossification of the posterior longitudinal ligament (OPLL) is still evolving. Anterior and posterior approaches are still much in demand by the surgeons. In Japan, a posterior approach is more well-known to be used as the case OPLL is often on the populace. Single-door laminoplasty technique or “Hirabayashi” often used with either autograft or allograft, with or without an additional miniplate. CASE PRESENTATION: In this case report, we would like to report the treatment of tetraparesis patients with “basket laminoplasty” using a special device with some advantages, not only providing stability of the lamina but also at the same time providing bone-graft container/basket for the benefit of the patient's bone fusion. CONCLUSION: Basket laminoplasty device is an excellent choice for cervical OPLL. We believe the use of this device is very favourable for long-term patient outcome.

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Clinical Outcomes of Cervical Laminoplasty: Results at Two Years

Cited by 9 publications

References 20 publications

Cervical Myelopathy

Cervical Myelopathy

Surgical outcome of laminoplasty for cervical spondylotic myelopathy: a single- institution experience

Single - Door Cervical Laminoplasty Using Basket Laminoplasty Device: A Case Report

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