POSTERIOR MIGRATION OF CERVICAL SPINAL-CORD BETWEEN SPLIT LAMINAE AS A COMPLICATION OF LAMINOPLASTY

被引:18
作者
KIMURA, S [1 ]
HOMMA, T [1 ]
UCHIYAMA, S [1 ]
YAMAZAKI, A [1 ]
IMURA, K [1 ]
机构
[1] NIIGATA UNIV,SCH MED,DEPT ORTHOPAED SURG,NIIGATA,JAPAN
关键词
Laminoplasty; Longitudinal ligament; Neurologic complication; Ossification of posterior;
D O I
10.1097/00007632-199506000-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. This is a case report. Objective, To focus attention on a possible neurologic complication of laminoplasty. Summary of Background Data. An iatrogenic spinal cord lesion developed after laminoplasty as an operative complication of unknown cause. Methods. Two patients had iatrogenic damage to the spinal cord from an unknown cause after laminoplasty of the cervical spine,bur recovered soon after an additional laminectomy. They were evaluated with regard to the mechanism of damage and prevention, Results. The spinal cord damage occurred when the spinal cord migrated posteriorly and deformed between the split laminae at the apex of the lordosis, where the maximum posterior displacement of the spinal cord was achieved. Conclusion. This damage was caused by a relatively narrower canal resulting from the split laminae of the apex of the adjacent laminae.
引用
收藏
页码:1284 / 1288
页数:5
相关论文
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