Spinal Deformity and Instability After Multilevel Cervical Laminectomy

Mikawa, Yoshihiro; Shikata, Jitsuhiko; Yamamuro, Takao

doi:10.1097/00007632-198701000-00002

Cited by 208 publications

(85 citation statements)

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“…Post-laminectomy kyphosis is a potential complication following multilevel posterior decompression procedures [35]. Fusion should be considered in patients undergoing laminectomy with any preexisting instability or in patients in whom a wide decompression is desired.…”

Section: Complications Of Surgerymentioning

confidence: 99%

Cervical Spondylotic Myelopathy: Pathophysiology, Clinical Presentation, and Treatment

Lebl¹,

Hughes²,

Cammisa³

et al. 2011

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

136

111

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Section: Complications Of Surgerymentioning

confidence: 99%

Cervical Spondylotic Myelopathy: Pathophysiology, Clinical Presentation, and Treatment

Lebl¹,

Hughes²,

Cammisa³

et al. 2011

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

136

111

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show abstract

“…The advantages of posterior approach include indirect decompression without destabilizing the disc space, intuitive operation while exposing multiple levels, and less risk of postoperative instability and adjacent level degeneration compared with the anterior approach. As the adverse outcomes after laminectomy, such as segmental instability, kyphotic deformity, perineural adhesions and late neurologic deterioration, are recognized [3,27,28], various forms of laminoplasty have been developed to avoid these complications. Studies have reported that the surgical outcomes of laminoplasty are more satisfactory [1,18,21,45], but postoperative problems, such as axial pain, C5 palsy, restriction of neck motion and loss of lordotic curvature, are also noted [10, 11, 15, 18-20, 27, 35].…”

Section: Introductionmentioning

confidence: 99%

Axial pain after posterior cervical spine surgery: a systematic review

et al. 2010

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Posterior operative approach has been the standard treatment for cervical compressive myelopathy, and axial pain after laminoplasty or laminectomy as a postoperative complication is now gradually receiving more and more attention. The objective of this study was to provide a systematic review of the current understanding of axial pain after cervical laminoplasty and laminectomy, and summarize clinical features, influence factors and preventive measures of axial pain after posterior decompressive surgery based on a review of literature published in the English language. Axial pain distributes over nuchal, periscapular and shoulder regions. Posterior surgery is not the major cause of axial pain, but axial pain can be worsened by the procedure. There are many clinical factors that influence postoperative axial pain such as age, preoperative axial pain, different surgical technique and postoperative management, but most of them are still controversial. Several surgical modifications have been innovated to reduce axial pain. Less invasive surgery, reconstruction of the extensor musculature, avoiding detachment of the semispinalis cervicis muscle and early removal of external immobilization have proved to be effective. Axial pain is under the influence of multiple factors, so comprehensive methods are required to reduce and avoid the postoperative axial pain. Because of methodological shortcomings in publications included in this systematic review, different results from different studies may be produced due to differences in study design, evaluation criteria, sample size, and incidence or severity of axial pain. More high-quality studies are necessary for drawing more reliable and convincing conclusions.

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“…In addition, post-laminectomy kyphosis has also been reported as a potential complication following posterior decompression at multiple spinal levels [33,34].…”

Section: Posterior Approachmentioning

confidence: 99%

Cervical Myelopathy: Pathophysiology, Diagnosis, and Management

Virdi¹

2017

Spine Res

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The natural history of cervical myelopathy involves both static and dynamic factors which trigger a cascade of reactions resulting in cord compression and ischemic dysfunction of the spinal cord. Conservative management is an option in those with mild Cervical Spondylotic Myelopathy (CSM), though close clinical and radiological follow-up is important. Operative management remains the standard of treatment for more symptomatic CSM, however, indications must be carefully considered with each individual patient. A randomized, double-blind, placebo-controlled multi-centre study, assessing whether Riluzole (a neuroprotective drugs) has any benefits as a treated for surgical decompression in those with CSM, is being carried out. Here we review the pathophysiological, diagnostic and treatment aspects of CSM.

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Spinal Deformity and Instability After Multilevel Cervical Laminectomy

Cited by 208 publications

References 0 publications

Cervical Spondylotic Myelopathy: Pathophysiology, Clinical Presentation, and Treatment

Cervical Spondylotic Myelopathy: Pathophysiology, Clinical Presentation, and Treatment

Axial pain after posterior cervical spine surgery: a systematic review

Cervical Myelopathy: Pathophysiology, Diagnosis, and Management

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