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https://www.readbyqxmd.com/read/28329252/clinical-outcomes-of-cervical-laminoplasty-results-at-two-years
#1
Melissa M Stamates, Michael X Cui, Ben Z Roitberg
BACKGROUND: Laminoplasty is an established treatment for cervical myelopathy. Multiple variations have emerged, many advocating the use of allograft, but controversy persists. OBJECTIVE: To assess medium-term clinical outcomes in patients who underwent laminoplasty with autograft at our institution. METHODS: Thirty-two consecutive patients (19 male, 13 female, average age 66 yr) from our prospective outcome registry that underwent cervical laminoplasty between 2009 and 2013 were reviewed...
December 15, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28323689/intradural-intramedullary-cervicothoracic-tumor-with-long-segmental-localization-a-case-report-with-step-by-step-surgical-treatment-strategy-with-neuromonitorization
#2
Askin E Hasturk, Teoman Etikcan, Suat Canbay
Ependymomas are the most common gliomas of the conus and lower cord, with the cervical cord being the second most common location. These tumors can extend upward 3-4 vertebra, and some ependymomas can extend up over 15 segments. Depending on many factors, such as tumor size, lateralization, kyphotic deformity, and lordosis state, there are several posterior surgical options, including laminectomy, laminectomy and lateral mass screw-plate, and laminoplasty. In this study, we discuss a case of intradural intramedullary cervicothoracic ependymoma with long-segmental localization, as well as the general surgical principles of its excision with step-by-step demonstrative figures...
April 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28293750/factors-affecting-the-surgical-outcomes-of-tethered-cord-syndrome-in-adults-a-retrospective-study
#3
Anas Abdallah, Erhan Emel, Betül Güler Abdallah, Murad Asiltürk, Özden Erhan Sofuoğlu
This study aimed to find the factors that may affect the surgical outcomes of congenital tethered cord syndrome (TCS) in adults by evaluating the long-term surgical outcomes of 25 consecutive cases. Medical records of 79 TCS cases which underwent surgery in Bakırköy Research and Training Hospital for Neurology, Neurosurgery and Psychiatry (BRSHH), during an 11-year period from 2005 to 2015, were retrospectively reviewed. All adult cases (patient age > 18 years) were selected as the core sample used for this study...
March 14, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28291414/is-cervical-disc-arthroplasty-good-for-congenital-cervical-stenosis
#4
Peng-Yuan Chang, Hsuan-Kan Chang, Jau-Ching Wu, Wen-Cheng Huang, Li-Yu Fay, Tsung-Hsi Tu, Ching-Lan Wu, Henrich Cheng
OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be as safe and effective as anterior cervical discectomy and fusion (ACDF) in the management of 1- and 2-level degenerative disc disease (DDD). However, there has been a lack of data to address the fundamental discrepancy between the two surgeries (CDA vs ACDF), and preservation versus elimination of motion, in the management of cervical myelopathy associated with congenital cervical stenosis (CCS). Although younger patients tend to benefit more from motion preservation, it is uncertain if CCS caused by multilevel DDD can be treated safely with CDA...
March 10, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28289891/selective-laminectomy-for-cervical-spondylotic-myelopathy-a-comparative-analysis-with-laminoplasty-technique
#5
Han Chang, Choll Kim, Byung-Wan Choi
INTRODUCTION: The purpose of this study was to evaluate the effectiveness of selective laminectomy compared with laminoplasty for patients with multilevel cervical spondylotic myelopathy (CSM) by evaluating the radiological and clinical outcomes. METHODS: We retrospectively reviewed 67 patients with who underwent posterior laminectomy (LN) or laminoplasty (LP). LN was performed in 32 cases and LP in 35 cases. Radiologically, we evaluated the neutral C2-7 Cobb angle and range of motion (ROM) preoperatively and at final follow-up...
March 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28287894/spinal-arachnoid-cysts-our-experience-and-review-of-literature
#6
Kanwaljeet Garg, Sachin Anil Borkar, Shashank Sharad Kale, Bhawani Shankar Sharma
OBJECTIVE: Arachnoid cysts are discrete pockets of CSF or CSF-like fluid found adjacent to normal CSF spaces, either spinal or cranial. Spinal arachnoid cysts (SAC) are most commonly extradural, however intradural or perineural are also described. METHODS: All patients admitted to our center and surgically treated with a diagnosis of SAC, were included in the study. The results were analyzed in terms of the clinical symptoms, location of cyst, surgical procedure performed and outcome following surgery...
April 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28254423/anterior-corpectomy-comparing-to-posterior-decompression-surgery-for-the-treatment-of-multi-level-ossification-of-posterior-longitudinal-ligament-a-meta-analysis
#7
REVIEW
Songgang Wang, Yanxiao Xiang, Xia Wang, Hao Li, Yong Hou, Hua Zhao, Xin Pan
BACKGROUND: Ossification of posterior longitudinal ligament (OPLL) can be treated by two surgical strategies, anterior decompression with fusion and posterior decompression with laminoplasty or laminectomy. It has been debated which surgical approach is more appropriate for the treatment of multilevel OPLL. The purpose of this study is to compare the outcomes of anterior corpectomy surgery to posterior decompression surgery for the treatment of multilevel ossification of OPLL. MATERIALS AND METHODS: The databases of Medline, Embase, Pubmed, Cochrane library, and Cochrane Central Register of Controlled Trials was searched and we included trials which comparing anterior to posterior surgery for multilevel OPLL...
February 22, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28248739/prediction-of-outcome-following-surgical-treatment-of-cervical-myelopathy-based-on-features-of-ossification-of-the-posterior-longitudinal-ligament-a-systematic-review
#8
Hiroaki Nakashima, Lindsay Tetreault, So Kato, Michael T Kryshtalskyj, Narihito Nagoshi, Aria Nouri, Anoushka Singh, Michael G Fehlings
BACKGROUND: Ossification of the posterior longitudinal ligament (OPLL) is defined as ectopic bone formation within the posterior longitudinal ligament. Although various OPLL features (including the extent, shape, and thickness of the OPLL as well as the presence of dural ossification) have been defined in the literature, we are not aware of any systematic reviews that have summarized the associations between these features and clinical outcomes following surgery. The objective of the present study was to conduct a systematic review of the literature to determine whether OPLL characteristics are predictive of outcome in patients undergoing surgery for the treatment of cervical myelopathy...
February 28, 2017: JBJS Reviews
https://www.readbyqxmd.com/read/28247081/extraordinary-positional-cervical-spinal-cord-compression-in-extension-position-as-a-rare-cause-of-postoperative-progressive-myelopathy-after-cervical-posterior-laminoplasty-detected-using-the-extension-flexion-positional-ct-myelography-one-case-after-laminectomy
#9
Yasushi Fujiwara, Hideki Manabe, Takahiro Harada, Bunichiro Izumi, Nobuo Adachi
PURPOSE: Posterior cervical laminectomies and laminoplasties are common treatments for cervical spondylotic myelopathy. However, recent studies demonstrated that positional spinal cord compression occurred after cervical laminectomies and caused postoperative progressive myelopathy. Although there were no such reports after laminoplasties, we report two cases in which symptomatic extraordinary positional spinal cord compression occurred after laminoplasties in this paper. METHODS: This study included two patients who showed progressive myelopathy: one case after a laminectomy following failure of a single-door laminoplasty and one case after a double-door laminoplasty without interlaminar spacers...
February 28, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28247078/congenital-double-level-cervical-spondylolysis-a-case-report-and-review-of-the-literature
#10
Norio Yamamoto, Takaaki Miki, Yoshihisa Nasu, Akihiro Nishiyama, Tomoyuki Dan'ura, Yuzuru Matsui, Toshifumi Ozaki
PURPOSE: We report a rare Japanese female who was affected with three genetic-linked diseases: double-level cervical bilateral spondylolysis in association with spina bifida occulta, cleft lip and monostotic fibrous dysplasia of the right proximal femur. The case was considered to be congenital in origin. We also review the pertinent literature of cervical spondylolysis, with a focus on the pathogenesis of multiple-level cervical spondylolysis. METHODS: A 40-year-old female presented with progressive clumsiness and numbness of the hands...
February 28, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28240309/multivariate-analysis-of-factors-associated-with-kyphotic-deformity-after-laminoplasty-in-cervical-spondylotic-myelopathy-patients-without-preoperative-kyphotic-alignment
#11
JunMing Cao, JingTao Zhang, DaLong Yang, Liu Yang, Yong Shen
The risk factors of post-laminoplasty kyphosis in patients with cervical spondylotic myelopathy (CSM) without preoperative kyphotic alignment are not well known. This study aimed to compare clinical and radiological data between patients with or without post-laminoplasty kyphosis and to investigate the factors associated with post-laminoplasty kyphosis in CSM patients without preoperative kyphotic alignment. Patients (n = 194) who received unilateral expansive open-door cervical laminoplasty with miniplate fixation and completed a 1-year follow-up were enrolled...
February 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28225364/preoperative-risk-factors-of-c5-nerve-root-palsy-after-laminectomy-and-fusion-in-patients-with-cervical-myelopathy-analysis-of-70-consecutive-patients
#12
Kyung-Soo Suk, Kyung-Chung Kang, Hak-Sun Kim, Seong-Hwan Moon, Hwan-Mo Lee, Jung-Ho Seo, Sung-Min Kim, Sung-Yub Jin, Pierre Mella
STUDY DESIGN: A retrospective study. OBJECTIVE: To identify preoperative risk factors causing cervical fifth nerve root palsy (C5 palsy) after laminectomy and fusion (LF). SUMMARY OF BACKGROUND DATA: It is well known that postoperative C5 palsy is not rare after cervical surgery. Although there remains controversy, C5 palsy is considered to be more common in patients who had LF than in those who had laminoplasty. However, the reason for the higher incidence of C5 palsy in patients with LF has been poorly understood...
February 20, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28219304/solitary-thoracic-intramedullary-spinal-neurofibroma-microsurgically-extirpated-via-recapping-t-saw-laminoplasty
#13
Mamer Soriano Rosario, Hideki Murakami, Satoshi Kato, Moriyuki Fujii, Noritaka Yonezawa, Hiroyuki Tsuchiya
We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28175440/169%C3%A2-laminoplasty-vs-laminectomy-with-posterior-spinal-fusion-for-multilevel-cervical-spondylotic-myelopathy-matched-cohorts-of-regional-sagittal-balance
#14
Darryl Lau, Ethan A Winkler, Khoi Duc Than, Dean Chou, Praveen V Mummaneni
No abstract text is available yet for this article.
August 1, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28175409/170%C3%A2-the-accuracy-of-multimodality-intraoperative-neuromonitoring-to-predict-postoperative-neurological-deficits-following-cervical-laminoplasty
#15
John Frederick Burke, Junichi Ohya, Todd Douglas Vogel, Michael Virk, Dean Chou, Praveen V Mummaneni
No abstract text is available yet for this article.
August 1, 2016: Neurosurgery
https://www.readbyqxmd.com/read/28168336/predictors-of-cervical-lordosis-loss-after-laminoplasty-in-patients-with-cervical-spondylotic-myelopathy
#16
Jing Tao Zhang, Jia Qi Li, Rui Jie Niu, Zhao Liu, Tong Tong, Yong Shen
PURPOSE: To determine whether radiological, clinical, and demographic findings in patients with cervical spondylotic myelopathy (CSM) were independently associated with loss of cervical lordosis (LCL) after laminoplasty. METHODS: The prospective study included 41 consecutive patients who underwent laminoplasty for CSM. The difference in C2-7 Cobb angle between the postoperative and preoperative films was used to evaluate change in cervical alignment. Age, sex, body mass index (BMI), smoking history, preoperative C2-7 Cobb angle, T1 slope, C2-7 range of motion (C2-7 ROM), C2-7 sagittal vertical axis (C2-7 SVA), and cephalad vertebral level undergoing laminoplasty (CVLL) were assessed...
February 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28151906/mini-plate-fixation-versus-suture-suspensory-fixation-in-cervical-laminoplasty-a-meta-analysis
#17
COMPARATIVE STUDY
Feng-Yu Liu, Lei Ma, Li-Shuang Huo, Yan-Xiang Cao, Da-Long Yang, Hui Wang, Si-Dong Yang, Wen-Yuan Ding
BACKGROUND: Both the mini-plate fixation and suture suspensory fixation techniques are extensively applied in cervical laminoplasty, but which technique is superior has not been ascertained. The purpose of this meta-analysis is to compare the results between mini-plate fixation and suture suspensory fixation in cervical laminoplasty for the patients with multilevel cervical compressive myelopathy. METHODS: PubMed, Embase, the Cochrane library, CNKI, and WANFANG were searched for studies that compared mini-plate fixation and suture suspensory fixation in cervical laminoplasty up to November 1, 2016...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28128699/surgical-results-and-complications-of-anterior-decompression-and-fusion-as-a-revision-surgery-after-initial-posterior-surgery-for-cervical-myelopathy-due-to-ossification-of-the-posterior-longitudinal-ligament
#18
Seiichi Odate, Jitsuhiko Shikata, Tsunemitsu Soeda, Satoru Yamamura, Shinji Kawaguchi
OBJECTIVE Ossification of the posterior longitudinal ligament (OPLL) is a progressive disease. An anterior cervical decompression and fusion (ACDF) procedure for cervical OPLL is theoretically feasible, as the lesion exists anteriorly; however, such a procedure is considered technically demanding and is associated with serious complications. Cervical laminoplasty is reportedly an effective alternative procedure with few complications; it is recognized as a comparatively safe procedure, and has been widely used as an initial surgery for cervical OPLL...
January 27, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28127374/the-change-of-range-of-motion-at-anterior-compression-of-the-cervical-cord-after-laminoplasty-in-patients-with-cervical-spondylotic-myelopathy
#19
Yongjae Cho
OBJECTIVE: Degenerative diseases of the spine, such as cervical spondylotic myelopathy (CSM), are increasing among the old age population, and surgical treatment of CSM is becoming more and more common. The aim of this study was to investigate how functional recovery can be influenced by anterior compression of the spinal cord (ACS) after laminoplasty for treatment of patients with CSM. METHODS: We retrospectively analyzed 32 patients admitted to Ewha Womans Mok-Dong Hospital with CSM who underwent open-door laminoplasty from January 2012 to December 2014...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28124188/clinical-outcome-and-safety-study-of-a-newly-developed-instrumented-french-door-cervical-laminoplasty-technique
#20
Luigi Aurelio Nasto, Samiul Muquit, Ana Belen Perez-Romera, Hossein Mehdian
BACKGROUND: Standard laminectomy for treatment of cervical myelopathy is associated with secondary instability and kyphosis, while laminectomy combined with fusion puts adjacent segments at risk of degeneration. Single- and double-door laminoplasty techniques have been developed to overcome these limitations. More recently, complications related to bone graft dislodgment have fostered development of hardware-augmented laminoplasty techniques. The aim of this study is to review the clinical safety and effectiveness of a newly developed technique of instrumented French-door laminoplasty for treatment of cervical myelopathy...
January 25, 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
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