Treatment of Double-door Cervical Laminoplasty without Preservation of Posterior Elements

  • Kashihara Minoru
    Department of Orthopaedic Surgery, Naze Tokushukai Hospital, Kagosima, Japan

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  • 後方要素非温存型頚椎棘突起縦割法の治療経験

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Abstract

We performed double-door cervical laminoplasty without preservation of posterior elements between 1998 and 2005. This report is based on 31 subjects consisting of 23 cases of cervical spondylotic myelopathy and eight cases of ossification of the posterior longitudinal ligament. Cervical alignment and nuchal symptoms are investigated before operation and at follow-up. Postoperative axial pain was defined as different from preoperative nuchal symptoms. The average preoperative lordosis angle which was 12.6 degrees between C2 and C7 decreased to 8.6 degrees at follow-up. Patients were divided into two groups: Group A consisting of patients without preoperative nuchal symptoms and Group B with the symptoms. In Group A, all patients had no nuchal symptoms at follow-up. In Group B, the rate of symptom relief of the patients with postoperative axial pain was worse than that of patients without postoperative axial pain.

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