BILATERAL OPEN LAMINOPLASTY USING CERAMIC LAMINAS FOR CERVICAL MYELOPATHY

被引：65

作者：

HASE, H

WATANABE, T

HIRASAWA, Y

HASHIMOTO, H

MIYAMOTO, T

CHATANI, K

KAGEYAMA, N

MIKAMI, Y

机构：

[1] Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Kyoto

来源：

SPINE | 1991年 / 16卷 / 11期

关键词：

CERVICAL MYELOPATHY; CERVICAL SPONDYLOTIC MYELOPATHY; OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT; CERVICAL LAMINOPLASTY; CERAMIC LAMINA;

D O I：

10.1097/00007632-199111000-00005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Evaluation was done of 65 patients with cervical myelopathy treated by bilateral open laminoplasty using artificial laminas, between 1984 and 1988, who had been followed for more than 2 years. The mean recovery rate on the Japanese Orthopaedic Association scoring system was 65% in all cases, and 72% in the cases with no other complications. The artificial laminas appeared well adapted to the laminas in computed tomography and dynamic radiographic examinations, and there were no cases of reduction of the enlarged canal. Postoperative restriction of the range of motion of the cervical spine was lessened by the positioning of lateral grooves, more appropriate external fixation, and posterior flexion exercise after operation. This procedure is not technically complicated, it does not involve appreciable blood loss during operation, it prevents grafted free fat from migrating into the spinal canal, and is advantageous for posterolateral bone chip grafting.

引用

页码：1269 / 1276

页数：8

共 17 条

[1]

Adams C., Logue V., Studies in cervical spondylotic myelopathy: III. Functional effects of operations for cervical spondylotic myelopathy, Brain, 94, pp. 587-594, (1971)

[2]

Arima T., Post laminectomy malalignments of the cervical spine, Journal of Brain and Nerve Trauma, 1, pp. 71-78, (1969)

[3]

Hase H., Chatani K., Hirasawa Y., Miyamoto T., Watanabe T., A follow-up study of bilateral open laminoplasty using artificial ceramic lamina for cervical myelopathy, Cent Jpn J Orthop Traumatol, 33, pp. 232-234, (1990)

[4]

Hirabayashi K., Satomi K., Operative procedure and results of expansive open-door laminoplasty, Spine, 13, pp. 870-876, (1988)

[5]

Itoh T., Tsuji H., Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine, Spine, 10, pp. 729-736, (1985)

[6]

Iwasaki H., Expansive laminoplasty of the cervical spine, Orthopedic Surgery, 2, pp. 228-233, (1982)

[7]

Criteria on the evaluation of the treatment of cervical myelopathy, Journal of the Japanese Orthopaedic Association 50:Addenda, 5, (1976)

[8]

Kawai S., Sunago K., Doi K., Saika M., Taguchi T., Cervical laminoplasty (Hattori method): Procedure and follow-up results, Spine, 13, pp. 1245-1250, (1988)

[9]

Kirita Y., Miyazaki K., Lin T., Et al., Posterior decompression in myelopathy due to ossification of the posterior longitudinal ligament, Clin Orthop Surg, 10, pp. 1077-1085, (1975)

[10]

Koyama T., Iwasaki K., Watanabe K., Handa J., Osteoplastic laminectomy using hydroxyapatite ceramic implants, Neurol Surg, 14, pp. 151-159, (1986)

← 1 2 →