There is no evidence that laminoplasty results in improved outcomes compared with laminectomy in cervical spinal cord injury without instability
نویسندگان
چکیده
1. Lenehan B, Fisher CG, Vaccaro A, Fehlings M, Aarabi B, Dvorak MF. The urgency of surgical decompression in acute central cord injuries with spondylosis and without instability. Spine (Phila Pa 1976) 2010;35 21 Suppl: S180‐6. 2. Del Bigio MR, Johnson GE. Clinical presentation of spinal cord concussion. Spine (Phila Pa 1976) 1989;14:37‐40. 3. Kawano O, Ueta T, Shiba K, Iwamoto Y. Outcome of decompression surgery for cervical spinal cord injury without bone and disc injury in patients with spinal cord compression: A multicenter prospective study. Spinal Cord 2010;48:548‐53. 4. Sivaraman A, Bhadra AK, Altaf F, Singh A, Rai A, Casey AT, et al. Skip laminectomy and laminoplasty for cervical spondylotic myelopathy: A prospective study of clinical and radiologic outcomes. J Spinal Disord Tech 2010;23:96‐100. 5. Traynelis VC, Arnold PM, Fourney DR, Bransford RJ, Fischer DJ, Skelly AC. Alternative procedures for the treatment of cervical spondylotic myelopathy: Arthroplasty, oblique corpectomy, skip laminectomy: Evaluation of comparative effectiveness and safety. Spine (Phila Pa 1976) 2013;38 22 Suppl 1:S210‐31. 6. Yukawa Y, Kato F, Ito K, Horie Y, Hida T, Ito Z, et al. Laminoplasty and skip laminectomy for cervical compressive myelopathy: Range of motion, postoperative neck pain, and surgical outcomes in a randomized prospective study. Spine (Phila Pa 1976) 2007;32:1980‐5. 7. Shiraishi T, Fukuda K, Yato Y, Nakamura M, Ikegami T. Results of skip laminectomy‐minimum 2‐year follow‐up study compared with open‐door laminoplasty. Spine (Phila Pa 1976) 2003;28:2667‐72. Authors of the accepted paper entitled “outcome of laminoplasty in cervical spinal cord injury (CSCI) with stable spine” in their retrospective study, performed laminoplasty on 41 patients with CSCI without instability. Thirty-three patients showed significant improvement in American Spinal Cord Injury Association impairment scale and Japanese Orthopaedic Association grading scale at the 12-month follow-up.
منابع مشابه
Clinical Outcome after Laminectomy without Fusion for Cervical Spondylotic Myelopathy
Dorsal decompression in patients, presenting with cervical spondylotic myelopathy with no signs of instability, is a standard surgical option. Laminectomy or laminoplasty is applied to reduce the pressure on the myelon. The aim of this study was to evaluate the clinical outcome in a consecutive series of patients. This retrospective study included a total of 65 patients who underwent laminectom...
متن کاملCervical Laminoplasty: The History and the Future
Cervical laminoplasty was developed as an alternative to cervical laminectomy for treatment of cervical myelopathy, in which hinges are created to lift the lamina. Various techniques of laminoplasty have since been developed after two prototype techniques: Hirabayashi's open-door laminoplasty and Kurokawa's spinous process splitting (double-door) laminoplasty. Several in vitro studies report su...
متن کاملThe incidence of C5 palsy after multilevel cervical decompression procedures: a review of 750 consecutive cases.
STUDY DESIGN Retrospective review of 750 consecutive multilevel cervical spine decompression surgeries performed by a single spine surgeon. OBJECTIVE To determine the incidence of C5 palsy in a large consecutive series of multilevel cervical spine decompression procedures. SUMMARY OF BACKGROUND DATA Palsy of the C5 nerve is a well-known potential complication of cervical spine surgery with ...
متن کاملLaminoplasty is better of laminectomy in cervical stenotic myelopathy: myth or truth?
INTRODUCTION Laminoplasty has been proposed as a treatment for cervical stenotic myelopathy (CSM) as an alternative to standard laminectomy as this has been considered directly associated with an increased risk of postoperative deformity. METHODS We retrospective reviewed postoperative results of open door laminoplasty (unilateral approach technique) compared with laminectomy in terms of clin...
متن کاملAcute traumatic central cord syndrome--experience using surgical decompression with open-door expansile cervical laminoplasty.
BACKGROUND Open-door expansile cervical laminoplasty (ODECL) is an effective surgical technique in the treatment of multilevel cervical spondylotic myelopathy. In the present study, we reviewed the safety and short-term neurological outcome after expansile cervical laminoplasty in the treatment of acute central cord syndrome. METHODS We retrospectively reviewed our database over a 3-year peri...
متن کامل