Open-door Laminoplasty with Preservation of Muscle Attachments of C2 and C7 for Cervical Spondylotic Myelopathy: Retrospective Study
| Autor: | Murat Hamit Aytar, Ferhat Harman, Halil Ibrahim Secer, Serdar Kahraman |
|---|---|
| Přispěvatelé: | Acibadem University Dspace |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Lordosis Visual analogue scale medicine.medical_treatment Kyphosis Spinal Cord Diseases Laminoplasty 03 medical and health sciences 0302 clinical medicine Humans Medicine Range of Motion Articular Muscle Skeletal Range of motion Aged Retrospective Studies Aged 80 and over 030222 orthopedics Neck pain medicine.diagnostic_test business.industry Cervical spondylotic myelopathy Magnetic resonance imaging Middle Aged medicine.disease Surgery Treatment Outcome Orthopedic surgery Cervical Vertebrae Female Spondylosis Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Popis: | AIM: Some restriction and complications, such as progression of kyphosis, incidence of axial neck pain and decrease of postoperative cervical range of motion are concern. We designed this retrospective clinical study to evaluate the effect of laminoplasty by preserving the muscle attachments of C2 and C7 spinous processes on range of motion (ROM), axial neck pain and cervical lordosis. MATERIAL and METHODS: Twenty-seven cases with cervical spondylotic myelopathy underwent open-door laminoplasty with the protection of muscle attachments to the C2 and C7 spinous process and laminae between 2007 and 2013. At the end of the follow-up, cases were evaluated with preoperative and postoperative modified Japanese Orthopedic Association (mJOA) scores, recovery rate, ROM, lordosis angle and visual analogue scale (VAS). Also, patients were divided into two groups and evaluated according to the magnetic resonance imaging (MRI) findings, with or without T2 signal change. RESULTS: The mean age of the patients was 66 years. The mean follow-up duration was 25 months. The postoperative mJOA scores were significantly higher than the preoperative mJOA scores (p0.05). The postoperative lordosis angle was significantly lower than the preoperative lordosis angle (p |
| Databáze: | OpenAIRE |
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