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Technical Modification and Comparison of Results with Hirabayashi's Open-door Laminoplasty

Kim, Young-Sung    (Department of Neurosurgery Inha University College of Medicine   ); Yoon, Seung-Hwan    (Department of Neurosurgery Inha University College of Medicine   ); Park, Hyung-Chun    (Department of Neurosurgery Inha University College of Medicine   ); Park, Chong-Oon    (Department of Neurosurgery Inha University College of Medicine   ); Park, Hyeon-Seon    (Department of Neurosurgery Inha University College of Medicine   ); Hyun, Dong-Keun    (Department of Neurosurgery Inha University College of Medicine  );
  • 초록

    Objective : Hirabayashi's open-door laminoplasty is a good procedure to use to treat patients with myelopathy of the cervical spine; however, the authors have experienced problems in maintaining an open-window in cervical spines after the surgery. The authors developed a modified method of the expanded open-door laminoplasty and compared the radiological and clinical results with those of the classical method. Methods : In the modified method, wiring fixation with lateral mass screws on the contra lateral-side instead of fixing the paraspinal muscle or facet joint, as in the classical methods, was used in the open window of the cervical spine. Fifteen patients with cervical myelopathy were treated using the classical method and 12 patients were treated using the modified method. Preoperative and postoperative clinical conditions were assessed according to the Japanese Orthopedic Association (JOA) score. The radiological results were compared with the preoperative and postoperative computed tomography (CT) findings. Results : In both methods, the clinical results revealed a significant improvement in neurological function (p


  • 주제어

    Laminoplasty .   Myelopathy .   Ossification of the posterior longitudinal ligament .   spondylosis.  

  • 참고문헌 (17)

    1. Herkowitz HN : Surgical management of cervical disc disease : 'open-door' laminoplasty. Seminar in Spine Surgery 1 : 245-253, 1989 
    2. Itoh T, Tsuji H : Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine. Spine 10 : 729-736, 1985 
    3. Nakano K, Harata S, Suetsuna F, Araki T, Itoh J : Spinous processsplitting laminoplasty using hydroxyapatite spinous process spacer. Spine 17 : 41-43, 1992 
    4. Hirabayashi K : Expansive open-door laminoplasty for cervical spondylotic myelopathy. Jpn J Surg 32 : 1159-1163, 1978 
    5. Mochida J, Nomura T, Chiba M, Nishimura K, Toh E : Modified expansive open-door laminoplasty in cervical myelopathy. J Spinal Disord 12 : 386-391, 1999 
    6. Hukuda S, Ogata M, Mochizuki T, Shichikawa K : Laminectomy versus laminoplasty for cervical myelopathy : Brief report. J Bone Joint Surg Br 70 : 325-326, 1988 
    7. Chiles BW 3rd, Leonard MA, Choundhri HF, Cooper PR : Cervical spondylotic myelopathy : patterns of neurological deficit and recovery after anterior cervical decompression. Neurosurgery 44 : 762-769, 1999 
    8. Hirabayashi K, Toyama Y, Chiba K : Expansive laminoplasty for myelopathy in ossification of the longitudinal ligament. Clin Orthop 359 : 35-48, 1999 
    9. Butler JC, Whitecloud TS 3rd : Postlaminectomy kyphosis : Causes and surgical management. Orthop Clin North Am 23 : 505-511, 1992 
    10. Heller JG, Edwards CC 2nd, Murakami H, Rodts GE : Laminoplasty versus laminectomy and fusion for multilevel cervical myelopathy. Spine 26 : 1330-1336, 2001 
    11. Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y : Expansive opendoor laminoplasty for cervical spine stenotic myelopathy. Spine 8 : 693-699, 1983 
    12. Guigui P, Lefevre C, Lassale B, Deburge A : Static, dynamic changes of the cervical spine after laminectomy for cervical spondylotic myelopathy. Rev Chir Orthop Reparatrice Appar Mot 84 : 17-25, 1998 
    13. Koyama T, Handa J : Cervical laminoplasty using apatite beads as implants : experiences in 31 patients with compressive myelopathy due to developmental canal stenosis. Surg Neurol 24 : 663-667, 1985 
    14. Lonstein JE : Post-laminectomy kyphosis. Clin Orthop 128 : 93-100, 1977 
    15. Jeon SC, Chough CK, Park HK, Lee KJ, Rha HK, Kim MC : Surgical technique and long-term follow-up of cervical laminoplasty using titanium miniplates. J Korean Neurosurg Soc 36 : 369-374, 2004 
    16. Kamo Y, Takemitsu Y, Hamada O : Cervical laminoplasty by splitting the spinous process using AW glass-ceramic lamina spacer. Rinsho Seikeigeka 10 : 1115-1122, 1992 
    17. O'Brien MF, Peterson D, Casey AT, Crockard HA : A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization : a computerized morphometric analysis. Spine 21 : 474-484, 1996 

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  • 윤승환 (37)

  • 박형천 (25)

  • Park, Chong-Oon (8)

  • Park, Hyeon-Seon (16)

  • 현동근 (20)

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