Importance of preserving the C7 spinous process and attached nuchal ligament in French-door laminoplasty to reduce postoperative axial symptoms

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Preserving the C7 spinous process in laminectomy combined with lateral mass screw to prevent axial symptom

BACKGROUND Preserving the C7 spinous process during cervical laminoplasty has been reported to prevent axial symptom. Some patients underwent laminectomy and fixation developed the symptom. The objective of this article was to investigate whether axial symptom can be reduced by preserving the C7 spinous process during cervical laminectomy and fixation with lateral mass screw. METHODS Between ...

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Open door expansive laminoplasty and postoperative axial symptoms: a comparative study between two different procedures

STUDY DESIGN  Retrospective cohortObjective: To determine if there are differences in important clinical outcomes between patients treated with a "preservation of the unilateral posterior muscular-ligament complex (PMLC) procedure" and a "hinge side anchoring procedure (HSAP)" for the treatment of cervical spondylotic myelopathy (CSM). METHODS  Nine hundred and forty-six patients underwent th...

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Surgical anatomy of the nuchal muscles in the posterior cervicothoracic junction; The relationship between the length of the C6 spinous process and anatomy of the nuchal muscles

INTRODUCTION In previous studies, it was reported that the incidence of postoperative axial pain was lower in C3-C6 laminoplasty than in C3-C7 laminoplasty, emphasizing the effectiveness of the former procedure where discission of the nuchal muscles that are attached to the C7 spinous process is avoided 1), . However, there have been no detailed anatomic studies of the attachment of the nuchal ...

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C3–6 Laminoplasty for Cervical Spondylotic Myelopathy Maintains Satisfactory Long-Term Surgical Outcomes

Study Design Prospective cohort study. Objective To clarify long-term surgical outcomes of C3-6 laminoplasty preserving muscles attached to the C2 and C7 spinous processes in patients with cervical spondylotic myelopathy (CSM). Methods Twenty patients who underwent C3-6 open-door laminoplasty for CSM and who were followed for 8 to 10 years were included in this study. Myelopathic symptoms were ...

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Neck Pain Following Cervical Laminoplasty: Does Preservation of the C2 Muscle Attachments and/or C7 Matter?

Study Design Systematic review. Objective In patients aged 18 years or older, with cervical spondylotic myelopathy or ossification of the posterior longitudinal ligament (OPLL), does sparing the C2 muscle attachments and/or C7-preserving cervical laminoplasty lead to reduced postoperative axial pain compared with conventional C3 to C7 laminoplasty? Do these results vary based on early active po...

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ژورنال

عنوان ژورنال: European Spine Journal

سال: 2007

ISSN: 0940-6719,1432-0932

DOI: 10.1007/s00586-007-0352-8