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Operative treatment of cervical myelopathy: cervical laminoplasty.

Braly BA, Lunardini D, Cornett C, Donaldson WF - Adv Orthop (2012)

Bottom Line: Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention.Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits.Current literature supports the use of laminoplasty for indicated decompression.

View Article: PubMed Central - PubMed

Affiliation: Univeristy of Pittsburgh Medical Center, Pittsburgh, PA, USA.

ABSTRACT
Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention. Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits. We review laminoplasty as a motion-sparing posterior decompressive method. Current literature supports the use of laminoplasty for indicated decompression. We also decribe our surgical technique for an open-door, or "hinged", laminoplasty.

No MeSH data available.


Related in: MedlinePlus

Post-laminoplasty view using plate fixation to hold the posterior hinge open.
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fig4: Post-laminoplasty view using plate fixation to hold the posterior hinge open.

Mentions: Fixating the door open can be done by a variety of techniques including bone block, suture, suture anchors, facial trauma plates, or laminoplasty specific plates (Figure 4). We then prefer to shorten the spinous processes with a rongeur, especially at the C6-7 level, to facilitate skin closure and decrease a postoperative prominence. The spinous processes can be shortened earlier in the procedure, though they may be helpful in opening the hinge.


Operative treatment of cervical myelopathy: cervical laminoplasty.

Braly BA, Lunardini D, Cornett C, Donaldson WF - Adv Orthop (2012)

Post-laminoplasty view using plate fixation to hold the posterior hinge open.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368162&req=5

fig4: Post-laminoplasty view using plate fixation to hold the posterior hinge open.
Mentions: Fixating the door open can be done by a variety of techniques including bone block, suture, suture anchors, facial trauma plates, or laminoplasty specific plates (Figure 4). We then prefer to shorten the spinous processes with a rongeur, especially at the C6-7 level, to facilitate skin closure and decrease a postoperative prominence. The spinous processes can be shortened earlier in the procedure, though they may be helpful in opening the hinge.

Bottom Line: Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention.Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits.Current literature supports the use of laminoplasty for indicated decompression.

View Article: PubMed Central - PubMed

Affiliation: Univeristy of Pittsburgh Medical Center, Pittsburgh, PA, USA.

ABSTRACT
Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention. Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits. We review laminoplasty as a motion-sparing posterior decompressive method. Current literature supports the use of laminoplasty for indicated decompression. We also decribe our surgical technique for an open-door, or "hinged", laminoplasty.

No MeSH data available.


Related in: MedlinePlus