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https://www.readbyqxmd.com/read/29772859/-analysis-of-clinical-efficacy-of-unilateral-open-door-cervical-laminoplasty-combined-with-foraminotomy-for-cervical-ossification-of-posterior-longitudinal-ligament
#1
Feng Yang, Ming-Sheng Tan, Xiang-Sheng Tang, Liang-Hai Jiang, Ping Yi, Qing-Ying Hao
OBJECTIVE: To explore the clinical efficacy of unilateral open-door laminoplasty combined with foraminotomy for cervical ossification of posterior longitudinal ligament(OPLL). METHODS: The clinical data of 45 patients with OPLL underwent surgical treatment between September 2011 and September 2015 were retrospectively analyzed. There were 26 males and 19 females with a mean age of 53.6 years old(ranged from 28 to 71 years). Among them, 24 cases received the surgery of unilateral open-door cervical laminoplasty combined with foraminotomy(combined group), and 21 cases received a single unilateral open-door cervical laminoplasty(single group)...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29768345/atypical-symptoms-in-patients-with-cervical-spondylosis-comparison-of-the-treatment-effect-of-different-surgical-approaches
#2
Yuqing Sun, Aikeremujiang Muheremu, Wei Tian
To compare the effectiveness of total disk replacement (TDR), anterior cervical discectomy and fusion (ACDF), and laminoplasty on atypical symptoms of cervical spondylosis.Patients with confirmed diagnosis of cervical spondylosis and reported atypical symptoms such as blurred vision, headache, nausea, palpitation, tinnitus, vertigo, hypomnesia, and abdominal discomfort were retrospectively included in the present study. They were treated with TDR, ACDF, or laminoplasty depending on the etiology and patient preference...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29755233/cervical-lift-up-laminoplasty-with-titanium-basket-plates-after-resection-of-intradural-tumor
#3
Keisuke Shirosaka, Kentaro Naito, Toru Yamagata, Masaki Yoshimura, Kenji Ohata, Toshihiro Takami
Background: Performing cervical laminoplasty after wide laminectomy may be technically demanding. The unique technique of cervical lift-up laminoplasty using titanium basket plates was applied for the reconstruction of cervical laminae after wide laminectomy for the resection of intradural tumors. Materials and Methods: This technical study included 14 cases that could be followed periodically for at least 6 months after surgery. Participants were 8 male and 6 female, with a mean age of 41...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29753081/postoperative-changes-in-moderate-to-severe-nonspecific-low-back-pain-after-cervical-myelopathy-surgery
#4
Chi Heon Kim, Chun Kee Chung, Urim Lee, Yunhee Choi, Sung Bae Park, Jong-Myung Jung, Sung Hwan Hwang, Seung Heon Yang
OBJECTIVE: Cervical myelopathy patients sometimes experience concurrent nonspecific moderate to severe low back pain (msLBP). However, postoperative changes in msLBP after cervical myelopathy surgery have rarely been reported. Awareness of postoperative changes in msLBP may be helpful in consultation. Therefore, the objective of this study was to examine postoperative changes in msLBP. METHODS: Patients with cervical myelopathy and msLBP (a visual analog pain score ≥ 5/10) were prospectively reviewed, and 53 patients (M:F, 28:25; mean age, 63...
May 9, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29713955/successful-hemostatic-management-of-major-surgery-for-cervical-spondylotic-myelopathy-in-a-patient-with-severe-factor-xi-deficiency
#5
Yoshiyuki Ogawa, Kunio Yanagisawa, Yuri Uchiyama, Naoki Akashi, Tokue Mieda, Haku Iizuka, Madoka Inoue, Reiko Shizuka, Masami Murakami, Naomichi Matsumoto, Hiroshi Handa
Factor XI deficiency (FXID) is a rare bleeding disorder caused by mutations in the F11 gene. Spontaneous bleeding in patients with factor XI deficiency is rare, but major bleeding may occur after surgery or trauma. The basic method for hemostatic treatment is replacement of the missing factor using FXI concentrate or fresh frozen plasma (FFP). We report the case of a 72-year-old male with severe FXID who underwent a laminoplasty under sufficient, but minimal, FFP transfusion. Through detailed monitoring of activated partial thromboplastin time (APTT) and FXI activity at the perioperative period, we succeeded in hemostatic management of major surgery without significant blood loss and fluid overload...
April 30, 2018: International Journal of Hematology
https://www.readbyqxmd.com/read/29704223/low-thoracic-erector-spinae-plane-block-for-perioperative-analgesia-in-lumbosacral-spine-surgery-a-case-series
#6
Josh P Melvin, Rudolph J Schrot, George M Chu, Ki Jinn Chin
PURPOSE: Severe postoperative pain following spine surgery is a significant cause of morbidity, extended length of facility stay, and marked opioid usage. The erector spinae plane (ESP) block anesthetizes the dorsal rami of spinal nerves that innervate the paraspinal muscles and bony vertebra. We describe the use of low thoracic ESP blocks as part of multimodal analgesia in lumbosacral spine surgery. CLINICAL FEATURES: We performed bilateral ESP blocks at the T10 or T12 level in six cases of lumbosacral spine surgery: three lumbar decompressions, two sacral laminoplasties, and one coccygectomy...
April 27, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29682063/a-rare-case-of-spinal-extradural-arachnoid-cyst-with-cord-compression
#7
Lee Chun Lin, R Jason
Spinal extradural arachnoid cysts are rare lesions which typically involve the thoracic spine and are an asymptomatic condition of unknown origin. They may also produce symptoms by compressing the spinal cord or nerve roots. Surgery is the treatment of choice in such lesions, but asymptomatic patients can be managed conservatively. We present a case of symptomatic, probable traumatic origin, spinal arachnoid cyst at our center in Hospital Kuala Lumpur, Malaysia. Magnetic resonance imaging spine showed well-defined, nonenhancing extradural cystic lesion from T5 to T6 vertebrae level compressing spinal cord anteriorly...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29677281/biomechanical-effects-on-cervical-spinal-cord-and-nerve-root-following-laminoplasty-for-ossification-of-the-posterior-longitudinal-ligament-in-the-cervical-spine-a-comparison-between-open-door-and-double-door-laminoplasty-using-finite-element-analysis
#8
Batbayar Khuyagbaatar, Kyungsoo Kim, Tserenchimed Purevsuren, Sang-Hun Lee, Yoon Hyuk Kim
Many clinical case series have reported the predisposing factors for C5 palsy and have presented comparisons of the two types of laminoplasty. However, there have been no biomechanical studies focusing on cervical spinal cord and nerve root following laminoplasty. The purpose of this study is to investigate biomechanical changes in the spinal cord and nerve roots following the two most common types of laminoplasty, open-door and double-door laminoplasty, for cervical ossification of the posterior longitudinal ligament (OPLL)...
July 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29667095/can-postoperative-deltoid-weakness-after-cervical-laminoplasty-be-prevented-by-using-intraoperative-neurophysiological-monitoring
#9
Muneharu Ando, Tetsuya Tamaki, Takuji Matsumoto, Kazuhiro Maio, Masatoshi Teraguchi, Noboru Takiguchi, Hiroki Iwahashi, Makiko Onishi, Yukihiro Nakagawa, Hiroshi Iwasaki, Shunji Tsutsui, Masanari Takami, Hiroshi Yamada
Laminoplasty, frequently performed in patients with cervical myelopathy, is safe and provides relatively good results. However, motor palsy of the upper extremities, which occurs after decompression surgery for cervical myelopathy, often reduces muscle strength of the deltoid muscle, mainly in the C5 myotome. The aim of this study was to investigate prospectively whether postoperative deltoid weakness (DW) can be predicted by performing intraoperative neurophysiological monitoring (IONM) during cervical laminoplasty and to clarify whether it is possible to prevent palsy using IONM...
April 17, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/29663145/successful-treatment-of-a-diffuse-type-tenosynovial-giant-cell-tumor-in-the-thoracic-spine-mimicking-spinal-metastasis-by-frozen-recapping-laminoplasty-in-a-patient-with-thyroid-cancer
#10
REVIEW
Noritaka Yonezawa, Hideki Murakami, Satoshi Kato, Hiroyuki Hayashi, Hiroyuki Tsuchiya
PURPOSE: Tenosynovial giant cell tumor of the diffuse type (TGCT-D) involving the spine is rare. Its differential diagnosis includes metastatic disease; however, there have been few reports of spinal TGCT-D mimicking spinal metastasis in patients with a history of malignancy. METHODS: We report on a 35-year-old woman with a history of papillary thyroid cancer who was diagnosed with TGCT-D of the thoracic spine mimicking spinal metastasis. Preoperative computed tomography (CT) revealed a 1...
April 16, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29656629/differences-in-cervical-sagittal-alignment-changes-in-patients-undergoing-laminoplasty-and-anterior-cervical-discectomy-and-fusion
#11
Su Hun Lee, Dong Wuk Son, Jun Seok Lee, Dong Ha Kim, Soon Ki Sung, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) and laminoplasty (LP) are the most commonly performed procedures for degenerative cervical spondylosis. Cervical sagittal alignment (CSA) has recently been studied as an important predictor of clinical and radiological outcomes. The data from previous studies are insufficient for analysis using the recently designed CSA parameters, T1 slope (T1s), and T1s minus cervical angle (T1sCA). METHODS: We retrospectively collected data from patients who underwent ACDF and LP from January 2013 to May 2016...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29656627/ossification-of-the-posterior-longitudinal-ligament-in-cervical-spine-prevalence-management-and-prognosis
#12
REVIEW
Jau-Ching Wu, Yu-Chun Chen, Wen-Cheng Huang
Ossification of the posterior longitudinal ligament (OPLL) in the cervical spine and related neurological complications are not uncommon in East Asian countries. The estimated prevalence of cervical OPLL-related hospitalization is 7.7 per 100,000 person-years in Taiwan, and higher incidence rates have been observed in elderly and male patients. Although cervical OPLL is frequently insidious, it can eventually cause myelopathy and predispose patients to spinal cord injury (SCI). There are multiple options for managing cervical OPLL, ranging from observation to many kinds of surgical procedures, including posterior laminoplasty, laminectomy with or without fusion, anterior corpectomy with or without instrumentation, and circumferential decompression and fusion...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29649088/alterations-in-intramedullary-t2-weighted-increased-signal-intensity-following-laminoplasty-in-cervical-spondylotic-myelopathy-patients-comparison-between-pre-and-postoperative-magnetic-resonance-images
#13
Masaaki Machino, Kei Ando, Kazuyoshi Kobayashi, Kenyu Ito, Mikito Tsushima, Masayoshi Morozumi, Satoshi Tanaka, Kyotaro Ota, Keigo Ito, Fumihiko Kato, Naoki Ishiguro, Shiro Imagama
STUDY DESIGN: Prospective comparative imaging study OBJECTIVE.: This study investigated whether the postoperative classification of and alterations in increased signal intensity (ISI) of the spinal cord reflected the postoperative severity of symptoms and surgical outcomes in cervical spondylotic myelopathy (CSM) patients. SUMMARY OF BACKGROUND DATA: Although ISI on performing magnetic resonance imaging (MRI) is observed in CSM patients, alterations in ISI have not been investigated...
April 11, 2018: Spine
https://www.readbyqxmd.com/read/29643725/modified-laminoplasty-for-degenerative-cervical-spondylosis-the-technique-of-floating-laminoplasty
#14
Samuel C Ohaegbulam, Wilfred C Mezue, Chika Anele Ndubuisi, Mark O Chikani, Ndubuisi D Achebe, Uwadiegwu A Erechukwu
Background: Laminoplasty is an established alternative to laminectomy for posterior cervical decompression in spondylotic myelopathy. However, standard laminoplasty requires internal fixation, which is often not obtainable in developing countries. We present our experience with a technique of noninstrumented (floating) laminoplasty developed to avoid the need to anchor the laminoplasty to the anterior elements. Methods: We have used floating laminoplasty (FL) for posterior cervical decompression in patients with cervical spondylosis since 2004 and report the technique and our experience with it between 2009 and 2014 when C-arm and magnetic resonance imaging became available in our unit...
January 2018: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29625309/risk-factors-for-significant-intraoperative-blood-loss-during-unilateral-expansive-open-door-cervical-laminoplasty-for-cervical-compressive-myelopathy
#15
Yang Meng, Xiaofei Wang, Hua Chen, Ying Hong, Tingkui Wu, Beiyu Wang, Yuxiao Deng, Hao Liu
OBJECTIVE: Unilateral expansive open-door cervical laminoplasty is an effective and safe procedure for cervical compressive myelopathy, but occasionally is accompanied with significant intraoperative blood loss (SIBL). The aim of the present study was to elucidate the risk factors for SIBL in patients undergoing cervical laminoplasty for multilevel cervical compressive myelopathy, and to identify the effect of SIBL on neurological complication. METHODS: A total of 215 patients who received cervical laminoplasty between January 2010 and August 2016 were enrolled in the study...
April 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29619535/-operative-treatment-of-the-degenerative-cervical-spine
#16
REVIEW
A Tschugg, B Meyer, M Stoffel, P Vajkoczy, F Ringel, S-O Eicker, V Rhode, C Thomé
BACKGROUND: Degenerative alterations of the cervical spine often entail disc herniations and stenoses of the spinal canal and/or neural foramen. Mediolateral or lateral compression of nerve roots causes cervical radiculopathy, which is an indication for surgery in cases of significant motor deficits or refractory pain. Median canal encroachment may result in compression of the spinal cord and cervical myelopathy. Its natural history is typically characterized by episodic deterioration, so that surgical decompression is indicated in cases of clear myelopathic signs...
April 4, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29619122/cervicothoracic-lordosis-can-influence-outcome-after-posterior-cervical-spine-surgery
#17
Albert Vincent Berthier Brasil, Pablo Ramon Fruett da Costa, Antonio Delacy Martini Vial, Gabriel da Costa Barcellos, Eduardo Balverdu Zauk, Paulo Valdeci Worm, Marcelo Paglioli Ferreira, Nelson Pires Ferreira
Background: Previous studies on the correlation between cervical sagittal balance with improvement in quality of life showed significant results only for parameters of the anterior translation of the cervical spine (such as C2-C7 SVA). Objective: We test whether a new parameter, cervicothoracic lordosis , can predict clinical success in this type of surgery. Methods: The focused group involved patients who underwent surgical treatment of cervical degenerative disk disease by the posterior approach, due to myelopathy, radiculopathy or a combination of both...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29598841/narrow-width-of-muscle-preserving-selective-laminectomy-demonstrated-sufficient-surgical-outcomes-and-reduced-surgical-invasiveness
#18
Satoshi Nori, Tateru Shiraishi, Ryoma Aoyama, Ken Ninomiya, Junichi Yamane, Kazuya Kitamura, Seiji Ueda
Sufficient width of laminectomy or laminoplasty is considered a criterion for successful surgical outcomes following posterior cervical decompression. No previous study has focused on surgical outcomes achieved by wide versus narrow decompression. This study examined whether narrow laminectomy width (LW) affected surgical outcomes in cervical compressive myelopathy (CCM). Between 2005 and 2010, we performed muscle-preserving selective laminectomy (SL) with decompression between the bilateral medial margin of the facet joints (wide SL)...
March 26, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29581609/%C3%AF-editors-choice%C3%AF-surgical-outcomes-of-decompressive-laminoplasty-with-spinous-process-osteotomy-to-treat-lumbar-spinal-stenosis
#19
Shunsuke Kanbara, Testuya Urasaki, Hiroyuki Tomita, Kei Ando, Kazuyoshi Kobayashi, Kenyu Ito, Mikito Tsushima, Akiyuki Matsumoto, Masayoshi Morozumi, Satoshi Tanaka, Kyotaro Ota, Masaaki Machino, Sadayuki Ito, Yoshihiro Nishida, Naoki Ishiguro, Shiro Imagama
Decompressive laminoplasty with spinous process osteotomy (LSPO) was developed as a less invasive procedure for lumbar decompression by Weiner et al. There are few reports extensively highlighting the surgical outcomes of LSPO. The purpose of this study was to evaluate the surgical outcomes of LSPO for lumbar spinal stenosis (LSS). In total, 23 patients with LSS were studied. All patients were followed up for more than 2 years. The Japanese Orthopedic Association (JOA) scores, the recovery rate (RR) of JOA scores, Visual analog scale (VAS) scores, responses to the JOA Back Pain Evaluation Questionnaire (JOABPEQ), sagittal alignment and segmental motion following LSPO were assessed preoperatively and 2 years postoperatively...
February 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29561448/relationship-of-actual-laminoplasty-opening-size-and-increment-of-the-cross-sectional-area-based-on-single-door-cervical-laminoplasy
#20
Xiao-Jiang Yang, Rui-Jun Tian, Xing Su, Shan-Bo Hu, Wei Lei, Yang Zhang
BACKGROUND: Amounts of clinic research have been performed to investigate the increment of cross-sectional area in single-door cervical laminoplasty (SDCL). However, no one has taken the effects of surgery drill into consideration. METHODS: A mathematical model was built to investigate the relation of actual laminoplasty opening size (LOS), the transverse canal diameter (TCD), and the increment of cross-sectional area in SDCL). The model was based on geometric analysis on deformation of spinal canal; the relation was derived and characterized as: (Equation is included in full-text article...
March 2018: Medicine (Baltimore)
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