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https://www.readbyqxmd.com/read/28099187/a-comparative-study-of-anterior-decompression-with-fusion-and-posterior-decompression-with-laminoplasty-for-the-treatment-of-cervical-spondylotic-myelopathy-patients-with-large-anterior-compression-of-the-spinal-cord
#1
Takashi Hirai, Toshitaka Yoshii, Yoshiyasu Arai, Kenichiro Sakai, Ichiro Torigoe, Hidetsugu Maehara, Masaki Tomori, Takashi Taniyama, Hirokazu Sato, Atsushi Okawa
STUDY DESIGN: This is a retrospective observational single-center study. OBJECTIVES: To compare anterior decompression and fusion (ADF) and laminoplasty (LAMP) for the treatment of cervical spondylotic myelopathy (CSM) patients with large anterior compression in terms of clinical and radiologic outcomes. SUMMARY OF BACKGROUND DATA: We have reported that insufficient posterior decompression could be often seen after laminoplasty for CSM patients with preoperative anterior clearance of the spinal cord, defined as an interval <4 mm between the preoperative the modified K-line and anterior structure of the spinal canal at most compressive segment on sagittal T1-weighted magnetic resonance imaging...
January 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28068970/quadriplegia-caused-by-an-epidural-abscess-occurring-at-the-same-level-of-cervical-destructive-spondyloarthropathy-a-case-report
#2
Jun-Seok Lee, Ji-Hyun Ryu, Jong-Tae Park, Ki-Won Kim
BACKGROUND: Destructive spondyloarthropathy (DSA) is one of the major complications in patients undergoing long-term hemodialysis. To the best of our knowledge, an epidural abscess occurring at the level of preexisting cervical DSA has not been well described in the literature. We report a unique case of quadriplegia caused by an epidural abscess occurring at the same level of preexisting cervical DSA. CASE PRESENTATION: A 49-year-old woman was transferred to our emergency department with 5 days of sepsis, drowsy mental status, and quadriplegia below the C5 level...
January 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28028648/expansive-open-door-laminoplasty-versus-laminectomy-and-instrumented-fusion-for-cases-with-cervical-ossification-of-the-posterior-longitudinal-ligament-and-straight-lordosis
#3
Xiaowei Liu, Yu Chen, Haisong Yang, Tiefeng Li, Bin Xu, Deyu Chen
PURPOSE: To identify whether expansive open-door laminoplasty (Lam) is more appropriate than laminectomy and instrumented fusion (LIF) for cases with ossification of the posterior longitudinal ligament (OPLL) and straight cervical lordosis. METHODS: A total of 67 cases were included and divided into Group Lam (n = 32) and Group LIF (n = 35), and the mean follow-up periods were 38 and 42 months, respectively. The cervical lordosis was elevated by C2-7 Cobb angle and cervical sagittal balance by C2-C7 sagittal vertical axis (SVA)...
December 27, 2016: European Spine Journal
https://www.readbyqxmd.com/read/28025023/correlation-between-preoperative-physical-signs-and-functional-outcomes-after-laminoplasty-for-ossification-of-the-posterior-longitudinal-ligament
#4
Takashi Tsuji, Nobuyuki Fujita, Kota Watanabe, Masaya Nakamura, Morio Matsumoto, Ken Ishii
BACKGROUND: Ossification of the posterior longitudinal ligament (OPLL) can cause myelopathy that is often managed surgically. Knowledge of predictors of surgical outcomes can provide decision support to surgeons. The aims of this study were to investigate the relationships between preoperative physical signs and postoperative functional outcomes in patients with OPLL and to clarify whether physical signs could predict functional outcomes. METHODS: Fifty-five patients with OPLL who had undergone cervical laminoplasty were included in this study...
December 23, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27982764/spinal-cord-hemangioblastomas-significance-of-intraoperative-neurophysiological-monitoring-for-resection-and-long-term-outcome
#5
Sebastian Siller, Andrea Szelényi, Lisa Herlitz, Joerg Christian Tonn, Stefan Zausinger
OBJECTIVE Spinal cord hemangioblastomas are rare benign tumors developing either sporadically or as part of von Hippel-Lindau (VHL) disease. Generally, resection is the treatment of choice. However, the significance of intraoperative neurophysiological monitoring (IONM) for resection and postoperative outcome is still controversial. The authors analyzed the surgical and clinical courses of patients who had undergone resection of spinal cord hemangioblastoma, with special attention to preoperative imaging, the use of IONM, and short- and long-term outcomes...
December 16, 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27904722/comparison-between-radiological-and-clinical-outcomes-of-laminoplasties-with-titanium-miniplates-for-cervical-myelopathy
#6
Jong-Hwa Park, Jae-Sung Ahn, Ho-Jin Lee, Byung-Kon Shin
BACKGROUND: Laminoplasty is a surgical procedure frequently performed for cervical myelopathy. We investigated correlations between changes in the anteroposterior diameter (APD) of the spinal canal, spinal canal area (SCA), and laminar angle (LA) and clinical outcomes of laminoplasty. METHODS: Of the 204 cervical myelopathy patients who underwent laminoplasty from July 2010 to May 2015, 49 patients who were evaluated with pre- and postoperative computed tomography of the cervical vertebrae were included...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27885472/a-prospective-randomized-trial-comparing-anterior-cervical-discectomy-and-fusion-versus-plate-only-open-door-laminoplasty-for-the-treatment-of-spinal-stenosis-in-degenerative-diseases
#7
Yun-Qi Jiang, Xi-Lei Li, Xiao-Gang Zhou, Chong Bian, Han-Ming Wang, Jian-Ming Huang, Jian Dong
OBJECTIVE: For three or more involved cervical levels, there is a debate over which approach yields the best outcomes for the treatment of multilevel cervical degenerative disease. Our objective is to compare the radiological and clinical outcomes of two treatments for multilevel cervical degenerative disease: anterior cervical discectomy and fusion (ACDF) versus plate-only open-door laminoplasty (laminoplasty). METHODS: Patients were randomized on a 1:1 randomization schedule with 17 patients in the ACDF group and 17 patients in the laminoplasty group...
November 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27879567/collar-fixation-is-not-mandatory-after-cervical-laminoplasty-a-randomized-controlled-trial
#8
Tetsuro Hida, Yoshihito Sakai, Kenyu Ito, Sadayuki Ito, Shiro Imagama, Naoki Ishiguro, Atsushi Harada
STUDY DESIGN: Prospective randomized controlled study OBJECTIVES.: To determine the effect of collar-aided fixation on outcomes following laminoplasty for cervical compressive myelopathy. SUMMARY OF BACKGROUND DATA: Patients are often placed in a Philadelphia collar for weeks after cervical laminoplasty. However, the benefit of postoperative collar use remains controversial. We hypothesized that treatment outcomes in postoperative pain in patients without collars would not be inferior to the outcomes in patients using Philadelphia collars for two weeks...
November 22, 2016: Spine
https://www.readbyqxmd.com/read/27851661/which-technique-is-better-option-for-c3-segment-in-multi-level-open-door-laminoplasty-of-the-cervical-spine-laminectomy-versus-laminoplasty
#9
Gun Woo Lee, Chang Woo Cho, Ji-Hoon Shin, Myun-Whan Ahn
STUDY DESIGN: A post-hoc comparative study OBJECTIVE.: To evaluate postoperative clinical, radiological, and surgical outcomes after LP involving the C3 segment and to compare outcomes with those of patients who underwent LP with C3 LN. SUMMARY OF BACKGROUND DATA: In many of the pathologies that require LP involving C3 segment, most spine surgeons perform LP at C3 as well as other cervical segments. Considering the peculiarities of the C2-C3 level, spine surgeons should take into account those in LP involving the C3 segment, but the particular aspects of the C2-C3 levels have not been fully evaluated...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27847574/a-comparison-of-implants-used-in-double-door-laminoplasty-allogeneic-bone-spacer-versus-hydroxyapatite-spacer
#10
Dong Yoon Lee, Chang Kyu Lee, In-Soo Kim
OBJECTIVE: The aim of this study was to compare the clinical and radiological outcomes associated with the use of hydroxyapatite (HA) spacer and allogeneic bone (AB) spacer in laminoplasty. METHODS: From January 2006 to July 2014, 79 patients with cervical spondylotic myelopathy or ossification of the posterior longitudinal ligament underwent cervical laminoplasty. The radiologic parameters were obtained from plain radiography and three-dimensional computed tomography...
November 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27801888/the-relationship-between-central-motor-conduction-time-and-spinal-cord-compression-in-patients-with-cervical-spondylotic-myelopathy
#11
T Rikita, N Tanaka, K Nakanishi, N Kamei, N Sumiyoshi, S Kotaka, N Adachi, M Ochi
STUDY DESIGN: Retrospective study. OBJECTIVES: Few studies have reported a relationship between central motor conduction time (CMCT), which evaluates corticospinal function, and degree of spinal cord compression in patients with myelopathy. Thus, there is no consensus on predicting the degree of prolonged CMCT on the basis of the degree of spinal cord compression. If a correlation exists between CMCT and spinal cord compression, then spinal cord compression may be a useful noninvasive clinical indicator of corticospinal function...
November 1, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27792117/use-of-central-motor-conduction-time-and-spinal-cord-evoked-potentials-in-the-electrophysiological-assessment-of-compressive-cervical-myelopathy
#12
Kazuhiro Fujimoto, Tsukasa Kanchiku, Yasuaki Imajo, Hidenori Suzuki, Masahiro Funaba, Norihiro Nishida, Toshihiko Taguchi
STUDY DESIGN: Retrospective study. OBJECTIVE: This study investigated the pathophysiology of compressive cervical myelopathy (CCM) with prolonged central motor conduction time (CMCT) in the upper limbs (UL) rather than lower limbs (LL) and prolonged CMCT at the thoracic level (TL). SUMMARY OF BACKGROUND DATA: Earlier reports indicated the usefulness of CMCT to assess preoperative CCM severity. However little information exists on patients with prolonged CMCT-UL rather than CMCT-LL and prolonged CMCT-TL...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27792116/characteristics-of-residual-symptoms-following-laminoplasty-in-diabetic-patients-with-cervical-spondylotic-myelopathy-a-prospective-cohort-study
#13
Masaaki Machino, Shiro Imagama, Kei Ando, Kazuyoshi Kobayashi, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Akiyuki Matsumoto, Satoshi Tanaka, Masayoshi Morozumi, Keigo Ito, Fumihiko Kato, Yoshihiro Nishida, Naoki Ishiguro
STUDY DESIGN: A prospective cohort study OBJECTIVE.: The purpose of this study was to compare cervical laminoplasty outcomes between diabetic and non-diabetic patients with cervical spondylotic myelopathy (CSM), and to characterize residual symptoms of diabetic patients. METHODS: A total of 505 consecutive patients with CSM (331 males, 189 females; mean age, 66.6 years; range, 41-91 years; > 1-year follow-up after laminoplasty) were enrolled and divided into diabetic group (n = 105) and non-diabetic group (n = 400)...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27781191/outcomes-following-laminoplasty-or-laminectomy-and-fusion-in-patients-with-myelopathy-caused-by-ossification-of-the-posterior-longitudinal-ligament-a-systematic-review
#14
REVIEW
Weerasak Singhatanadgige, Worawat Limthongkul, Frank Valone, Wicharn Yingsakmongkol, K Daniel Riew
Study Design Systematic review. Objective To compare laminoplasty versus laminectomy and fusion in patients with cervical myelopathy caused by OPLL. Methods A systematic review was conducted using PubMed/Medline, Cochrane database, and Google scholar of articles. Only comparative studies in humans were included. Studies involving cervical trauma/fracture, infection, and tumor were excluded. Results Of 157 citations initially analyzed, 4 studies ultimately met our inclusion criteria: one class of evidence (CoE) II prospective cohort study and three CoE III retrospective cohort studies...
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27779175/three-dimensional-printed-patient-specific-drilling-templates-for-expansive-open-door-laminoplasty
#15
Xin Rong, Bei-Yu Wang, Yu-Xiao Deng, Hao Liu
No abstract text is available yet for this article.
2016: Chinese Medical Journal
https://www.readbyqxmd.com/read/27757428/can-intraoperative-neurophysiologic-monitoring-during-cervical-spine-decompression-predict-post-operative-segmental-c5-palsy
#16
Siavash S Haghighi, Donald J Blaskiewicz, Bertha Ramirez, Richard Zhang
BACKGROUND: C5 nerve root palsy is a known complication after cervical laminectomy or laminoplasty, characterized by weakness of the deltoid and bicep brachii muscles. The efficacy of intraoperative monitoring of these muscles is currently unclear. In the current prospective study, intraoperative monitoring through somatosensory (SSEPs), motor (TcMEPs) evoked potentials and real-time electromyography activity (EMG) were analyzed for their ability to detect or prevent deltoid muscle weakness after surgery...
September 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27755496/are-there-differences-in-the-progression-of-ossification-of-the-posterior-longitudinal-ligament-following-laminoplasty-versus-fusion-a-meta-analysis
#17
Chang-Hyun Lee, Moon Jun Sohn, Chae Heuck Lee, Chan Young Choi, Seong Rok Han, Byung-Wan Choi
STUDY DESIGN: Systematic review and meta-analysis of studies for the treatment of cervical myelopathy with OPLL treated with laminoplasty or fusion. OBJECTIVE: To delineate whether OPLL continues to progress after laminoplasty compared with fusion and to clarify the relationship between radiological progression of OPLL and neurological decline. SUMMARY OF BACKGROUND DATA: Laminoplasty is usually performed in patients with multilevel ossification of the posterior longitudinal ligament (OPLL) due to the surgical morbidity of anterior surgery...
October 17, 2016: Spine
https://www.readbyqxmd.com/read/27753697/kinematic-effects-of-cervical-laminoplasty-for-cervical-spondylotic-myelopathy-on-the-occipitoatlantoaxial-junction
#18
Asuka Desroches, Yuichiro Morishita, Itaru Yugue, Takeshi Maeda, Charles-Henri Flouzat-Lachaniette, Philippe Hernigou, Keiichiro Shiba
STUDY DESIGN: A retrospective evaluation of sagittal angular motion from cervical spinal flexion to extension. OBJECTIVE: To evaluate the kinematic effects of cervical laminoplasty for cervical spondylotic myelopathy (CSM) on the occipitoatlantoaxial junction. SUMMARY OF BACKGROUND DATA: The kinematic effects of cervical laminoplasty for CSM on the occipitoatlantoaxial junction remain controversial. METHODS: A total of 65 CSM patients who were treated with cervical laminoplasty ranging from the C3 to C7 vertebrae were included in the study...
October 6, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27744454/preoperative-factors-affecting-postoperative-axial-symptoms-after-single-door-cervical-laminoplasty-for-cervical-spondylotic-myelopathy-a-prospective-comparative-study
#19
Yanbin Liu, Le Liu, Zhi Zhang, Bin Sheng, Xuegang Lun, Zhong Cao, Jianmin Sun, Guangming Xu
BACKGROUND Postoperative axial symptoms (post-AS) after single-door cervical laminoplasty for cervical spondylotic myelopathy (CSM) are a common and severe complication that adversely affects normal daily activities. Their etiology remains unclear. It is important to know which preoperative factors are the most predictive of post-AS. Therefore, this study aimed to elucidate the preoperative factors affecting post-AS. MATERIAL AND METHODS A total of 102 patients with CSM who underwent single-door cervical laminoplasty between 2009 and 2015 were studied...
October 16, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27727047/loss-of-sensation-in-both-upper-and-lower-extremities-without-motor-deterioration-resulting-from-spinal-cord-edema-after-cervical-laminoplasty-a-case-report
#20
Hiroshi Nomura, Yoshikazu Yanagisawa, Junichi Arima
No abstract text is available yet for this article.
October 7, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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