Cervical spondylotic myelopathy (CSM) is a common degenerative spine disease that requires surgical intervention if conservative failed. Currently, there is interest in various technical of laminoplasty. To review outcome of patients who underwent single-door cervical laminoplasty using titanium miniplates alone.
Materials and methods
The author performed surgery in patients with CSM by unilateral open-door laminoplasty, which allows through decompression of the cervical spinal canal. Pain was measured with a visual analog scale (VAS). Surgical outcome was analyzed with the modified Japanese Orthopaedic Association (mJOA) score.
Results
Visual analog scale scores and mJOA were significantly improved at 1, 2 and 3 years follow-up compared to preoperative levels. Recovery rate mJOA score 27,7%, excellent pain relief (100% of initial VAS score).
Conclusion
Open-door laminoplasty is easily applied for young spine surgeon, allows good field visualization and decompression, single-door cervical laminoplasty using miniplates alone is a safe technique and achieves a high hinge union rate, good canal decompresion and neurological recovery.
How to cite this article
Yudoyono F, Avrina R, Arisanti F, Noormeita V, Wirjomartani BA. Cervical Spondylotic Myelopathy Release by Unilateral Open-Door Laminoplasty with Miniplate Alone: Three Years Follow-up. J Spinal Surg 2016;3(1):18-21.
Cervical expansive laminoplasty with 90° box-shape double door method. Korean J Spine 2012;9(3):193-196.
Outcome of the expansive open-door laminoplasty with titanium miniplate in cervical stenosis. J Korean Neurosurg Soc 2004 Dec;36:454-458.
Expansive open-door laminoplasty secured with titanium miniplates is a good surgical method for multiple-level cervical stenosis. J Orthop Surg Res 2014;9(49):1-11.
Efficacy and results of expansive laminoplasty in patients with severe cervical myelopathy due to cervical canal stenosis. Neurology India 2004 Mar;52(1):54-58.
Instrumented opendoor laminoplasty as treatment for cervical myelopathy in 104 patients. Am J Orthoped 2009 Jul;E123-E128.
Union rate on hinge side after open-door laminoplasty using maxillofacial titanium miniplate. Adv Orthop 2013, Article ID 767343;1-6.
Efficacy of modified expansive open-door laminoplasty for cervical myelopathy. Surg Sci 2012 Dec;3:568-571.
Expansive open-door cervical laminoplasty: in situ reconstruction of extensor muscle insertion on the C2 spinous process combined with titanium miniplates internal fixation. Medicine 2015 Jul;94(28):1-6.
The impact of head repositioning accuracy and propioception in cervical stabilization exercise in healthy adults. Phys Ther Rehabil Sci 2015;4(1):49-54.
Laminoplasty technique for the treatment of multilevel cervical stenosis. Adv Orthop 2012;2012:307916.
Neurogenic bladder. Adv Urol 2012;2012:816274.
Intensive exercise program after spinal cord injury (Full-On): study protocol for a randomised controlled trial. Trials 2013;14(291):1-9.
Expansive open door laminoplasty for cervical spinal stenotic myelopathy. Spine 1983 Oct;8(7):693-699.
A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization: a computerized morphometric analysis. Spine 1996 Feb;21(4):474-483.
Operative procedure and results of expansive open-door laminoplasty. Spine 1988 Jul;13(7):870-876.
