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https://www.readbyqxmd.com/read/28529246/surgical-outcome-of-laminoplasty-for-cervical-spondylotic-myelopathy-in-an-elderly-population-potentiality-for-effective-early-surgical-intervention-a-meta-analysis
#1
Yasuhiro Takeshima, Ryuta Matsuoka, Ichiro Nakagawa, Fumihiko Nishimura, Hiroyuki Nakase
A systematic review and meta-analysis was conducted to determine differences in surgical outcomes of laminoplasty for cervical spondylotic myelopathy (CSM) between elderly and non-elderly patients. PubMed and Google Scholar searches were performed using several key words and phrases related to cervical laminoplasty in elderly populations. Included studies were written in English, addressed laminoplasty for cervical spondylotic myelopathy, and evaluated outcomes of the treatment. Statistical analysis was performed using a random-effect model...
May 19, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28525472/a-comparison-of-implants-used-in-open-door-laminoplasty-structural-rib-allografts-versus-metallic-miniplates
#2
Ehsan Tabaraee, Praveen Mummaneni, Amir Abdul-Jabbar, David Shearer, Esha Roy, Beejal Amin, Christopher Ames, Shane Burch, Vedat Deviren, Sigurd Berven, Serena Hu, Dean Chou, Bobby K Tay
STUDY DESIGN: A retrospective case-controlled study. SUMMARY OF BACKGROUND DATA: Open-door laminoplasty has been successfully used to address cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament. Two common implants include rib allograft struts and metallic miniplates. OBJECTIVE: The goals of this study were to compare outcomes, complications, and costs associated with these 2 implants. METHODS: A retrospective review was done on 51 patients with allograft struts and 55 patients with miniplates...
June 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28522370/changing-the-design-of-hydroxyapatite-spacers-to-improve-their-postoperative-displacement-following-double-door-laminoplasty
#3
Toshiya Tachibana, Keishi Maruo, Fumihiro Arizumi, Kazuki Kusuyama, Kazuya Kishima, Shinichi Yoshiya
No abstract text is available yet for this article.
May 15, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28507885/effect-of-cervical-sagittal-balance-on-laminoplasty-in-patients-with-cervical-myelopathy
#4
Minori Kato, Takashi Namikawa, Akira Matsumura, Sadahiko Konishi, Hiroaki Nakamura
STUDY DESIGN: Retrospective clinical study. OBJECTIVE: We evaluated the relationship between cervical sagittal alignment parameters and clinical status in patients with cervical myelopathy and analyzed the effect of cervical sagittal balance on cervical laminoplasty. METHODS: Patients with cervical myelopathy (n = 110) who underwent laminoplasty were included in this study. The relationship between cervical sagittal alignment parameters and clinical status was evaluated...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28495424/clinical-and-radiographic-outcomes-following-hinge-fracture-during-open-door-cervical-laminoplasty
#5
Dong-Ho Lee, Hyoungmin Kim, Choon Sung Lee, Chang-Ju Hwang, Jae-Hwan Cho, Samuel K Cho
To investigate the clinical and radiographic fate of fractured hinges in open-door cervical laminoplasty, 135 segments of 36 patients who had undergone follow-up for more than two years after open-door cervical laminoplasty due to compressive cervical myelopathy were reviewed clinically and radiographically. Hinge fractures were identified by the intraoperative finding of obvious instability or click sounds (an obvious fracture), or by immediate postoperative computed tomography (CT) images showing a discontinuity of both the inner and outer cortex or a displacement of more than 1mm at the lamina hinge site (an occult fracture)...
May 8, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28476459/cervical-spondylotic-myelopathy-national-trends-in-the-treatment-and-peri-operative-outcomes-over-10years
#6
Peter G Passias, Bryan J Marascalchi, Anthony J Boniello, Sun Yang, Kristina Bianco, Cyrus M Jalai, Nancy J Worley, Samantha R Horn, Virginie Lafage, John A Bendo
BACKGROUND: Recent studies show increases in cervical spine surgery prevalence and cervical spondylotic myelopathy (CSM) diagnoses in the US. However, few studies have examined outcomes for CSM surgical management, particularly on a nationwide scale. OBJECTIVE: Evaluate national trends from 2001 to 2010 for CSM patient surgical approach, postoperative outcomes, and hospital characteristics. METHODS: A retrospective nationwide database analysis provided by the Nationwide Inpatient Sample (NIS) including CSM patients aged 25+ who underwent anterior and/or posterior cervical fusion or laminoplasty from 2001 to 2010...
May 2, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28458066/impact-of-wedge-shaped-resection-of-the-posterior-bony-arch-on-postoperative-outcomes-after-open-door-laminoplasty-in-the-cervical-spine-two-year-follow-up-study
#7
Gun Woo Lee, Bo-Gun Suh, Jin S Yeom, Seung-Min Ryu, Myun-Whan Ahn
BACKGROUND CONTEXT: Open door laminoplasty (ODLP) also can lead to significant postoperative motion restriction that further increases over time, for which one of possible factor is the bony impingement between neighboring posterior bony arches. Previously, we reported this phenomenon and modified technique of ODLP, wedge-shaped resection of the posterior bony arch that produced greater range-of-motion (ROM) of the cervical spine and less posterior neck pain compared to conventional ODLP in one-year follow-up time, but no longer follow-up outcomes of the surgical technique has been reported...
April 27, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28437334/a-new-fixation-technique-for-french-door-cervical-laminoplasty-surgical-results-with-a-minimum-follow-up-of-6-years
#8
Nanjundappa S Harshavardhana, Harshad V Dabke, Hossein Mehdian
DESIGN: A case series of 5 patients with multilevel cervical myelopathy treated by French-door cervical laminoplasty (FDCL) and use of unicortical iliac crest graft as spacer fixed with titanium miniplates and screws is described. OBJECTIVE: To report a minimum of 6-year follow-up results of our new plate-screw fixation technique for FDCL. SUMMARY OF BACKGROUND DATA: Hardware-assisted laminoplasty has the potential advantage of preventing restenosis by holding the laminar door "open" while healing progresses and also prevents spacer dislodgement...
May 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28432435/c4-5-foraminal-stenosis-predicts-c5-palsy-after-expansive-open-door-laminoplasty
#9
Ho-Jin Lee, Jae-Sung Ahn, Byungkon Shin, Hoseok Lee
INTRODUCTION: Laminoplasty is frequently performed in cervical myelopathy patients, but can lead to unexpected postoperative C5 palsy. Although several studies have examined the pathogenesis and prevention of postoperative C5 palsy, many controversies remain and some radiological findings identified as risk factors were not correlated with our outcomes. PURPOSE: This study sought reliable radiological findings that predict C5 palsy after laminoplasty and examined why the predictors of C5 palsy did not apply in our series...
April 21, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28422860/primary-spinal-glioblastoma-multiforme-a-case-report-and-review-of-the-literature
#10
Chao-Xiong Shen, Jian-Feng Wu, Wei Zhao, Zhao-Wen Cai, Ran-Ze Cai, Chun-Mei Chen
RATIONALE: Primary spinal glioblastoma multiforme (GBM) is a rare clinical entity with an aggressive course and an invariably dismal prognosis. Its clinical characteristics, radiologic and pathologic findings, and treatment protocols have been discussed in a few cases. PATIENT CONCERNS: A 15-year-old female was admitted to the neurology department with a chief complaint of progressive numbness and weakness in her left upper extremity for 3 months and neck pain for 1 month...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28399554/anterior-cervical-discectomy-and-fusion-provides-better-surgical-outcomes-than-posterior-laminoplasty-in-elderly-patients-with-c3-4-level-myelopathy
#11
Koji Tamai, Hidetomi Terai, Akinobu Suzuki, Hiromitsu Toyoda, Masatoshi Hoshino, Shinji Takahashi, Kazunori Hayashi, Shoichiro Ohyama, Hiroaki Nakamura
STUDY DESIGN: Retrospective analyses of prospectively collected data regarding 180 patients with cervical spondylotic myelopathy (CSM). OBJECTIVE: To detect the characteristics of C3-4 level CSM in elderly patients (C3-4CSM) (main analysis) and to validate the postoperative outcomes of anterior cervical discectomy and fusion (ACDF) and of laminoplasty (LAMP) (subgroup analysis). SUMMARY OF BACKGROUND DATA: It remains unclear which surgical technique offers the best outcomes for CSM...
April 15, 2017: Spine
https://www.readbyqxmd.com/read/28377864/open-door-laminoplasty-creation-of-a-new-vertebral-arch
#12
Monica Lara-Almunia, Javier Hernandez-Vicente
BACKGROUND: We describe the carrying out of our open door laminoplasty technique by reproducing a posterior vertebral arch using a local originating autologous bony graft and titanium plates. METHODS: We designed a prospective study and present our first 16 patients. The clinical results were evaluated with the JOA score, Nurick scale and the VAS. The functional and radiological evaluation was performed with radiographs, CT and MRI, and the measurements of the dimensions of the spinal canal were carried out with the MIPAV programme ( Johns Hopkins University)...
2017: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/28350949/state-of-the-art-in-degenerative-cervical-myelopathy-an-update-on-current-clinical-evidence
#13
Jefferson R Wilson, Lindsay A Tetreault, Jun Kim, Mohammed F Shamji, James S Harrop, Thomas Mroz, Samuel Cho, Michael G Fehlings
Degenerative cervical myelopathy (DCM) is a common cause of spinal cord dysfunction that confronts clinicians on a daily basis. Research performed over the past few decades has provided improved insight into the diagnosis, evaluation, and treatment of this disorder. We aim to provide clinicians with an update regarding the state of the art in DCM, focusing on more recent research pertaining to pathophysiology, natural history, treatment, consideration of the minimally symptomatic patient, surgical outcome prediction, and outcome measurement...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28345126/open-door-laminoplasty-with-preservation-of-muscle-attachments-of-c2-and-c7-for-cervical-spondylotic-myelopathy-retrospective-study
#14
Halil Ibrahim Secer, Ferhat Harman, Murat Hamit Aytar, Serdar Kahraman
AIM: Some restriction and complications, such as progression of kyphosis, incidence of axial neck pain and decrease of postoperative cervical range of motion are concern. We designed this retrospective clinical study to evaluate the effect of laminoplasty by preserving the muscle attachments of C2 and C7 spinous processes on ROM, axial neck pain and cervical lordosis. MATERIAL AND METHODS: 27 cases with cervical spondylotic myelopathy underwent open-door laminoplasty with the protection of the muscles attachment to the C2 and C7 spinous process and laminae between 2007 and 2013...
February 27, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28338451/superficial-siderosis-of-the-central-nervous-system-associated-with-intraspinal-hemorrhage-from-ventral-thoracic-epidural-veins-and-a-ventral-spinal-csf-leak-case-report
#15
Keisuke Takai, Takashi Komori, Manabu Niimura, Makoto Taniguchi
In most patients with superficial siderosis of the CNS, the exact source of bleeding remains unknown because of a lack of objective surgical data. The authors herein describe the case of a 58-year-old man with superficial siderosis of the CNS. The patient also had spinal CSF leakage due to a spinal dural defect. Repair surgery for the dural defect was performed using posterior laminoplasty with a transdural approach without spinal fixation. During repair surgery, the bleeding source was found to be the epidural vein around the defect...
March 24, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28329252/clinical-outcomes-of-cervical-laminoplasty-results-at-two-years
#16
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...
June 1, 2017: 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
#17
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
#18
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
#19
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...
May 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28289891/selective-laminectomy-for-cervical-spondylotic-myelopathy-a-comparative-analysis-with-laminoplasty-technique
#20
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...
May 2017: Archives of Orthopaedic and Trauma Surgery
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